Comparison of Length of Hospital Stay Between Taipei City and Hualien County in Spinal Trauma Patients

2010 ◽  
Vol 2 (5) ◽  
pp. 239-244 ◽  
Author(s):  
Wei-Chen Lee ◽  
Wen-Ta Chiu ◽  
Shin-Han Tsai ◽  
Mau-Roung Lin ◽  
Shu-Fen Chu ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Spinal Trauma ◽  
Trauma Patients ◽  
Taipei City

Length of hospital stay and discharge disposition in older trauma patients

2015 ◽  
Vol 36 (2) ◽  
pp. S3-S9 ◽  
Author(s):  
Rebecca A. Brotemarkle ◽  
Barbara Resnick ◽  
Kathleen Michaels ◽  
Patricia Morton ◽  
Chris Wells
Keyword(s):  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Trauma Patients ◽  
Discharge Disposition

Does Alcohol Intoxication Protect Patients from Severe Injury and Reduce Hospital Mortality? The Association of Alcohol Consumption with the Severity of Injury and Survival in Trauma Patients

2013 ◽  
Vol 79 (12) ◽  
pp. 1289-1294 ◽  
Author(s):  
Chi-Hsun Hsieh ◽  
Li-Ting Su ◽  
Yu-Chun Wang ◽  
Chih-Yuan Fu ◽  
Hung-Chieh Lo ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Hospital Stay ◽  
Brain Injuries ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Length Of Hospital Stay ◽  
Trauma Patients ◽  
Prolonged Hospital Stay ◽  
Severe Injuries ◽  
Prolonged Hospital

Alcohol-related motor vehicle collisions are a major cause of mortality in trauma patients. This prospective observational study investigated the influence of antecedent alcohol use on outcomes in trauma patients who survived to reach the hospital. From 2005 to 2011, all patients who were older than 18 years and were admitted as a result of motor vehicle crashes were included. Blood alcohol concentration (BAC) was routinely measured for each patient on admission. Patients were divided into four groups based on their BAC level, which included nondrinking, BAC less than 100, BAC 100 to 200, and BAC 200 mg/dL or greater. Patient demographics, physical status and injury severity on admission, length of hospital stay, and outcome were compared between the groups. Odds ratios of having a severe injury, prolonged hospital stay, and mortality were estimated. Patients with a positive BAC had an increased risk of sustaining craniofacial and thoracoabdominal injuries. Odds ratios of having severe injuries (Injury Severity Score [ISS] 16 or greater) and a prolonged hospital stay were also increased. However, for those patients whose ISS was 16 or greater and who also had a brain injury, risk of fatality was significantly reduced if they were intoxicated (BAC 200 mg/dL or greater) before injury. Alcohol consumption does not protect patients from sustaining severe injuries nor does it shorten the length of hospital stay. However, there were potential survival benefits related to alcohol consumption for patients with brain injuries but not for those without brain injuries. Additional research is required to investigate the mechanism of this association further.

scholarly journals Degloving injuries of trunk and limbs: comparison of outcomes of early versus delayed assessment by the plastic surgery team

2015 ◽  
Vol 42 (3) ◽  
pp. 143-148 ◽  
Author(s):  
Daniel Francisco Mello ◽  
José Cesar Assef ◽  
Sílvia Cristine Soldá ◽  
Américo Helene Jr
Keyword(s):  
Hospital Stay ◽  
Plastic Surgery ◽  
Skin Flap ◽  
Length Of Hospital Stay ◽  
Lower Limbs ◽  
Trauma Patients ◽  
Early Assessment ◽  
Group I ◽  
Group Ii ◽  
Degloving Injuries

