Variability in Length of Hospitalization for Stroke

Abstract

There is marked variability in length of hospital stay for ischemic stroke among the elderly, even after underlying patient differences are controlled for. Managed care may result in increased efficiency of in-hospital care and improved discharge planning for these patients; further study of the ultimate clinical outcomes of such care is needed.

Length of Hospital Stay After Stroke: A Korean Nationwide Study

“…First, although social support on discharge as well as economic status are significant predictors of increased LOS [131819], we could not investigate these variables because only medical information was available in the MOSAIC database. Second, the effect of rehabilitation was not analyzed owing to the lack of data.…”

Length of Hospital Stay After Stroke: A Korean Nationwide Study

“…First, although social support on discharge as well as economic status are significant predictors of increased LOS [131819], we could not investigate these variables because only medical information was available in the MOSAIC database. Second, the effect of rehabilitation was not analyzed owing to the lack of data.…”

Alternative Payment Models and Associations With Stroke Outcomes, Spending, and Service Utilization: A Systematic Review

“…Among 14 studies of capitated payments, 9 studied Health Maintenance Organization (HMO), [41][42][43][44][45][46][47][48][49] 3 studied global budgeting, [50][51][52] and 2 studied US Medicare Advantage. 53,54 Clinical outcomes were heterogeneous but clustered by specific APM, with HMOs performing the worst and Medicare Advantage performing better.…”

Characteristics of Elderly People Readmitted to the Hospital during the First Year after Stroke

“…In-hospital care for index stroke is the individual cost factor that dominates health care costs [1, 2, 3, 4, 5]. Besides in-patient care for index stroke, readmission after discharge from the hospital is a cost unit that has attracted little attention.…”

Length of Hospital Stay After Stroke: A Korean Nationwide Study

“…First, although social support on discharge as well as economic status are significant predictors of increased LOS [131819], we could not investigate these variables because only medical information was available in the MOSAIC database. Second, the effect of rehabilitation was not analyzed owing to the lack of data.…”

Alternative Payment Models and Associations With Stroke Outcomes, Spending, and Service Utilization: A Systematic Review

“…Among 14 studies of capitated payments, 9 studied Health Maintenance Organization (HMO), [41][42][43][44][45][46][47][48][49] 3 studied global budgeting, [50][51][52] and 2 studied US Medicare Advantage. 53,54 Clinical outcomes were heterogeneous but clustered by specific APM, with HMOs performing the worst and Medicare Advantage performing better.…”

Characteristics of Elderly People Readmitted to the Hospital during the First Year after Stroke

“…In-hospital care for index stroke is the individual cost factor that dominates health care costs [1, 2, 3, 4, 5]. Besides in-patient care for index stroke, readmission after discharge from the hospital is a cost unit that has attracted little attention.…”

Length of Hospital Stay After Stroke: A Korean Nationwide Study

“…First, although social support on discharge as well as economic status are significant predictors of increased LOS [131819], we could not investigate these variables because only medical information was available in the MOSAIC database. Second, the effect of rehabilitation was not analyzed owing to the lack of data.…”

Alternative Payment Models and Associations With Stroke Outcomes, Spending, and Service Utilization: A Systematic Review

“…Among 14 studies of capitated payments, 9 studied Health Maintenance Organization (HMO), [41][42][43][44][45][46][47][48][49] 3 studied global budgeting, [50][51][52] and 2 studied US Medicare Advantage. 53,54 Clinical outcomes were heterogeneous but clustered by specific APM, with HMOs performing the worst and Medicare Advantage performing better.…”

Characteristics of Elderly People Readmitted to the Hospital during the First Year after Stroke

“…In-hospital care for index stroke is the individual cost factor that dominates health care costs [1, 2, 3, 4, 5]. Besides in-patient care for index stroke, readmission after discharge from the hospital is a cost unit that has attracted little attention.…”