Aim: Hospital length of stay (LOS) is one of the stratified measures of health-care efficiency and is commonly used to assess performance of psychiatric care. C. P. Launay 1, A. Kabeshova 2, A. Lanoé 2, J. Chabot 3, E. J. Levinoff 3 & O. Beauchet 3,4,5 BMC Geriatrics volume 18, Article number: 127 (2018) Cite this article. The first was to identify factors influencing prolonged postoperative length of stay (LOS) following cardiac surgery. Previous article in issue; Next article in issue; Keywords. Patients with prolonged length of hospital stay (LOS) not only increase their risks of nosocomial infections but also deny other patients access to inpatient care. CONCLUSIONS: Older children with asthma, younger children with LRI, children with chronic conditions, and those hospitalized in large urban-teaching hospitals are more vulnerable to prolonged LOS and complications. fluids on POD0, the need for every 500 ml increased the risk for prolonged hospital stay 1.71 times. Type of study. Foreign body aspiration. Risk factors of prolonged hospital stay in children with viral severe acute respiratory infections October 2014 The Journal of Infection in Developing Countries 8(10):1285-1293 Age effect on the prediction of risk of prolonged length hospital stay in older patients visiting the emergency department: results from a large prospective geriatric cohort study. If the person or family members anticipate problems, they should discuss preventive measures with staff members. Hospital stays can be a life-changing event for patients. Emergency departments (EDs) are challenged with a growing population of older patients. Virus type did not affect the length of hospital stay (p > 0.05). The risk to develop post-operative complications may be significantly higher for children with pre-operative pulmonary disease, prolonged operative time, and history of ineffective rigid bronchoscopy. BACKGROUND:In this study, trauma-specific risk factors of prolonged length of stay (LOS) in pediatric trauma were examined. The aim of the present study was to evaluate the reasons for prolonged duration of stay in patients stratified in five risk classes for death, and to identify factors associated with prolonged stay. Table 3 shows the results of univariate regression analysis for factors associated with length of ICU and hospital stay. Prolonged length of stay was independently associated with the presence of cyanosis and underlying chronic illness (OR 7.4, CI: 1.8-30.32 [p = 0.005], OR 2.5, CI: 1.36-4.64 [p = 0.004], respectively). Optimal surgical and medical care have major roles in surgical CRC patients. This study is aimed to : a)determine the risk factors affecting long term stay in hospital after CABG surgery, and b) make comparison between group for each risk factors. Oxygen therapy was required in 91% of the patients. The total medical costs of community-acquired pneumonia are directly related to the costs of hospital admission and length of stay. Introduction Preoperative cardiopulmonary exercise testing (CPEX) has been shown to be useful in assessing operative risks in patients undergoing major surgery. The aim of this study was to identify risk fac-tors for prolonged LOS of psychiatric patients. The patients' loved ones have lives of their own, and can't stay by a bedside all day to provide companionship. Nevertheless, the extent to which such surplus hospital stays are associated with infectious complications, their time frame of appearance and their long-term implications was not previously addressed. 3 Citations. People who cannot adequately care for themselves are more likely to have longer stays in hospital and end up being sent to a nursing home after discharge. Level of evidence. The study population consisted of 295 patients. The researchers note that the link between in-hospital weight loss and prolonged hospitalization is unsurprising. Method Between November 2013 and November 2014, 68 … These factors are also linked to prolonged hospital stay. Risks for prolonged LOS for asthma were increased in large hospitals (AOR 1.67, 95% CI 1.32–2.11) and urban-teaching hospitals (AOR 1.62, 95% CI 1.33–1.97). Hepatobiliary (HPB) malignancies have some of highest incidences in East and Southeast Asia and the management of patients undergoing HPB surgeries have yet to be standardized. As for i.v. The study, by Italian researchers, involved 1274 adults admitted to hospital for medical or surgical treatment. Statistical and machine learning models were used to proffer ways to improve the quality of care of patients at risk of prolonged length of stay and reduce cost. Overall risk factors for prolonged ICU and hospital stay. Hospitals are loaded with nasty bugs. Treatment Study. discussed the risk factors related to prolonged stay after surgery (Paul et al., 2000 & Rony et al., 2008). If you are a smoker, consider