MORBIDITY ASSOCIATED WITH PROLONGED HOSPITAL LENGTH OF STAY FOLLOWING CARDIAC SURGERY

Background: Cardiac surgery (CS) may be associated with several organic repercussions responsible for the appearance of cardiac risk factors during the postoperative period. These, associated with prolonged hospital length of stay (LoS), may trigger critical manifestations in individuals undergoing this surgical procedure. To investigate the relationships between postoperative cardiac risk factors, LoS, and changes in functioning state. Methods: Patients undergoing reconstructive, substitutive, or corrective cardiac surgeries were evaluated. The presence of postoperative cardiovascular risks was assessed using the InsCor score, while LoS and functionality were collected from medical records. Results: One-hundred patients with a mean age of 59.2±12.3 years were included. Significant correlations between functionality and both the hospital and Intensive Care Unit (ICU) LoS (p<0.0001, ρ= 0.56; p=0.002, ρ=0.29, respectively), as well as between hospital LoS and the number of comorbidities (p=0.003, ρ=0.28) were found. No significant relationships were observed between the number of postoperative risk factors and LoS. Conclusions: Functionality and comorbidities are associated with increased hospital and ICU LoS in patients undergoing cardiac surgery.

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MORBIDITY ASSOCIATED WITH PROLONGED HOSPITAL LENGTH OF STAY FOLLOWING CARDIAC SURGERY

Anesthesia & Analgesia ◽

10.1213/00000539-199804001-00050 ◽

1998 ◽

Vol 86 (4S) ◽

pp. 50SCA

Author(s):

M Panah ◽

LA Andres ◽

SA Strope ◽

F Vela-Cantos ◽

E Bennett-Guerrero

Keyword(s):

Cardiac Surgery ◽

Length Of Stay ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Prolonged Hospital

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Multicenter Validation of a Risk Index for Mortality, Intensive Care Unit Stay, and Overall Hospital Length of Stay After Cardiac Surgery

Circulation ◽

10.1161/01.cir.91.3.677 ◽

1995 ◽

Vol 91 (3) ◽

pp. 677-684 ◽

Cited By ~ 255

Author(s):

Jack V. Tu ◽

Susan B. Jaglal ◽

C. David Naylor

Keyword(s):

Intensive Care Unit ◽

Cardiac Surgery ◽

Intensive Care ◽

Length Of Stay ◽

Intensive Care Unit Stay ◽

Risk Index ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Multicenter Validation

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Home-based Preoperative Rehabilitation (PREHAB) to improve physical function and reduce hospital length of stay for frail patients undergoing cardiac surgery

Physiotherapy ◽

10.1016/j.physio.2017.11.166 ◽

2017 ◽

Vol 103 ◽

pp. e12-e13

Author(s):

I. Waite ◽

T. Massey ◽

M. Baghai ◽

O. Wendler ◽

R. Deshpande ◽

...

Keyword(s):

Cardiac Surgery ◽

Length Of Stay ◽

Physical Function ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Frail Patients ◽

Home Based

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Predictive factors for prolonged hospitalisation in acute pyelonephritis patients admitted to the emergency medicine ward

Hong Kong Journal of Emergency Medicine ◽

10.1177/10249079211000976 ◽

2021 ◽

pp. 102490792110009

Author(s):

Howard Tat Chun Chan ◽

Ling Yan Leung ◽

Alex Kwok Keung Law ◽

Chi Hung Cheng ◽

Colin A Graham

Keyword(s):

Emergency Department ◽

Emergency Medicine ◽

Length Of Stay ◽

Acute Pyelonephritis ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Prolonged Length ◽

Reactive Protein ◽

Prolonged Hospital ◽

Emergency Medicine Ward

Background: Acute pyelonephritis is a bacterial infection of the upper urinary tract. Patients can be admitted to a variety of wards for treatment. However, at the Prince of Wales Hospital in Hong Kong, they are managed initially in the emergency medicine ward. The aim of the study is to identify the risk factors that are associated with a prolonged hospital length of stay. Methods: This was a retrospective cohort study conducted in Prince of Wales Hospital. The study recruited patients who were admitted to the emergency medicine ward between 1 January 2014 and 31 December 2017. These patients presented with clinical features of pyelonephritis, received antibiotic treatment and had a discharge diagnosis of pyelonephritis. The length of stay was measured and any length of stay over 72 h was considered to be prolonged. Results: There were 271 patients admitted to the emergency medicine ward, and 118 (44%) had a prolonged hospital length of stay. Univariate and multivariate analyses showed that the only statistically significant predictor of prolonged length of stay was a raised C-reactive protein (odds ratio 1.01; 95% confidence 1.01–1.02; p < 0.0001). Out of 271 patients, 261 received antibiotics in the emergency department. All 10 patients (8.5%) who did not receive antibiotics in emergency department had a prolonged length of stay (p = 0.0002). Conclusion: In this series of acute pyelonephritis treated in the emergency medicine ward, raised C-reactive protein levels were predictive for prolonged length of stay. Patients who did not receive antibiotics in the emergency department prior to emergency medicine ward admission had prolonged length of stay.

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Surgical sepsis and delays in social services and intervention services account for prolonged hospital length of stay in general and colorectal surgery

International Journal of Surgery ◽

10.1016/j.ijsu.2013.06.181 ◽

2013 ◽

Vol 11 (8) ◽

pp. 620-621

Author(s):

Carl Kotze

Keyword(s):

Colorectal Surgery ◽

Length Of Stay ◽

Social Services ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Intervention Services ◽

Prolonged Hospital

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Prolonged Length of Stay After Liver Transplantation

ICU Director ◽

10.1177/1944451612439315 ◽

2012 ◽

Vol 3 (2) ◽

pp. 75-79

Author(s):

Andrew T. Young ◽

Gebhard Wagener

Keyword(s):

Liver Transplantation ◽

Length Of Stay ◽

Hospital Stay ◽

Kidney Injury ◽

Hospital Length ◽

Meld Score ◽

Hospital Length Of Stay ◽

Prolonged Hospital Stay ◽

Prolonged Length ◽

Prolonged Hospital

Prolonged hospital length of stay after liver transplantation uses a large amount of hospital resources. The authors evaluated factors associated with prolonged hospital stay in a large single center series. Prolonged hospital stay was defined as more than 30 days. A total of 578 adult cadaveric liver transplants were included, and of these, 160 (27.7%) had a prolonged hospital stay. These patients had shorter waitlist time, higher preoperative MELD (model for end-stage liver disease) scores and received organs from donors with lower donor risk indices. In multivariate analysis, only preoperative MELD score remained significant. Postoperatively, there was no difference in the incidence of acute kidney injury; however, patients with prolonged hospital stay were more likely to have early allograft dysfunction and a higher 90-day mortality.

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