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Factors influencing selected lengths of ICU stay for coronary artery bypass patients.

This study examines factors influencing the length of intensive care unit stay for patients after coronary artery bypass surgery. Profiles of patients with selected lengths of ICU stay were identified for Group 1 (< or =1 day) and Group 2 (> or =2 days). Medical records of 175 patients who had undergone this procedure at an urban teaching hospital were reviewed. Patients who had a 1-day ICU length of stay were younger (mean=62.39, SD=10.88) and had comorbidities such as hypertension. Those patients with an ICU length of stay 2 days or longer were older (mean=68.18, SD=11.84) and had preoperati…

The impact of the Elixhauser comorbidity index on length of stay in patients with coronary artery disease.

OBJECTIVES: To investigate the association between the modified Elixhauser Comorbidity Index (ECI) and length of stay (LOS) among patients with coronary artery disease (CAD). METHODS: A retrospective study was conducted using hospitalization data from the Hubei Provincial Traditional Chinese Medicine Comprehensive Statistics Platform between December 2013 and June 2024. Comorbidity burden was assessed using the modified ECI. Univariate analysis and multivariable Gamma regression models with a log-link function were performed to identify factors independently associated with LOS. Sensitivity a…

The Impact of Early Postoperative Oral Intake on the Length of Hospital Stay: A Meta-Analysis.

BACKGROUND: International guidelines regarding the resumption of postoperative intake of liquids are limited. Surgical patients are subjected to unnecessarily prolonged fasting times after surgery, which can lead to increased postoperative complications. Research has shown that a shorter fasting duration can enhance recovery, improve rehabilitation, and reduce the psychological stress associated with major surgeries in these patients. Given these potential benefits, we performed this meta-analysis that aims to explore how the duration of postoperative liquid fasting affects the length of hospi

Intraoperative lactate level correlated with the length of hospital stay in patients with intraoperative hypothermia.

This study aims to explore potential biomarkers correlated with the clinical outcome only in patients with intraoperative hypothermia undergoing cardiac surgery. The clinical data of patients with or without intraoperative hypothermia, and 8 blood indicators both in preoperative and intraoperative periods, were obtained from the Medical Information Mart for Intensive Care-IV database. The associations of indicators with the length of hospital stay (LOS) were explored in non-hypothermia and hypothermia groups, respectively. The key indicator showing the association only in hypothermia groups wa

Factors related to postpartum length of stay in women with pre-eclampsia: a systematic review.

OBJECTIVE: To conduct a systematic review in order to identify risk factors for the length of hospital stay in postpartum women with pregnancy-induced hypertensive disorders. METHODS: A systematic search was performed in the databases CINAHL, Cochrane Library, Embase, Latin American and Caribbean Health Sciences Literature (LILACS) (via VirtualHealth Library-VHL), PubMed, Scopus, and Web of Science for articles published until November 2024. To identify the articles, "Medical Subject Headings" (MeSH) descriptors and keywords for "Preeclampsia", "Length of stay" and "Postpartum" were used. The…

Какова оптимальная продолжительность пребывания для эффективной стационарной неевроабилитации? Ретроспективное кошачье исследование.

СПРАВОЧНАЯ ИНФОРМАЦИЯ И МАТЕРИАЛЫ: Продолжительность пребывания (ЛОС) в стационарной реабилитации существенно варьируется и остается неясной. Поэтому мы стремились определить оптимальную продолжительность стационарной реабилитации. МЕТОДЫ: Это ретроспективное когортное исследование было проведено в специализированной стационарной реабилитационной больнице. Были собраны и проанализированы клинические данные о 258 пациентах, страдающих неврологическими расстройствами, включая инсульт, повреждение спинного мозга и множественный склероз. Основным конечным показателем было изменение функционального

Совпадение в аннотации оригинала
BACKGROUND AND AIMS: The length of stay (LOS) in inpatient rehabilitation varies significantly and remains ambiguous. Therefore, we sought to determine the optimal length of inpatient rehabilitation. METHODS: This retrospective cohort study was conducted at a specialized inpatient rehabilitation hospital. Clinical data from 258 patients with neurological di…

The Influence of Timing of Surgery on Postoperative Length of Hospital Stay in Closed Ankle Fractures.

Background Ankle fractures are prevalent lower limb injuries that often necessitate surgical intervention to restore joint stability and functionality. Delays in surgical management can extend hospital stays and elevate the risk of complications. This study aims to evaluate the effect of surgical timing on the postoperative length of hospital stay in patients with closed ankle fractures managed through open reduction and internal fixation (ORIF). Objective The objective of this study was to determine whether early surgical intervention (within eight hours of injury) reduces the mean postoperat

Understanding the Drivers of Cost and Length of Stay in a Cohort of 21,875 Patients with Severe Burn.

