Article
Neurosciences
Eshani J. Choksi, Kumar Mukherjee, Khalid M. Kamal, Steven Yocom, Richard Salazar
Summary: This study used a nationally representative sample to analyze the trends, clinical characteristics, and outcomes of traumatic subdural hematoma (TSDH) in the US. The study found an increase in the number of TSDH cases, longer hospital stays, a decrease in surgery rates and inpatient mortality, and an increase in complications. Injury severity score and comorbid conditions requiring anticoagulants were associated with higher odds of inpatient death and complications.
Article
Otorhinolaryngology
Khodayar Goshtasbi, Tyler M. Yasaka, Mehdi Zandi-Toghani, Hamid R. Djalilian, William B. Armstrong, Tjoson Tjoa, Yarah M. Haidar, Mehdi Abouzari
Summary: Novel machine learning algorithms were developed to predict discharge to non-home facilities and length of stay following complex head and neck surgeries. The models showed high specificities for predicting discharge to non-home facilities and had similar performance for predicting length of stay, with both models developed into a web-based interface.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2021)
Article
Management
Rachel Marie Towle, Zunaitha Begum Mohammed Hussain, Suet Mei Chew
Summary: This study identified the top reasons for prolonged hospital stay among medically unfit and fit patients, providing insights for healthcare resource optimization.
JOURNAL OF NURSING MANAGEMENT
(2021)
Article
Clinical Neurology
Michelle Zeidan, Vadim Goz, Nikita Lakomkin, Nicholas Spina, Darrel S. Brodke, William R. Spiker
Summary: This study aimed to assess the risk factors for readmission within 30 days or prolonged length of stay after cervical disc arthroplasty. Results showed that postoperative superficial wound infection, ASA classification, and BMI were predictors of readmission, while female sex, diabetes, postoperative wound dehiscence, ASA class, and operative time were significantly associated with prolonged length of stay.
Article
Medicine, General & Internal
Carlos Riveros, Sanjana Ranganathan, Yash B. Shah, Emily Huang, Jiaqiong Xu, Michael Geng, Zachary Melchiode, Siqi Hu, Brian J. Miles, Nestor Esnaola, Dharam Kaushik, Angela Jerath, Christopher J. D. Wallis, Raj Satkunasivam
Summary: The discharge destination is associated with the 30-day outcomes of surgical patients, and non-home discharge is more closely related to adverse outcomes.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Ruojia Debbie Li, Rachel Hae-Soo Joung, Brian C. Brajcich, Cary Jo R. Schlick, Anthony D. Yang, Michael F. McGee, David Bentrem, Karl Y. Bilimoria, Ryan P. Merkow
Summary: This study found that although the length of stay and 30-day complications decreased over time, the proportion of events occurring after discharge increased for several complications following colon surgery. Factors such as female sex, ASA III/IV/V classification, dependent functional status, and higher BMI were associated with the development of post-discharge complications. The findings emphasize the importance of a patient monitoring program to identify and manage post-discharge complications early.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Multidisciplinary Sciences
Amada Pellico-Lopez, Manuel Herrero-Montes, David Cantarero Prieto, Ana Fernandez-Feito, Joaquin Cayon-De las Cuevas, Paula Paras-Bravo, Maria Paz-Zulueta
Summary: This study aimed to describe the characteristics of patients who died during prolonged hospital stay. The study found that these patients were typically complex cases, of older age, residing in urban areas, admitted urgently to internal medicine or oncology wards, and commonly diagnosed with pneumonia. Terminal patients often face the situation where therapeutic options are exhausted and emergency hospitalization is not suitable for their needs. Living in an urban area with access to palliative care hospital beds influences the decision for patients to die in hospital.
Article
Gastroenterology & Hepatology
Greg A. Turner, Kari A. Clifford, Rossi Holloway, John C. Woodfield, Mark Thompson-Fawcett
Summary: Prolonged time with loop ileostomy is associated with increased complication rates for patients and increased length of stay in hospitals. Resources should be allocated for timely closure of loop ileostomies.
COLORECTAL DISEASE
(2022)
Article
Computer Science, Artificial Intelligence
Amada Pellico-Lopez, Manuel Herrero-Montes, David Cantarero Prieto, Ana Fernandez-Feito, Joaquin Cayon-De las Cuevas, Paula Paras-Bravo, Maria Paz-Zulueta
Summary: The study found that patients who died during prolonged hospital stays were typically highly complex cases, with the majority being admitted as emergencies and diagnosed with pneumonia. Living in urban areas was related to the decision to die in hospital.
PEERJ COMPUTER SCIENCE
(2022)
Article
Surgery
Manuel Buitrago-Ruiz, Ismael Martinez-Nicolas, Victor Soria-Aledo
Summary: This study validates the use of prolonged length of stay as a substitute for traditional coding of complications in colorectal cancer surgery to calculate failure-to-rescue rates. The results show that ICD-10 codes poorly identified complications, and prolonged length of stay could be a valid replacement when measuring failure-to-rescue in colorectal surgical patients.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Psychiatry
Pawel Gosek, Justyna Kotowska, Elzbieta Rowinska-Garbien, Dariusz Bartczak, Janusz Heitzman
Summary: Patients with schizophrenia spectrum disorders represent the largest group of forensic inpatients worldwide. Factors such as mental disorders among family members, alcohol or substance dependence, severity of criminal behavior, and treatment resistance affect the length of stay in forensic hospitals.
PSYCHIATRY RESEARCH
(2021)
Article
Clinical Neurology
Romaric Waguia, Timothy Y. Wang, Vikram A. Mehta, Luis Ramirez, Edwin McCray, Zach Pennington, Meghan Price, Tara Dalton, Cesar Baeta, Daniel M. Sciubba, Isaac O. Karikari, Muhammad M. Abd-El-Barr, C. Rory Goodwin
Summary: Primary spine tumors, particularly intramedullary spinal cord tumors, are rare neoplasms that often require surgical treatment. Clinical variables were found to significantly influence prolonged hospitalization of patients with intramedullary spinal cord tumors, highlighting the importance of considering these factors in clinical and surgical decision-making.
JOURNAL OF CLINICAL NEUROSCIENCE
(2021)
Article
Health Care Sciences & Services
Samuel Kwaku Essien, Audrey Zucker-Levin
Summary: This study found that in Saskatchewan, diabetes and surgical specialty were predictors of prolonged POALOS after both major and minor amputations, while residence, RI status, and age were predictors of POALOS after major amputations.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Orthopedics
Katherine A. Lygrisse, Vivek Singh, Christian T. Oakley, Alex Tang, Stephen G. Zak, Andrew J. Clair, Claudette M. Lajam
Summary: The study found that patients undergoing total knee arthroplasty who took psychiatric medications (with or without documented psychiatric diagnosis) had differences in hospital length of stay, discharge location, and 90-day readmission rates compared to those who did not take psychiatric medications.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Medicine, General & Internal
Jingyi Wu, Yu Lin, Pengfei Li, Yonghua Hu, Luxia Zhang, Guilan Kong
Summary: This study aimed to construct machine learning models for predicting prolonged length of stay in ICU among general ICU patients, using four different ML methods. The GBDT model achieved the best performance in both internal and external validation, outperforming other models and the customized SAPS II model.
