Shuhei Yoshida|Masato Matsushima|Hidetaka Wakabayashi|Rieko Mutai|Shinichi Murayama|Tetsuro Hayashi|Hiroko Ichikawa|Yuko Nakano|Takahiro Watanabe|Yasuki Fujinuma
Validity and reliability of the Patient Centred Assessment Method for patient complexity and relationship with hospital length of stay: a prospective cohort study
Ministry of Health Labour and Welfare|Jikei University School of Medicine|Centre for Family Medicine|Jikei University School of Medicine|Yokohama City University Medical Center|Yokohama City University|Jikei University School of Medicine|Jikei University School of Medicine|Ministry of Health Labour and Welfare|Jikei University School of Medicine|Tokyo Medical Center|National Hospital Organization|Jikei University School of Medicine|Tokyo Rinkai Hospital|Jikei University School of Medicine|Japan Small Animal Medical Center|Ministry of Health Labour and Welfare|Jikei University School of Medicine|Centre for Family Medicine|Ministry of Health Labour and Welfare|Chiba University|Centre for Family Medicine
h3objectivesh3 several instruments evaluating patient complexity developed biopsychosocial perspective although relationships results obtained instruments length stay hospital examined many instruments complicated easy use patient centred assessment method pcam candidate practical use study aimed test validity reliability pcam examine correlations length hospital stay pcam scores regional secondary care hospital japan h3designh3 prospective cohort study h3participants settingh3 two hundred one patients admitted ouji coop hospital july 2014 september 2014 h3main predictorh3 pcam total score initial phase hospital admission h3main outcomeh3 length stay hospital h3resultsh3 among 201 patients femalemale98103 mean sd age 774119 years mean pcam score 2573 mean sd length stay hospital los 341409 days using exploratory factor analysis examine construct validity pcam evidently twofactor structure comprising medicineoriented patientoriented complexity spearman rank correlation coefficient evaluating criterionbased validity pcam intermed 090 reliability cronbachs alpha 085 according negative binomial regression analyses pcam scores statistically significant predictor plt0001 los adjusting age gender mini nutritional assessment shortform charlson comorbidity index serum sodium concentration total number medications whether public assistance required another model factor pcam independently correlated length stay hospital adjustment medicineoriented complexity p0001 patientoriented complexity p0014 h3conclusionh3 pcam reliable valid measurement patient complexity pcam scores significant correlation hospital length stay