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Defining Prolonged Length of Acute Care Stay for Surgically and Conservatively Treated Patients with Spontaneous Intracerebral Hemorrhage: A Population-Based Analysis
Joint Authors
Stein, Marco
Misselwitz, Björn
Hamann, Gerhard F.
Kolodziej, Malgorzata A.
Reinges, Marcus H. T.
Uhl, Eberhard
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
The definition of prolonged length of stay (LOS) during acute care remains unclear among surgically and conservatively treated patients with intracerebral hemorrhage (ICH).
Methods.
Using a population-based quality assessment registry, we calculated change points in LOS for surgically and conservatively treated patients with ICH.
The influence of comorbidities, baseline characteristics at admission, and in-hospital complications on prolonged LOS was evaluated in a multivariate model.
Results.
Overall, 13272 patients with ICH were included in the analysis.
Surgical therapy of the hematoma was documented in 1405 (10.6%) patients.
Change points for LOS were 22 days (CI: 8, 22; CL 98%) for surgically treated patients and 16 days (CI: 16, 16; CL: 99%) for conservatively treated patients.
Ventilation therapy was related to prolonged LOS in surgically (OR: 2.2, 95% CI: 1.5–3.1; P<0.001) and conservatively treated patients (OR: 2.5, 95% CI: 2.2–2.9; P<0.001).
Two or more in-hospital complications in surgical patients (OR: 2.7, 95% CI: 2.1–3.5) and ≥1 in conservative patients (OR: 3.0, 95% CI: 2.7–3.3) were predictors of prolonged LOS.
Conclusion.
The definition of prolonged LOS after ICH could be useful for several aspects of quality management and research.
Preventing in-hospital complications could decrease the number of patients with prolonged LOS.
American Psychological Association (APA)
Stein, Marco& Misselwitz, Björn& Hamann, Gerhard F.& Kolodziej, Malgorzata A.& Reinges, Marcus H. T.& Uhl, Eberhard. 2016. Defining Prolonged Length of Acute Care Stay for Surgically and Conservatively Treated Patients with Spontaneous Intracerebral Hemorrhage: A Population-Based Analysis. BioMed Research International،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099232
Modern Language Association (MLA)
Stein, Marco…[et al.]. Defining Prolonged Length of Acute Care Stay for Surgically and Conservatively Treated Patients with Spontaneous Intracerebral Hemorrhage: A Population-Based Analysis. BioMed Research International No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1099232
American Medical Association (AMA)
Stein, Marco& Misselwitz, Björn& Hamann, Gerhard F.& Kolodziej, Malgorzata A.& Reinges, Marcus H. T.& Uhl, Eberhard. Defining Prolonged Length of Acute Care Stay for Surgically and Conservatively Treated Patients with Spontaneous Intracerebral Hemorrhage: A Population-Based Analysis. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099232
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099232