The Journal of surgical research · 2025
Unnecessary Hospital Stays After Trauma Laparotomy: Insights From a Canadian Level 1 Trauma Center.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Uchino Hayaki, Lavoie-Turcotte Tommy, Patel Prachi, Khwaja Kozar, Wong Evan, Grushka Jeremy
Аннотация
INTRODUCTION: Despite the strain on health-care systems, patients experience unnecessary hospital stays after medical clearance, leading to resource misallocation and suboptimal care. This study aimed to identify the factors contributing to unnecessary stays among trauma laparotomy (TL) patients.
METHODS: A retrospective cohort study was conducted using data from Montreal General Hospital, a level 1 trauma center. Adult trauma patients who underwent TL between January 2016 and February 2020 were included. An unnecessary stay was defined as hospitalization beyond the point when active treatment was no longer required, based on the physician assessment. Patients were categorized into the following two groups: the timely group and the unnecessary stay group. The two groups were compared, and factors associated with unnecessary stays were identified.
RESULTS: A total of 219 patients met the study criteria. Of these, 64 (29.2%) experienced unnecessary stays following TL, resulting in an additional 513 hospital days. Patients with unnecessary stays were significantly older and had a higher proportion of mental disorders, blunt injuries, and higher injury severity scores. The primary reasons for unnecessary stays were awaiting transfer to rehabilitation facilities (42.2%) and psychiatric departments (39.1%). Age, mental disorders, liver injuries, and orthopedic procedures were significant predictors of unnecessary stays.
CONCLUSIONS: Approximately 30% of our cohort experienced unnecessary stays, primarily due to issues related to patient disposition from acute care. This highlights the importance of improving early discharge planning and ensuring timely access to postacute care.
METHODS: A retrospective cohort study was conducted using data from Montreal General Hospital, a level 1 trauma center. Adult trauma patients who underwent TL between January 2016 and February 2020 were included. An unnecessary stay was defined as hospitalization beyond the point when active treatment was no longer required, based on the physician assessment. Patients were categorized into the following two groups: the timely group and the unnecessary stay group. The two groups were compared, and factors associated with unnecessary stays were identified.
RESULTS: A total of 219 patients met the study criteria. Of these, 64 (29.2%) experienced unnecessary stays following TL, resulting in an additional 513 hospital days. Patients with unnecessary stays were significantly older and had a higher proportion of mental disorders, blunt injuries, and higher injury severity scores. The primary reasons for unnecessary stays were awaiting transfer to rehabilitation facilities (42.2%) and psychiatric departments (39.1%). Age, mental disorders, liver injuries, and orthopedic procedures were significant predictors of unnecessary stays.
CONCLUSIONS: Approximately 30% of our cohort experienced unnecessary stays, primarily due to issues related to patient disposition from acute care. This highlights the importance of improving early discharge planning and ensuring timely access to postacute care.