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Predictors of prolonged hospital stay in a Comprehensive Stroke Unit.


ABSTRACT: OBJECTIVE:to analyze the in-hospital complications of prolonged hospital stay in patients with ischemic stroke or transient ischemic attack, admitted to the stroke unit of a tertiary hospital. METHOD:this is an evaluative correlational study. All first-ever ischemic stroke or transient ischemic attack patients admitted were retrospectively analyzed. During hospital stay, the predictors of long-term hospitalization considered were: 1) clinical complications (pneumonia, urinary tract infection, pressure damage and deep vein thrombosis), and 2) neurological complications (malignant ischemic stroke and symptomatic hemorrhagic transformation). RESULTS:353 patients were discharged in the study period. Mean age was 64.1±13.7 years old and 186 (52.6%) were men. The mean time of hospital stay was 13.7±14.3 days. Pneumonia (25.3±28.8 days, p<0.001), urinary tract infection (32.9±45.2 days, p<0.001) and malignant stroke (29.1±21.4 days, p<0.001) increased significantly the length of hospital stay compared to patients without any complications (11.2±7.1 days). CONCLUSION:this study showed that three complications delayed hospital discharge in patients admitted in a stroke unit, two preventable ones: pneumonia and urinary tract infection. More intense measures to avoid them should be included in the performance indicators to reduce the length of hospital stay in stroke units.

SUBMITTER: Gaspari AP 

PROVIDER: S-EPMC6792336 | biostudies-other | 2019 Oct

REPOSITORIES: biostudies-other

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Predictors of prolonged hospital stay in a Comprehensive Stroke Unit.

Gaspari Ana Paula AP   Cruz Elaine Drehmer de Almeida EDA   Batista Josemar J   Alpendre Francine Taporosky FT   Zétola Viviane V   Lange Marcos Christiano MC  

Revista latino-americana de enfermagem 20191014


<h4>Objective</h4>to analyze the in-hospital complications of prolonged hospital stay in patients with ischemic stroke or transient ischemic attack, admitted to the stroke unit of a tertiary hospital.<h4>Method</h4>this is an evaluative correlational study. All first-ever ischemic stroke or transient ischemic attack patients admitted were retrospectively analyzed. During hospital stay, the predictors of long-term hospitalization considered were: 1) clinical complications (pneumonia, urinary trac  ...[more]

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