The burden of excess length of stay in trauma patients

Disposition of trauma patients frequently results in excessive hospital-stay. The aim of this study was to assess the risk of developing complications due to excessive stay in the hospital. Over a period of 4 years (2012–2015) we analyzed all trauma patients with hospital length-of-stay (h-LOS) >...

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Bibliographic Details
Published in:The American journal of surgery 2018-11, Vol.216 (5), p.881-885
Main Authors: Mathew, Prakash J., Jehan, Faisal, Kulvatunyou, Narong, Khan, Muhammad, O'Keeffe, Terence, Tang, Andrew, Gries, Lynn, Hamidi, Mohammad, Zakaria, El-Rasheid, Joseph, Bellal
Format: Article
Language:English
Subjects:
Age
Complications
Delirium
Discharge barriers in trauma
Ethnicity
Excess length of stay
Health care
Hospitals
Meningitis
Mortality
Nosocomial infections
Patients
Placement
Pneumonia
Rehabilitation
Sepsis
Studies
Trauma
Ulcers
Urinary tract infections
Variables
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Summary:Disposition of trauma patients frequently results in excessive hospital-stay. The aim of this study was to assess the risk of developing complications due to excessive stay in the hospital. Over a period of 4 years (2012–2015) we analyzed all trauma patients with hospital length-of-stay (h-LOS) >30 days. Outcome measures were complications after termination of medical care. 416 patients were identified having h-LOS>30 days of which 61.0% (254) had an excess hospital stay and were included. The most common causes of excess hospital stay were placement in SNiF followed by placement in Inpatient-Rehabilitation. Excessive hospital-stay was independently associated with the development of complications (p = 0.004). Each excess day in the hospital after completion of medical care was associated with 5% higher odds of complications (OR [95%CI]: 1.05[1.02–1.09]) independent of presenting condition of the patient. Each extra day spent in the hospital after completion of medical care was associated with higher odds of developing complications. •Most common cause of excess hospital stay was placement in skilled nursing facility.•36.4% patients developed complications after completion of medical care.•After completion of medical care, the most common complication was UTI.•Each excess day in the hospital was associated with 5% higher odds of complications.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2018.07.044