starting a smoking cessation program before your hospital stay. It's a massive disruption of routine, and it's isolating. Similar differences were generated for median lengths of stay. If you are overweight, losing weight will reduce the risk of infection following surgery. - Risk factors for prolonged hospital stay after isolated Rev ras Cir Cardiovasc 2013;28(3)353-63 coronary artery bypass grafting productivity [4,8], affecting family budgets, quality of life and increasing costs [1]. Oliveira EK, et al. With every 50 km distance from the hospital to place of residence, the odds for prolonged LOS increased 1.59 times. Oct 12 2010 --- Hospital patients admitted with malnutrition or who don't eat for several days are at greater risk of a prolonged hospital stay, according to a study published in CMAJ (Canadian Medical Association Journal). The risk of postoperative complications and prolonged hospital stay may significantly be higher for children with pre-operative pulmonary disease, prolonged operative time, and history of ineffective rigid bronchoscopy. A total of 303 patients were included, with 176 (58.1%) male and a median (IQR) age of 3.0 (1.0–7.0) months. Bronchoscopy. Patients suffering from malnutrition at admission had a 65% greater risk of a prolonged hospital stay, ranging from 7-22 days compared with a 4-13 day length of stay in those not at risk. BACKGROUND: In this study, trauma-specific risk factors of prolonged length of stay (LOS) in pediatric trauma were examined. Introduction . Prolonged, inappropriate hospital stay after patients’ eligibility for discharge from internal medicine departments is a world-wide health-care systems’ problem. Bashour et al. Cutoffs based on percentiles were able to predict risk for hospital stays longer than 2 days in children who experienced asthma exacerbation. Compared with the PLOS model, the PPOLOS model better predicted risk of prolonged hospital stay. Prolonged length of hospital stay was defined as 12 days or more. The differences in hospital stays for patients in the same APR DRGs and severity of illness with and without urinary tract infection and pneumonia in the Syracuse hospitals were substantial. A total of 43 patients (11.6%) required intensive care admission. The study, by Italian researchers, involved 1274 adults admitted to hospital for medical or surgical treatment. These patients are at risk for a prolonged length of stay (LOS) at the ED and face more complications and poorer clinical outcomes. For the purpose of this study, data from patients with first-ever ischemic (n = 2704) and primary intracerebral hemorrhage (n = 408) attended over a 17-year period were collected. Statistical and machine learning models were used to proffer ways to improve the quality of care of patients at risk of prolonged length of stay and reduce cost. risk factors have been used by our group in previous studies [11]. Prolonged stay in acute hospitals increases the risk of hospital-acquired infections in older patients, and disrupts patient flow and access to care due to bed shortages. Keywords Complications, prolonged length of stay (PLOS), prolonged postoperative length of stay (PPOLOS), colorectal cancer, Taiwan. 1678 Accesses. Prolonged LOS for bronchiolitis was defined as at least one hospital stay of 5 or more days. Objectives Two objectives were set for this study. The aim of this study was to assess the value of CPEX in predicting complications and prolonged hospital stay in patients undergoing oesophago-gastric cancer resection. 2: MRSA and Other Hospital-Acquired Infections. Hospital Risk No. Extended length of stay is associated with increased risk of contracting hospital acquired infections (Hassan et al., 2010) and mortality (Laupland et al., 2006). We aimed to identify risk factors for a prolonged LOS of older patients at the ED. Nurses and assistants are even busier. This increased stay produced 2,626 - 3,456 additional patient days. Data regarding prolonged length of hospital stay (PLOS) and in-hospital mortality are paramount to evaluate efficiency and quality of surgical care as well as for rational resource utilization, allocation, and administration. Another top hospital risk is infection with bacteria or a virus. Hospital patients admitted with malnutrition or who don't eat for several days are at greater risk of a prolonged hospital stay, according to a study published in CMAJ. Risk Factors Associated with Prolonged Hospital Stay and Readmission in Patients After Primary Bariatric Surgery | springermedizin.de Skip to main content The second was to devise a predictive model for prolonged LOS in the cardiac intensive care unit (CICU) based on preoperative factors available at admission and to compare it against two existing cardiac stratification systems. Level III.
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