<sec><title>OBJECTIVE:</title><p> to analyze cases of degloving of the trunk and limbs, comparing outcomes of early versus delayed assessment by the plastic surgery team.</p></sec><sec><title>METHODS:</title><p> we conducted a retrospective analysis of medical charts. Patients comprised two groups: Group I - early assessment, performed within 12 hours post trauma; and Group II - delayed assessment, performed more than 12 hours post trauma. We defined primary grafting as the use of skin from the traumatized skin flap. We excluded cases involving hands, feet or genitalia.</p></sec><sec><title>RESULTS:</title><p> there were 47 patients treated with degloving injuries between 2002 and 2010. The mean body surface area affected was 8.2%. Lower limbs were the most frequently affected site (95.7%), whether alone or in association with lesions to other sites. Delayed assessment by the plastic surgery team occurred in 25 cases. Mean hospital stay was 36.1 days for Group I and 57.1 days for Group II (p=0.026). Regarding the number of surgical operations (skin grafts), Group I received a mean of 1.3, while Group II underwent 1.6 (p=0.034).</p></sec><sec><title>CONCLUSION:</title><p> based on length of hospital stay and number of operations in trauma patients with degloving of the trunk and limbs, plastic surgery assessment should be carried out early.</p></sec>

scholarly journals Correlation of Early Total Leucocyte Count and Red Cell Distribution Width With Outcome in Trauma

2020 ◽  
Author(s):  
Bhavana Chowdary Madineni ◽  
Sreeramulu P N
Keyword(s):  
Hospital Stay ◽  
Leucocyte Count ◽  
Length Of Hospital Stay ◽  
Red Cell Distribution Width ◽  
Total Leucocyte Count ◽  
Trauma Patients ◽  
Red Cell ◽  
Cell Distribution ◽  
Blood Picture ◽  
Distribution Width

Abstract Background: Trauma is the leading cause of death in young adults. Risk stratification in patients with trauma remains challenging. There is a need for a readily available prognostic method to categorise these patients.Aims & Objectives: We aim to measure and correlate red cell distribution width and total leucocyte count in patients presenting with trauma within 24 hours of injury with the outcome.Methods: We included 52 trauma patients who were admitted in RLJH from November 2019 to April 2020, who did not require emergency surgery and analysed prospectively. Complete blood picture within 24 hours of injury was analysed and outcome measured in terms of length of hospital stay. Results: There was a statistically significant correlation found between TLC and Length of hospital stay (p<0.001). The correlation between RDW and Length of hospital stay was not statistically significant. The analysis showed that increased hospital stay was associated with high TLC and RDW% done within 24 hours of injury. Conclusion: TLC and RDW can be used as readily available and simple markers in early prediction of higher morbidity in patients presenting with trauma.

Effect of Pre-existing Disease on Length of Hospital Stay in Trauma Patients

1989 ◽  
Vol 29 (6) ◽  
pp. 757-765 ◽  
Author(s):  
ELLEN J. MACKENZIE ◽  
JOHN A. MORRIS ◽  
SHARON L. EDELSTEIN
Keyword(s):  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Trauma Patients

scholarly journals Surgical treatment in hepatic trauma: factors associated with hospitalization time

2021 ◽  
Vol 48 ◽  
Author(s):  
PAULA DE OLIVEIRA TRINTINALHA ◽  
EMANUELLA ROBERNA INÁ CIRINO ◽  
RENATA FERNANDA RAMOS MARCANTE ◽  
GABRIEL RAMOS JABUR ◽  
PATRÍCIA LONGHI BUSO
Keyword(s):  
Surgical Treatment ◽  
Hospital Stay ◽  
Penetrating Trauma ◽  
Length Of Hospital Stay ◽  
Hemodynamic Instability ◽  
Liver Trauma ◽  
University Hospital ◽  
Trauma Patients ◽  
Associated Injuries ◽  
Firearm Injury

