Factors Affecting Hospital Length of Stay in Geriatric Patients With a Surgically Treated Fragility Ankle Fracture

Dang, Quan; Leijdesdorff, Henry Alexander; Hoogendoorn, J. M.; Emmink, Benjamin L.

doi:10.1053/j.jfas.2021.09.024

Cited by 4 publications

(4 citation statements)

References 32 publications

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“…Musculoskeletal diseases had the longest hospital stay duration. As bone fractures were the major diseases classified in this category, a longer hospital stay would be required because of surgical interventions and subsequent rehabilitations [ 46 , 47 ]. The proportion of these diseases as hospitalisation causes is possibly lower than that in the general population because respiratory diseases accounted for most hospitalisations.…”

Section: Discussionmentioning

confidence: 99%

Medical Causes of Hospitalisation among Patients with Bronchiectasis: A Nationwide Study in Japan

Hagiwara,

Shuto,

Kudoh

et al. 2024

Pathogens

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Purpose: Although the international guidelines for managing bronchiectasis are centred on preventing the exacerbation of bronchiectasis, the medical causes of admissions to hospital among patients with bronchiectasis have not been fully investigated. Methods: This study targeted patients with bronchiectasis who were admitted to hospitals between April 2018 and March 2020 using the national inpatient database in Japan. The causes of hospitalisation and types of antibiotics used for hospitalised patients were recorded. Results: In total, 21,300 hospitalisations of 16,723 patients with bronchiectasis were analysed. The most common cause was respiratory diseases in 15,145 (71.1%) admissions, including bacterial pneumonia and the exacerbation of bronchiectasis in 6238 (41.2%) and 3151 (20.8%), respectively. Antipseudomonal antibiotics were used in approximately 60% of patients with bacterial pneumonia who were administered antibiotic treatments and in approximately 50% of patients with the exacerbation of bronchiectasis. Conclusions: Bacterial pneumonia was the most frequent cause of hospitalisation, followed by the exacerbation of bronchiectasis, among patients with bronchiectasis. Physicians need to focus on the prevention of bacterial pneumonia in addition to the exacerbation of bronchiectasis in patients with bronchiectasis.

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Section: Discussionmentioning

confidence: 99%

Medical Causes of Hospitalisation among Patients with Bronchiectasis: A Nationwide Study in Japan

Hagiwara,

Shuto,

Kudoh

et al. 2024

Pathogens

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“…This indicator presents hospital performance and its efficiency level. Therefore, it is an essential indicator to analyse hospital performance ( 84 ).…”

Section: Discussionmentioning

confidence: 99%

“…The average length of stay in seven hospitals in Ontario-Canada was 4.6 d ( 85 ), and it is less than the average length of stay in Iran. LOS of the elderly in the Netherlands was estimated at 7 d. This is a reasonable amount considering the long stay of the elderly ( 84 ).…”

Section: Discussionmentioning

confidence: 99%

Length of Hospital Stay and its Related Factors in Iran: A Systematic Review and Meta-Analysis

Khammarnia,

Bagherbarahouei,

Ansari-Moghaddam

2023

ijph

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Background: One of the effective indicators used to determine the efficiency and optimal use of hospital resources is the length of stay (LOS). Then, we aimed to determine LOS and its related factors in Iran. Methods: A systematic literature review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the online databases; Medline, EMBASE, Scopus, PubMed, SID, MagIran, and Medlib from 1995 to 2022 using a combination of medical subject. STATA version 11 used for data analysis. Results: Overall, 75 (cross-sectional, cohort, and case-control) reports were identified. The average length of stay in Iranian hospitals was 6.7 (95% CI: 5.32 -7.74) d. There was a significant relationship between the length of stay in the hospital and different wards of hospital (P=0.001). The average of men’ LOS was longer than women were [6.9 (95% CI: 5.32 -7.74) vs. 3.9 (95% CI: 1.67-9.41)]. Moreover, the average LOS before and after the Health Transformation Plan (HTP) in Iran has changed, so that it has increased from 5.8 (95% CI: 4.39 -7.86) to 7.1 (95% CI: 5.59 -9.25) d after HTP (P=0.30). Conclusion: The average length of stay of patients in Iranian hospitals is more than the expected index of the Ministry of Health and Medical Education and is in the unfavorable range (> four days). Moreover, considering the direct effect of the type of departments on LOS; therefore, hospital managers should pay more attention to hospital processes using new process-oriented and customer-oriented management approaches.

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“…In this study, we included age, biological sex, marital status, race and ethnicity, admission source (i.e., home, skilled nursing facility, or other facilities), and insurance payor (i.e., Medicare or other) as the controlled patient demographic characteristics. Discharge disposition (i.e., home or non-home) was included as a candidate covariate for hospital length of stay; patients who are discharged to non-home locations tend to have longer hospital length of stay (Dang et al, 2022). To control for perioperative health status, we included body mass index (BMI), Charlson Comorbidity Index (CCI), preoperative serum hemoglobin level, preoperative serum albumin measurement, SpO 2 , preoperative respiratory condition (i.e., Category 1 = no supplemental oxygen; Category 2 use of supplemental oxygen with FiO 2 < 60% longer than 24 hours postoperatively; Category 3 = use of supplemental oxygen with FiO 2 ≥ 60%, or high flow oxygen via nasal cannula, or both; Category 4 = use of noninvasive ventilatory support or invasive ventilatory support), American Society of Anesthesiologist (ASA) physical status, and admission to ICU during hospitalization.…”

Section: Covariatesmentioning

confidence: 99%

Impact of Dementia on Incidence and Severity of Postoperative Pulmonary Complications Following Hip Fracture Surgery Among Older Patients

Tsumura,

McConnell,

Xue

et al. 2023

Clin Nurs Res

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Postoperative pulmonary complications (PPCs) are the leading cause of death following hip fracture surgery. Dementia has been identified as a PPC risk factor that complicates the clinical course. By leveraging electronic health records, this retrospective observational study evaluated the impact of dementia on the incidence and severity of PPCs, hospital length of stay, and postoperative 30-day mortality among 875 older patients (≥65 years) who underwent hip fracture surgery between October 1, 2015 and December 31, 2018 at a health system in the southeastern United States. Inverse probability of treatment weighting using propensity scores was utilized to balance confounders between patients with and without dementia to isolate the impact of dementia on PPCs. Regression analyses revealed that dementia did not have a statistically significant impact on the incidence and severity of PPCs or postoperative 30-day mortality. However, dementia significantly extended the hospital length of stay by an average of 1.37 days.

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Factors Affecting Hospital Length of Stay in Geriatric Patients With a Surgically Treated Fragility Ankle Fracture

Cited by 4 publications

References 32 publications

Medical Causes of Hospitalisation among Patients with Bronchiectasis: A Nationwide Study in Japan

Medical Causes of Hospitalisation among Patients with Bronchiectasis: A Nationwide Study in Japan

Length of Hospital Stay and its Related Factors in Iran: A Systematic Review and Meta-Analysis

Impact of Dementia on Incidence and Severity of Postoperative Pulmonary Complications Following Hip Fracture Surgery Among Older Patients

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