The burden of excess length of stay in trauma patients

Prakash J. Mathew, Faisal Jehan, Narong Kulvatunyou, Muhammad Khan, Terence OKeeffe, Andrew Tang, Lynn Gries, Mohammad Hamidi, El Rasheid Zakaria, Bellal Joseph

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Background: 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. Methods: 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. Results: 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. Conclusion: Each extra day spent in the hospital after completion of medical care was associated with higher odds of developing complications.

Original languageEnglish (US)
Pages (from-to)881-885
Number of pages5
JournalAmerican Journal of Surgery
Volume216
Issue number5
DOIs
StatePublished - Nov 1 2018

Keywords

  • Complications
  • Discharge barriers in trauma
  • Excess length of stay

ASJC Scopus subject areas

  • Surgery

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    Mathew, P. J., Jehan, F., Kulvatunyou, N., Khan, M., OKeeffe, T., Tang, A., Gries, L., Hamidi, M., Zakaria, E. R., & Joseph, B. (2018). The burden of excess length of stay in trauma patients. American Journal of Surgery, 216(5), 881-885. https://doi.org/10.1016/j.amjsurg.2018.07.044