Burn management has significantly advanced in the past 75 years, resulting in improved mortality rates. However, there are still over one million burn victims in the United States each year, with over 3,000 burn-related deaths annually. The impacts of individual patient, hospital, and regional demographics on length of stay (LOS) and total cost have yet to be fully explored in a large nationally representative cohort. Thus, this study aimed to examine various hospital and patient characteristics using a sample of over 20,000 patients. Inpatient data from the National Inpatient Sample from 2008…

Racial and Ethnic Differences in Length of Stay for US Children Hospitalized for Acute Osteomyelitis.

OBJECTIVE: To examine the associations between race and ethnicity and length of stay (LOS) for US children with acute osteomyelitis. STUDY DESIGN: Using the Kids' Inpatient Database, we conducted a cross-sectional study of children <21 years old hospitalized in 2016 or 2019 with acute osteomyelitis. Using survey-weighted negative binomial regression, we modeled LOS by race and ethnicity, adjusting for clinical and hospital characteristics and socioeconomic status. Secondary outcomes included prolonged LOS, defined as LOS of >7 days (equivalent to LOS in the highest quartile). RESULTS: We ide…

The Effect of Major and Minor Complications After Lung Surgery on Length of Stay and Readmission.

The effect of post-operative adverse events (AEs) on patient outcomes such as length of stay (LOS) and readmissions to hospital is not completely understood. This study examined the severity of AEs from a high-volume thoracic surgery center and its effect on the patient postoperative LOS and readmissions to hospital. This study includes patients who underwent an elective lung resection between September 2018 and January 2020. The AEs were grouped as no AEs, 1 or more minor AEs, and 1 or more major AEs. The effects of the AEs on patient LOS and readmissions were examined using a survival analys…

Psychiatric patients at the emergency department: factors associated with length of stay and likelihood of hospitalization.

Emergency department (ED) care for psychiatric patients is currently understudied despite being highly utilized. Therefore, we aimed to analyze psychiatric patients' length of stay (LOS) and LOS-related factors at the ED and to investigate and quantify the likelihood of being hospitalized after an emergency psychiatric evaluation. Charts of 408 individuals who sought help at the ED were retrospectively assessed to identify patients' sociodemographic and clinical data upon ED admission and discharge. All interventions performed at the ED (e.g., medications, hospitalization, clinical advice at d…

The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis.

BACKGROUND: Infants with gastroschisis require prolonged hospitalization for surgical repair and gradual advancement of feeds. The present study explores the effect of a change in a protocolized enteral feeding regimen with length of hospital stay (LOS) and total costs in newborns with gastroschisis. METHODS: A retrospective review was performed in neonates with uncomplicated gastroschisis at a free-standing pediatric institution from 2012 to 2020. The effect of two different enteral feed advancement protocols on clinical outcomes and hospital costs was analyzed. RESULTS: Seventy-four patien

Impact of the Diabetes Inpatient Care and Education (DICE) project on length of stay and mortality.

AIM: To determine whether the Diabetes Inpatient Care and Education (DICE) programme, a whole-systems approach to managing inpatient diabetes, reduces length of stay, in-hospital mortality and readmissions. RESEARCH DESIGN AND METHODS: Diabetes Inpatient Care and Education initiatives included identification of all diabetes admissions, a novel DICE care-pathway, an online system for prioritizing referrals, use of web-linked glucose meters, an enhanced diabetes team, and novel diabetes training for doctors. Patient administration system data were extracted for people admitted to Ipswich Hospit…

Regional Differences in Cost and Length of Stay in Neonates with Hypoplastic Left Heart Syndrome.

Hypoplastic left heart syndrome (HLHS) is a highly resource-intensive diagnosis. Geographic variation in cost and length of stay (LOS) in HLHS is not well described. Neonates diagnosed with HLHS between 2000 and 2012 were identified using the Kids' Inpatient Database. Hospitalizations were stratified into two groups: (1) birth and (2) secondary. United States regional differences in hospital charges and LOS were compared using adjusted linear regression. Of 2431 birth hospitalizations, 449 neonates (18.5%) died while inpatient and mortality rates differed by region (p = 0.02). After birth, 40.…

Is duration of postoperative fasting associated with infection and prolonged length of stay in surgical patients?

OBJECTIVE: Verify whether the postoperative fasting period increases the risk for infection and prolonged length of stay. METHODS: Prospective cohort study. Elective surgery patients were included. Excluded: those with no conditions for nutritional assessment, admitted in minimal care units, as well as with <72h in-hospital stay. Postoperative fasting was recorded from the days of no nutrition therapy. The length of stay was considered prolonged when above the average according to the specialty and type of surgery. Logistic regression was used to assess associations and adjust for confounding…

Reduction of length of stay and cost of transurethral resection of the prostate by early catheter removal.

OBJECTIVE: To determine whether early removal of the indwelling Foley catheter after transurethral resection of the prostate (TURP) significantly shortens the hospital stay without causing additional morbidity and thus saves costs. PATIENTS AND METHODS: For the year commencing 1 July 1991, 119 patients who had undergone TURP had their indwelling catheter removed on the first day after surgery. The results and morbidity of this group of patients were compared with those in 152 patients undergoing TURP during the previous year. The economic consequences of this protocol were calculated using bo