Factors affecting length of hospital stay.

INTRODUCTION: The aim of this study was to investigate the important factors affecting the COPD prognosis. MATERIAL AND METHODS: We included 160 hospitalized patients with COPD exacerbation in the study. Hemoglobin-HB, hematocrit-HCT, leukocyte, red cell distribution width- RDW, mean platelet volume, platelet distribution width, plateletcrit, platelet, neutrophil / lymphocyte ratio, platelet / lymphocyte ratio, eosinophil, uric acid, albumin, CRP, procalcitonin, arterial blood gases (PO2, PCO2) pulmonary function test (FEV1, FVC), echocardiography (ejection fraction-EF) GOLD stage, MMRC and BORG scales, Charlson comorbidity index, body mass index-BMI, length of hospital stay were examined on the first day of hospitalization. Admission to the hospital with a new attack, hospitalization in the intensive care unit-ICU, and mortality during the 6 months after discharge were evaluated. RESULTS: High CRP and procalcitonin values were observed in the group with long hospital stay. In mortality group, HB, HCT, BMI and PO2 values were significantly lower than the group without mortality while age and GOLD stage were higher. The age, BORG and MMRC scores, number of exacerbations experienced in the previous 1 year, RDW, eosinophil count, PCO2 were significantly higher in the ICU group than without ICU. HCT, EF values were lower in the ICU group than without ICU. FEV1, FVC values were significantly lower in follow-up attack group than without attack; the duration of COPD and the number of experienced in the previous 1 year were high. CONCLUSION: It has been concluded that the scoring combining selected biomarkers and other factors will be stronger in determining the prognosis.

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Factors affecting length of hospital stay for people with spinal cord injuries at Kanombe military hospital, Rwanda

South African Journal of Physiotherapy ◽

10.4102/sajp.v68i2.14 ◽

2012 ◽

Vol 68 (2) ◽

Author(s):

PB Bwanjugu ◽

A. Rhoda

Keyword(s):

Spinal Cord ◽

Hospital Stay ◽

Spinal Cord Injuries ◽

Demographic Data ◽

Linear Regression Analysis ◽

Length Of Hospital Stay ◽

Military Hospital ◽

Pressure Sores ◽

Rehabilitation Team ◽

Factors Affecting

In patients with spinal cord injuries increased length ofhospital stay is often as a result of secondary complications such as pressuresores, urinary tract infection and respiratory infection. An increased lengthof hospital stay was observed at Kanombe Military Hospital in Rwanda.The aim of this study was to determine specific factors affecting length ofhospital stay for individuals with spinal cord injuries at Kanombe MilitaryHospital in Rwanda. The records of 124 individuals with spinal cordinjuries who were discharged from the hospital between 1st January1996and 31st December 2007 were reviewed to collect data. Information collected and captured on a data gathering sheetincluded demographic data, information relating to the injury, occurrence of medical complications and length ofhospital stay. Linear regression analysis was computed in SPSS to determine factors affecting the length of stay.The necessary ethical considerations were adhered to during the implementation of the study. Current employmentstatus and the occurrence of pressure sores were significantly associated with the length of hospital stay (p=0.021 andp=0.000 respectively). A strong relationship was noted between pressure sores and length of stay (R= 0.703). There is aneed for all members of the rehabilitation team to devise and implement effective measures to prevent the developmentof pressure sores, in patients with spinal cord injuries in the study setting.

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Factors Affecting Length of Hospital Stay for Femoropopliteal Bypass

New England Journal of Medicine ◽

10.1056/nejm198601163140305 ◽

1986 ◽

Vol 314 (3) ◽

pp. 153-157 ◽

Cited By ~ 28

Author(s):

Robert S. Rhodes ◽

Carl L. Krasniak ◽

Paul K. Jones

Keyword(s):

Hospital Stay ◽

Length Of Hospital Stay ◽

Femoropopliteal Bypass ◽

Factors Affecting

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Factors affecting outcome of decompressive hemicraniectomy in malignant middle cerebral artery infarction

Nepal Journal of Neuroscience ◽

10.3126/njn.v18i3.37109 ◽

2021 ◽

Vol 18 (3) ◽

pp. 35-38

Author(s):

Sagar Koirala ◽

Shreeram Bhandari ◽

Subash Lohani

Keyword(s):

Hospital Stay ◽

Primary Outcome ◽

Length Of Hospital Stay ◽

Primary Outcome Measure ◽

Early Surgery ◽

Brain Swelling ◽

Middle Cerebral Artery Infarction ◽

Factors Affecting ◽

Decompressive Hemicraniectomy ◽

Outcome Of Surgery

Introduction: Decompressive Hemicraniectomy (DHC) is a standard surgical management of malignant MCA (MMCA) infarction. This study was conducted to review the outcome of surgery and to find out factors associated with favorable outcomes at a tertiary level neurosurgery referral centre. Methods and Materials: This is a retrospective study conducted over a period of three years from 2017 to 2019. Patient charts were reviewed for variable like age, sex, timing of surgery, GCS at presentation, length of ventilation, length of ICU admission and length of hospital stay. Primary outcome measure was GOSE: favorable (<=4) and unfavorable (>=5). SPSS version 23 was used for analysis. Results: A total of 28 patients underwent DHC out of which 21 patients were available for analysis. Mean age of patients was 58.62 years. Mean GCS on arrival was 11.86. Mean interval duration between event and surgery was 51.88 hours. Mean duration of ventilation was 4.43 days. Mean length of ICU stay was 5.95 days. Mean hospital stay was 22.33 days. Mean GOSE was 2. Mean age was significantly lower in patients with favorable GOSE. Early surgery had better mean GOSE which was not significant statistically. Conclusion: Patients with age less than 50 years have favorable GOSE despite MMCA infarction if decompressive hemicraniectomy is performed to accommodate brain swelling. Early surgery at presentation rather than waiting for deterioration might improve the outcome.

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Predicting length of hospital stay and cost by aneurysm grade on admission

Journal of Neurosurgery ◽

10.3171/jns.1996.85.3.0388 ◽

1996 ◽

Vol 85 (3) ◽

pp. 388-391 ◽

Cited By ~ 26

Author(s):

J. Paul Elliott ◽

Peter D. Le Roux ◽

Galen Ransom ◽

David W. Newell ◽

M. Sean Grady ◽

...

Keyword(s):

Hospital Stay ◽

Treatment Cost ◽

Significant Proportion ◽

Length Of Hospital Stay ◽

Aneurysm Rupture ◽

Clinical Grade ◽

Content Type ◽

Factors Affecting ◽

Hospitalization Costs ◽

The Cost

✓ To determine the relationship between clinical grade on admission and treatment cost after aneurysm rupture, the authors retrospectively examined the length of hospital stay (LOS) and total hospitalization costs (excluding professional fees) for 543 patients admitted for aneurysm surgery between 1983 and 1993. The overall median LOS was 18 days, with a range of 1 to 165 days. Increased median LOS correlated with Hunt and Hess Grades 0 to IV on admission (p< 0.001). Median LOS for Grade V patients was reduced, in part, because of early mortality. Increased treatment cost also correlated with worse admission clinical grade (p < 0.001). A significant proportion of total expenditures occurred early in the hospitalization for patients in all clinical grades. Identification of additional factors affecting the cost of aneurysm treatment is indicated to complement treatment outcome studies.

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