ABSTRACT Objective: the aim of this study was to identify associated factors with the increased length of hospital stay for patients undergoing surgical treatment for liver trauma, and predictors of mortality as well as the epidemiology of this trauma. Methods: retrospective study of 191 patients admitted to the Cajuru University Hospital, a reference in the treatment of multiple trauma patients, between 2010 and 2017, with epidemiological, clinicopathological and therapeutic variables analyzed using the STATA version 15.0 program. Results: most of the included patients were men with a mean age of 29 years. Firearm injury represents the most common trauma mechanism. The right hepatic lobe was injured in 51.2% of the cases, and hepatorraphy was the most commonly used surgical correction. The length of hospital stay was an average of 11 (0-78) days and the length of stay in the intensive care unit was 5 (0-52) days. Predictors for longer hospital stay were the mechanisms of trauma, hemodynamic instability at admission, number of associated injuries, degree of liver damage and affected lobe, used surgical technique, presence of complications, need for reoperation and other surgical procedures. Mortality rate was 22.7%. Conclusions: the study corroborated the epidemiology reported by the literature. Greater severity of liver trauma and associated injuries characterize patients undergoing surgical treatment, who have increased hospital stay due to the penetrating trauma, hemodynamic instability, hepatic packaging, complications and reoperations.

scholarly journals Correlation of Early Total Leucocyte Count and Red Cell Distribution Width with Outcome in Trauma

2021 ◽  
Vol 10 (17) ◽  
pp. 1241-1241
Author(s):  
Bhavana Chowdary Madineni ◽  
Sreeramulu Patrapalli Nadipanna ◽  
Krishna Prasad Kamisetty
Keyword(s):  
Hospital Stay ◽  
Leucocyte Count ◽  
Pearson Correlation ◽  
Length Of Hospital Stay ◽  
Red Cell Distribution Width ◽  
Total Leucocyte Count ◽  
Trauma Patients ◽  
Red Cell ◽  
Cell Distribution ◽  
Distribution Width

BACKGROUND Trauma is the leading cause of morbidity and mortality in young adults. Risk stratification in these patients remains challenging even today. There is a need for a readily available simple prognostic method to categorise these patients and predict the morbidity. We intend to measure and correlate red cell distribution width and total leucocyte count in patients presenting with trauma, within 24 hours of injury, with the outcome. METHODS We included 52 haemodynamically stable, previously healthy, trauma patients who were admitted from November 2019 to April 2020, who did not require emergency surgery and analysed them prospectively. Complete blood picture obtained within 24 hours of injury was analysed in terms of correlation with outcome. The outcome was measured in terms of length of hospital stay. Correlations were performed with the Pearson correlation coefficient. RESULTS There was a statistically significant correlation between total leucocyte count (TLC) and length of hospital stay (P < 0.001). The positive correlation found between red cell distribution width (RDW) and length of hospital stay was not statistically significant. The analysis showed that high leucocyte count and red cell distribution width done within 24 hours of injury, increased patients’ stay in the hospital. CONCLUSIONS TLC and RDW can be used as readily available and simple markers, as an adjunct in early prediction of higher morbidity in patients presenting with trauma. KEY WORDS Injuries, Polytrauma, Blood Cell Count, Leucocytosis, Red Cell Indices

A Scheme of Early Supported Discharge for Elderly Trauma Patients: The Views of Patients, Carers and Community Staff

1995 ◽  
Vol 58 (9) ◽  
pp. 373-376 ◽  
Author(s):  
S J Closs ◽  
L S P Stewart ◽  
E Brand ◽  
C T Currie
Keyword(s):  
Hospital Stay ◽  
Discharge Planning ◽  
Length Of Hospital Stay ◽  
Royal Infirmary ◽  
Trauma Patients ◽  
Post Discharge ◽  
Early Supported Discharge ◽  
Community Staff ◽  
Elderly Trauma Patients

This collaborative scheme of Early Supported Discharge, involving hospital and community staff and based in the Orthopaedic Directorate, Royal Infirmary of Edinburgh NHS Trust, has improved early rehabilitation, discharge planning and follow-up for trauma patients aged over 70 and admitted from home and has produced substantial reductions in length of hospital stay. Central to the scheme is a dedicated occupational therapist who coordinates discharge arrangements for eligible patients. An evaluation of the experiences of patients, carers, general practitioners and other community staff indicated that shorter stays in hospital have been achieved without undue problems for patients during the immediate post-discharge period.

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