Dataset Information

Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study.

ABSTRACT:

Objectives

To identify the differential effects of patient, health service, temporal and geographic factors on length of stay (LOS) for chronic obstructive pulmonary disease (COPD)-related admissions.

Design

We used stratified Cox proportional hazard model to evaluate the association between LOS and patient, health service, temporal and geographical factors.

Setting

Patients resident in Blackpool, North West England, admitted to the local hospital with COPD.

Participants

We used the Admitted Patient Care General Episode Commissioning Dataset for the period 1 April 2005-31 March 2010. We analysed records of admission spells among patients resident in Blackpool aged 40 years or older admitted with a primary diagnosis of COPD.

Results

There were 2410 admissions meeting the inclusion criteria over the period. These admissions were attributed to 1172 COPD patients, an average of 2.06 admissions per patient. The median LOS was 6 days (95% CI 6 to 6) while the mean was 9.8 days (95% CI 9.1 to 10.5). Patients were 22% more likely to be discharged earlier in 2009/2010 compared with 2005/2006 (adjusted HR 1.22; p=0.0100). LOS was associated with socioeconomic deprivation with those in the most deprived areas being 35% less likely to be discharged earlier compared with those from the least deprived areas (adjusted HR 0.65; p=0.0010).

Conclusions

LOS among COPD patients have reduced over the period of the study. Age, deprivation, Charlson index, specialty of admission and cause of exacerbations were independently associated with LOS. Though there were no significant associations between LOS and season of admission and distance from hospital, there were significant variations in LOS associated with these variables based on selected patient characteristics.

SUBMITTER: Agboado G

PROVIDER: S-EPMC3437423 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature

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Publications

Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study.

Agboado Gabriel G Peters Jonathan J Donkin Lynn L

BMJ open 20120901 5

<h4>Objectives</h4>To identify the differential effects of patient, health service, temporal and geographic factors on length of stay (LOS) for chronic obstructive pulmonary disease (COPD)-related admissions.<h4>Design</h4>We used stratified Cox proportional hazard model to evaluate the association between LOS and patient, health service, temporal and geographical factors.<h4>Setting</h4>Patients resident in Blackpool, North West England, admitted to the local hospital with COPD.<h4>Participants ...[more]

PMID: 22942230

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Project description:IntroductionThe hospital admissions load and how long each patient will stay in the hospital should be known to prevent the overwhelming of the health system during coronavirus disease 2019 era. Even though the length of hospital stay could vary due to different factors, the factors that affect the stay are not well characterized yet, particularly in the resource-limited settings. Knowing the time spent by the coronavirus disease 2019 patients in the hospital and its associated factors are important to prioritize mobilizing resources, such as beds, pharmacological and non-pharmacological supplies, and health personnel. Therefore, this study was intended to determine the median and identify factors associated with the length of hospital stay among coronavirus disease 2019 cases.MethodsA facility-based cross-sectional study design was implemented on 394 randomly selected hospitalized patients. Epidata Version 3.1 software was used for data entry, and further analysis was done using Stata version 14.2 software. Frequencies, median with interquartile range, and chi-square test were performed. A logistic regression model was used to identify the association between outcome and explanatory variables. The statistical significance was declared at p-value of less than 0.05 at 95% confidence interval.ResultsThe analysis was done for a total of 394 cases admitted for coronavirus disease 2019. The median age of the study participants was 40 years with interquartile range of 28-60 years. The median length of hospital stay was 12 days with the interquartile range of 8-17 days. The patients presented with shortness of breathing (AOR = 2.74, 95% confidence interval: 1.33-5.66), incident organ failure (AOR = 3.65, 95% confidence interval: 1.15-11.58), increased leukocyte count (AOR = 0.95; 95% confidence interval: 0.91-0.99), and blood urea nitrogen (AOR = 0.98, 95% confidence interval: 0.97-0.99) had a significant association with prolonged hospital stay.ConclusionThis study demonstrated that the proportion of patients stayed above the median hospital stay of the total patients was 185 (46.9%) with the median length of 12 (interquartile range = 8-17) days. Patients presented with difficulty of breathing, had incident organ failure, had decreased leukocyte, and blood urea nitrogen level should be estimated to stay longer in the hospital. Hence, patients with prolonged hospital length of stay associating factors should be expected to consume more pharmacological and non-pharmacological resources during hospital care receiving.

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Dataset Information

Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study.

Objectives

Design

Setting

Participants

Results

Conclusions

Publications

Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study.

Similar Datasets

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