Journalartikel
Autorenliste: Stein, Marco; Misselwitz, Bjoern; Hamann, Gerhard F.; Kolodziej, Malgorzata A.; Reinges, Marcus H. T.; Uhl, Eberhard
Jahr der Veröffentlichung: 2016
Zeitschrift: BioMed Research International
Bandnummer: 2016
ISSN: 2314-6133
eISSN: 2314-6141
Open Access Status: Gold
DOI Link: https://doi.org/10.1155/2016/9095263
Verlag: Wiley
Abstract:
Background. The definition of prolonged length of stay (LOS) during acute care remains unclear among surgically and conservatively treated patients with intracerebral hemorrhage (ICH). Methods. Using a population-based quality assessment registry, we calculated change points in LOS for surgically and conservatively treated patients with ICH. The influence of comorbidities, baseline characteristics at admission, and in-hospital complications on prolonged LOS was evaluated in a multivariate model. Results. Overall, 13272 patients with ICH were included in the analysis. Surgical therapy of the hematoma was documented in 1405 (10.6%) patients. Change points for LOS were 22 days (CI: 8, 22; CL 98%) for surgically treated patients and 16 days (CI: 16, 16; CL: 99%) for conservatively treated patients. Ventilation therapy was related to prolonged LOS in surgically (OR: 2.2, 95% CI: 1.5-3.1; P < 0.001) and conservatively treated patients (OR: 2.5, 95% CI: 2.2-2.9; P < 0.001). Two or more in-hospital complications in surgical patients (OR: 2.7, 95% CI: 2.1-3.5) and >= 1 in conservative patients (OR: 3.0, 95% CI: 2.7-3.3) were predictors of prolonged LOS. Conclusion. The definition of prolonged LOS after ICH could be useful for several aspects of quality management and research. Preventing in-hospital complications could decrease the number of patients with prolonged LOS.
Zitierstile
Harvard-Zitierstil: Stein, M., Misselwitz, B., Hamann, G., Kolodziej, M., Reinges, M. and Uhl, E. (2016) Defining Prolonged Length of Acute Care Stay for Surgically and Conservatively Treated Patients with Spontaneous Intracerebral Hemorrhage: A Population-Based Analysis, BioMed Research International, 2016, Article 9095263. https://doi.org/10.1155/2016/9095263
APA-Zitierstil: Stein, M., Misselwitz, B., Hamann, G., Kolodziej, M., Reinges, M., & Uhl, E. (2016). Defining Prolonged Length of Acute Care Stay for Surgically and Conservatively Treated Patients with Spontaneous Intracerebral Hemorrhage: A Population-Based Analysis. BioMed Research International. 2016, Article 9095263. https://doi.org/10.1155/2016/9095263
Schlagwörter
ACUTE STROKE; COSTS; MEDICAL COMPLICATIONS; OF-STAY
