Factors Affecting the Average Length of Stay of the Patients in the Inpatient Department in a Tertiary Care Centre in North India

Abstract

Many hospitals emphasize on stabilizing the patient, minimizing the length of stay and postponing complete diagnosis and treatment for the outpatient setting and early discharge of incompletely treated patients resulting in frequent readmissions, thereby, decreasing the quality of patient care. On the contrary, prolonged hospitalization increases the healthcare costs due to nosocomial infections and iatrogenic complications. We conducted a prospective observational study on the factors affecting average length of stay of 100 patients in the Inpatient Department in a tertiary care centre in North India. The association of Average Length of Stay with nutritional status, educational status and insurance status of the patient was found to be statistically significant.

Socioeconomic Factors Affecting Discharge Status of Patients with Uncomplicated Transsphenoidal Adenohypophysectomy

“…10 Household income has been cited as a predictor of decreased LOS by a few studies; 29,30 however, when investigating domicile and insurance status, there have been conflicting results. 10,21,22,24,25,28,29 While some support urban domicile as a predictor of longer LOS, others did not find any statistically significant relationship between the two. 24,25,29 With respect to our finding that insurance payer is predictive of LOS, two prior studies support payment method as a predictor of a LOS.…”

“…10,21,22,24,25,28,29 While some support urban domicile as a predictor of longer LOS, others did not find any statistically significant relationship between the two. 24,25,29 With respect to our finding that insurance payer is predictive of LOS, two prior studies support payment method as a predictor of a LOS. 21,22 However, these were analyzed using regression models which are unable to tell the direction in which payment method influences LOS.…”

“…Although there has been only one study examining the effects of socioeconomic factors on LOS in patients undergoing TSA, there have been several studies in other patient populations examining how these socioeconomic factors influence LOS. 10,[20][21][22][23][24][25][26][27][28][29][30] These studies were conducted among patients who were in both the medical or surgical wards, [20][21][22][25][26][27][28][29][30] only within the general medicine service 23,24 or were primarily surgical. 10 Household income has been cited as a predictor of decreased LOS by a few studies; 29,30 however, when investigating domicile and insurance status, there have been conflicting results.…”

Impact of Body Mass Index on In-Hospital Length of Stay after Percutaneous Coronary Interventions

“…The present study was conducted on 100 patients in the National Institute of Cardiovascular Diseases (NICVD), Dhaka to ascertain BMI and its impacts on various inhospital outcomes after percutaneous coronary interventions (PCI); especially, how BMI is associated with post-PCI prolonged or reduced LOS. 10…”