Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Clinical Medicine Journal

  • ClinMed Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About ClinMed
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Clinical Medicine Journal

clinmedicine Logo
  • ClinMed Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About ClinMed
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

Are changes in vital signs, mobility, and mental status while in hospital measures of the quality of care?

John Kellett, Mark Holland, Jelmer Alsma, Christian H Nickel, Mikkel Brabrand and Alfred Lumala
Download PDF
DOI: https://doi.org/10.7861/clinmed.2021-0712
Clin Med June 2022
John Kellett
AHospital of South-West Jutland, Esbjerg, Denmark
Roles: guest researcher
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: kellettjg@gmail.com
Mark Holland
BBolton University, Bolton, UK
Roles: assistant professor
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jelmer Alsma
CErasmus University Medical Center, Rotterdam, the Netherlands
Roles: acute medicine physician
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christian H Nickel
DUniversity Hospital Basel, Basel, Switzerland
Roles: deputy head
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mikkel Brabrand
EHospital of South-West Jutland, Esbjerg, Denmark
Roles: clinical professor
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alfred Lumala
FKitovu Hospital, Masaka, Uganda.
Roles: medical director
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
Loading

Abstract

Introduction Little is known of the changes in patients' health condition while in hospital in low-resource settings. The aim of this exploratory study is to examine dependency of patients on hospital admission and discharge in a low-resource sub-Saharan hospital.

Methods We carried out a retrospective observational study of changes in the health condition, as reflected by their mental status, mobility and vital signs, of 5,888 consecutive patients between hospital admission and discharge.

Results Mental status, mobility and vital signs were normal in 25% of patients on hospital admission and 30% of patients at discharge. Although very few patients with normal mental status, mobility and vital signs on admission died in hospital, the condition of 40% of them deteriorated.

Conclusion No comparative data on changes in health condition between hospital admission and discharge have been published. Our proposed health condition categories identify changes that may matter most to patients and should be considered as a standard metric of hospital care.

KEYWORDS:
  • Quality of care
  • patient-preferred outcomes
  • quality metrics
  • hospital medicine
  • risks of hospitalisation
  • © Royal College of Physicians 2022. All rights reserved.
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Are changes in vital signs, mobility, and mental status while in hospital measures of the quality of care?
John Kellett, Mark Holland, Jelmer Alsma, Christian H Nickel, Mikkel Brabrand, Alfred Lumala
Clinical Medicine Jun 2022, clinmed.2021-0712; DOI: 10.7861/clinmed.2021-0712

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Are changes in vital signs, mobility, and mental status while in hospital measures of the quality of care?
John Kellett, Mark Holland, Jelmer Alsma, Christian H Nickel, Mikkel Brabrand, Alfred Lumala
Clinical Medicine Jun 2022, clinmed.2021-0712; DOI: 10.7861/clinmed.2021-0712
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Info & Metrics

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Can collaborative working improve diabetic retinal screening rates in individuals also diagnosed with a severe mental illness?
  • A comparison of in-person versus telephone consultations for outpatient hospital care
  • Ward-based learning in a pandemic: an approach to ensuring sustainable medical education for healthcare students
Show more Original research

Similar Articles

FAQs

  • Difficulty logging in.

There is currently no login required to access the journals. Please go to the home page and simply click on the edition that you wish to read. If you are still unable to access the content you require, please let us know through the 'Contact us' page.

  • Can't find the CME questionnaire.

The read-only self-assessment questionnaire (SAQ) can be found after the CME section in each edition of Clinical Medicine. RCP members and fellows (using their login details for the main RCP website) are able to access the full SAQ with answers and are awarded 2 CPD points upon successful (8/10) completion from:  https://cme.rcplondon.ac.uk

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home
clinmedicine Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians