P.3.20 Hospitalization outcomes of road traffic injury patients in the largest hospital in the philippines

BackgroundRoad traffic injuries claim are among the leading causes of preventable death, claiming around 7000 lives every year. Accordingly, injuries to the head and neck are the main causes of death and disability.ObjectiveThis aimed to identify the determinants of prolonged length of stay in the hospital among victims of road traffic injury.MethodsA retrospective cohort study was conducted. Socio-demographics, accident details (e.g. time of injury, type of victim, other party to the accident, time to admission, intoxication, and helmet use), the Glasgow Coma Score upon admission, head injuries, torso injuries, injuries to the limbs, and length of stay) were abstracted from the patient charts and cleaned accordingly. The predictor model for the determinants of prolonged length of stay in the hospital was built.ResultsThere were 427 road traffic injury victims that were admitted during the time period considered. The distribution of the time to admission differed between those who have a short length of stay and long stay differed significantly (p<0.01). Glasgow coma score, type of victim, mortality, age, and sex were found to be important determinants of prolonged hospital stay. Those who have a low Glasgow Coma Score (i.e. more severe cases) were found to be 2.77 (95% CI: 1.13–6.91) times more likely to stay longer in the hospital as compared to those who have high Score. There is strong evidence for this association. Passengers are 78% (95% CI: 0.06–0.84) less likely to stay longer in the Hospital as compared to drivers. There is also strong evidence for this association.ConclusionBased on the predictive model from 427 traffic injury patients, determinants of prolonged hospital stay were identified. Consequent policies and programs should address this.

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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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Determinants of Prolonged Length of Stay among Patients with Road Traffic Injury at the Philippine General Hospital: A Retrospective Cohort Study

Acta Medica Philippina ◽

10.47895/amp.v55i6.3241 ◽

2021 ◽

Vol 55 (6) ◽

Author(s):

Jinky Leilanie Lu ◽

Teodoro J. Herbosa ◽

Sophia Francesca D. Lu

Keyword(s):

Length Of Stay ◽

General Hospital ◽

Road Traffic ◽

Length Of Hospital Stay ◽

First Aid ◽

Road Traffic Injury ◽

The Other ◽

Prolonged Length ◽

Traffic Injury ◽

The Mean

Introduction. Road traffic injuries are among the leading causes of preventable death, claiming around 7000 lives every year. Furthermore, road traffic can injure or disable thousands more every year in the Philippines. Objectives. This study determined the hospital length-of-stay patterns and risk factors for a prolonged length of stay in a tertiary hospital after road traffic injury. Methods. A retrospective cohort study was conducted to determine the determinants of the length of stay in the Philippine General Hospital (PGH) among road traffic injury victims for the year 2016. Length of stay was recorded according to the median. The other variables were cross-tabulated against the length of stay, and each of their crude odds ratios along with corresponding p-values were presented. Continuous variables were analyzed using Wilcoxon Mann-Whitney U-test. The predictor model for the determinants of prolonged length of stay in the hospital was built using forward selection. Likelihood-ratio test was used to compare the model with and without the exposure variable. Results. A total of 427 road traffic injury victims were admitted to the Philippine General Hospital in 2016. The mean age of the patients was 31.55 years (±14.97) with a median age of 29 years. The majority of patients were males (82.4%) and single (60.8%). Most patients were riding a motorcycle during the time of the accident (64.2%) while 20% were pedestrians. The majority of the victims were intoxicated (74.3%) and were not using helmets (57.1%) at the time of the accident. Most of the victims received first aid (69.2%) and the mean time of admission was 3.03 (±13.31) days while the median time to admission was 12 hours. Receiving first aid (p<0.01), availed services (p<0.01), and married civil status (p=0.04) were found to be strongly associated with length of hospital stay. Without controlling for any confounders, pay patients (OR = 3.46, 95% CI: 1.3, -9.87), elective patients (OR = 7.88, 95% CI: 2.64, 31.61), and those in non-trauma wards (OR=2.07, 95% CI: 1.29, 3.36) had higher odds for longer hospitalization stay. On the other hand, those who did not receive first aid (OR = 0.55, CI:0.35, 0.85) had lower odds for prolonged hospitalization. Those who suffered face injury and did not suffer external injuries had a higher mean rank, suggesting a longer length of hospital stay. On the other hand, upon controlling variables found to be associated with previous studies, those with low Glasgow coma scale (GCS) scores were 2.77 times (95% CI: 1.13, 6.91) more likely to stay longer in the hospital. Conclusion. The type of victim, mortality status, age, and sex were found to be important determinants of prolonged hospitalization. To lessen the number of fatalities and road trauma injuries, laws on road safety should be strictly and properly implemented. Shared responsibility of all road users is also important in improving the safe usage of roads.

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The impact of complications on prolonged length of hospital stay after resection in colorectal cancer: A retrospective study of Taiwanese patients

Journal of International Medical Research ◽

10.1177/0300060516684087 ◽

2017 ◽

Vol 45 (2) ◽

pp. 691-705 ◽

Cited By ~ 6

Author(s):

Herng-Chia Chiu ◽

Yi-Chieh Lin ◽

Hui-Min Hsieh ◽

Hsin-Pao Chen ◽

Hui-Li Wang ◽

...

Keyword(s):

Colorectal Cancer ◽

Length Of Stay ◽

Hospital Stay ◽

Length Of Hospital Stay ◽

Prolonged Hospital Stay ◽

Prolonged Length ◽

Regression Methods ◽

Major Complications ◽

Prolonged Hospital ◽

The Impact

Objectives To assess the impact of minor, major and individual complications on prolonged length of hospital stay in patients with colorectal cancer (CRC) after surgery using multivariate models. Methods This was a retrospective review of data from patients who underwent surgery for stage I–III CRC at two medical centres in southern Taiwan between 2005–2010. Information was derived from four databases. Multivariate logistic regression methods were used to assess the impact of complications on prolonged length of stay (PLOS) and prolonged postoperative length of stay (PPOLOS). Results Of 1658 study patients, 251 (15.1%) experienced minor or major postsurgical complications during hospitalizations. Minor and major complications were significantly associated with PLOS (minor, odds ratio [OR] 3.59; major, OR 8.82) and with PPOLOS (minor, OR 5.55; major, OR 10.00). Intestinal obstruction, anastomosis leakage, abdominal abscess and bleeding produced the greatest impact. Conclusions Minor and major complications were stronger predictors of prolonged hospital stay than preoperative demographic and disease parameters. Compared with the PLOS model, the PPOLOS model better predicted risk of prolonged hospital stay. Optimal surgical and medical care have major roles in surgical CRC patients.

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Risk factors of prolonged hospital stay in children with viral severe acute respiratory infections

The Journal of Infection in Developing Countries ◽

10.3855/jidc.4682 ◽

2014 ◽

Vol 8 (10) ◽

pp. 1285-1293 ◽

Cited By ~ 12

Author(s):

Amani A El Kholy ◽

Nadia A Mostafa ◽

Aliaa Adel Ali ◽

Seham Awad El-Sherbini ◽

Reem Ibrahim Ismail ◽

...

Keyword(s):

Risk Factors ◽

Chronic Illness ◽

Length Of Stay ◽

Hospital Stay ◽

Influenza A ◽

Respiratory Infections ◽

University Hospital ◽

Influenza B ◽

Prolonged Length ◽

Prolonged Hospital

Introduction: Severe acute lower respiratory infections (SARIs) are one of the major causes of morbidity and mortality in young children, especially in developing countries. The present study focused on detection of risk factors for prolonged hospital stays among children with viral SARIs. Methodology: A sentinel surveillance study was conducted at Cairo University Hospital (CUH) between February 2010 and May 2011. Nasopharyngeal (NP) and oropharyngeal (OP) swabs were collected from all children admitted with SARIs. Viruses were identified using reverse transcription polymerase chain reaction (RT-PCR). Results: Out of 1,046 children, 380 (36%) were positive for one or more viruses; these included respiratory syncytial virus (RSV) (22.9%), adenovirus (6.2%), parainfluenza viruses (PIVs1-3) (5.1%), human metapneumovirus (HMPV) (4.5%), influenza A (1.4%), and influenza B (0.6%). Viral etiology was mainly detected in children under one year of age (88.9%). 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). Virus type did not affect the length of hospital stay (p > 0.05). Oxygen therapy was required in 91% of the patients. A total of 43 patients (11.6%) required intensive care admission. Twenty-one patients (5.5%) died, and 15 of them (71.4%) had an underlying chronic illness. Conclusions: The study demonstrated the important burden of respiratory viruses as a cause of SARI in hospitalized children in a tertiary Egyptian hospital. Cyanosis and underlying chronic illness were significantly associated with prolonged length of stay.

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An Integrated Data Management Model for the Road Traffic Injury Surveillance System’s in Developing Countries

Helix ◽

10.29042/2018-2781-2788 ◽

2018 ◽

Vol 8 (1) ◽

pp. 2781-2788

Author(s):

Shahla Damanabi ◽

Keyword(s):

Developing Countries ◽

Data Management ◽

Road Traffic ◽

Road Traffic Injury ◽

Injury Surveillance ◽

Management Model ◽

The Road ◽

Traffic Injury

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A study on the design of a wardrobe, for patients bed-ridden with cancer, applying the knowledge of anonymous design

Impact ◽

10.21820/23987073.2020.7.45 ◽

2020 ◽

Vol 2020 (7) ◽

pp. 45-47

Author(s):

Naoko Fujii

Keyword(s):

Hospital Stay ◽

Nursing Care ◽

Healthcare Professionals ◽

The Other ◽

Human Beings ◽

Prolonged Hospital Stay ◽

Hospital Patients ◽

Hospital Gowns ◽

Hospital Stays ◽

Prolonged Hospital

The majority of human beings will be admitted to hospital at some point over the course of their lives. For the more fortunate among us, these hospital stays will be brief and will barely register as a significant experience. However, for others, being admitted for weeks or months at a time will be necessary in order to combat and recover from whatever it was that made admittance to hospital necessary. While it is easy to think of many reasons why a prolonged hospital stay might be undesirable, one that may escape our attention is the clothes that are worn by patients during their stay. Once a patient has been assigned a bed, they are often given a gown which they put on without thought and then lie down. The gowns that are given to patients are generally designed with healthcare professionals in mind. For example, in Japan pyjamas and yukata (bathrobes) are used as hospital gowns because they have a front opening that is easy to use during treatment and nursing care. In addition, the other gowns can be opened from the ankle to the crotch using the zip. Dr Naoko Fujii has focused her career on designing clothes for hospital patients and believes that there is a way to satisfy the practical needs of a hospital and the care it gives at the same time as satisfying the requirements of patients. She is now focusing her attention on this challenge.

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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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