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Journal articles on the topic 'Delayed length of stay for non-medical reasons'

Author: Grafiati

Published: 10 September 2021

Last updated: 29 July 2025

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1

Pellico-López, Amada, Ana Fernández-Feito, David Cantarero, et al. "Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost." International Journal of Environmental Research and Public Health 18, no. 17 (2021): 9407. http://dx.doi.org/10.3390/ijerph18179407.

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Delayed discharge for non-clinical reasons shares common characteristics with hip procedures. We sought to quantify the length of stay and related costs of hip procedures and compare these with other cases of delayed discharge. A cross-sectional study was conducted at a public hospital in Spain (2007–2015) including 306 patients with 6945 days of total stay and 2178 days of prolonged stay. The mean appropriate stay was 15.58 days, and the mean prolonged stay was 7.12 days. The cost of a prolonged stay was €641,002.09. The opportunity cost according to the value of the hospital complexity unit

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Rahman, Arifeen Sylvanna, Siyu Shi, Pamela Katherine Meza, Justin Lee Jia, David Svec, and Lisa Shieh. "Waiting it out: consultation delays prolong in-patient length of stay." Postgraduate Medical Journal 95, no. 1119 (2019): 1–5. http://dx.doi.org/10.1136/postgradmedj-2018-136269.

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BackgroundDecreasing delays for hospitalised patients results in improved hospital efficiency, increased quality of care and decreased healthcare expenditures. Delays in subspecialty consultations and procedures can cause increased length of stay due to reasons outside of necessary medical care.ObjectiveTo quantify, describe and record reasons for delays in consultations and procedures for patients on the general medicine wards.MethodologyWe conducted weekly audits of all admitted patients on five Internal Medicine teams over 8 weeks. A survey was reviewed with attending physicians and residen

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Tan, Woan Shin, Wai Fung Chong, Karen SG Chua, Bee Hoon Heng, and Kay Fei Chan. "Factors Associated with Delayed Discharges after Inpatient Stroke Rehabilitation in Singapore." Annals of the Academy of Medicine, Singapore 39, no. 6 (2010): 435–41. http://dx.doi.org/10.47102/annals-acadmedsg.v39n6p435.

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Introduction: This study determines the extent of, and factors associated with, delayed discharges for stroke patients from inpatient rehabilitation. Materials and Methods: A retrospective cohort study utilising medical notes review was conducted at an inpatient rehabilitation centre in Singapore. Acute stroke patients (n = 487) admitted between March 2005 and December 2006 were studied. The primary measure was delayed discharge defi ned as an extension in inpatient stay beyond the planned duration. Factors associated with delays in discharge were categorised as individual, caregiver, medical

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Pellico-López, Amada, David Cantarero, Ana Fernández-Feito, Paula Parás-Bravo, Joaquín Cayón de las Cuevas, and María Paz-Zulueta. "Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study." International Journal of Environmental Research and Public Health 16, no. 18 (2019): 3304. http://dx.doi.org/10.3390/ijerph16183304.

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Current studies on bed-blocking or delayed discharge for non-medical reasons report important variations depending on the country or setting under study. Research on this subject is clearly important as the current system reveals major inefficiencies. Although there is some agreement on the patient-related factors that contribute to the phenomenon, such as older age or a lack of functional ability, there is greater variability regarding environmental or organizational factors. This study sought to quantify the number of cases and days inappropriately spent in hospital and identify patient char

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Lim, SC, V. Doshi, B. Castasus, JKH Lim, and K. Mamun. "Factors Causing Delay in Discharge of Elderly Patients in an Acute Care Hospital." Annals of the Academy of Medicine, Singapore 35, no. 1 (2006): 27–32. http://dx.doi.org/10.47102/annals-acadmedsg.v35n1p27.

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Introduction: Prolonged hospitalisation not only increases cost, it is also associated with other complications. Length of stay (LOS) is one of the indicators that reflect total cost of care during hospitalisation. So, it is of paramount importance to find out why elderly patients overstay in acute care hospitals and address these issues proactively. Since no local data is available, a study was planned to ascertain reasons why the discharging of elderly patients from hospital is delayed and whether these reasons are avoidable. Materials and Methods: Long-stay patients were defined as those wh

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Lehmann, Christoph, Daniel Fabbri, and Michael Temple. "Natural Language Processing for Cohort Discovery in a Discharge Prediction Model for the Neonatal ICU." Applied Clinical Informatics 07, no. 01 (2016): 101–15. http://dx.doi.org/10.4338/aci-2015-09-ra-0114.

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SummaryDischarging patients from the Neonatal Intensive Care Unit (NICU) can be delayed for non-medical reasons including the procurement of home medical equipment, parental education, and the need for children’s services. We previously created a model to identify patients that will be medically ready for discharge in the subsequent 2–10 days. In this study we use Natural Language Processing to improve upon that model and discern why the model performed poorly on certain patients.We retrospectively examined the text of the Assessment and Plan section from daily progress notes of 4,693 patients

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Radoicic, Dragan, Zarko Dasic, Milorad Mitkovic, and Srdjan Starcevic. "Total hip arthroplasty for femoral neck fractures as an urgent procedure." Vojnosanitetski pregled 74, no. 5 (2017): 450–55. http://dx.doi.org/10.2298/vsp150826230r.

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Background/Aim. Total hip arthroplasty (THA) is one of the most widely accepted operative methods for femoral neck fracture (FNF) in elderly. However, the data on the early THA for FNF are very limited. The aim of this study to determine if there were differences in postoperative complications and functional outcomes between an urgent and delayed THA following FNF. Methods. This prospective study included a total of 244 patients who had THA following FNF from January 2010 to January 2013. In the first group 41 FNF patients were treated with THA within less than 12 hours of admission. A total o

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Weider, Laurence, Kent Hughes, Joel Ciarochi, and Ernest Dunn. "Early versus Delayed Repair of Facial Fractures in the Multiply Injured Patient." American Surgeon 65, no. 8 (1999): 790–93. http://dx.doi.org/10.1177/000313489906500818.

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The management of facial fractures in the polytrauma patient requires the coordination of multiple surgical disciplines to optimize the functional and cosmetic outcome while minimizing overall morbidity and mortality. Although the plastic surgery literature historically advocates the early repair of facial fractures, the risk of general anesthesia in patients with associated injuries sometimes makes early repair unsafe. We compared early operative repair versus delayed operative repair of facial fractures in multitrauma patients. We specifically examined wound infection, overall complication r

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Fang, Hung-Hsiang, Chuang-Yen Huang, Po-Chang Hsu, Chia-Cheng Sung, Sheng-Ping Li, and Chung-Yu Lai. "Impact of the COVID-19 Pandemic on Emergency Air Medical Transport of Pediatric Patients in the Penghu Islands." Healthcare 13, no. 12 (2025): 1450. https://doi.org/10.3390/healthcare13121450.

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Background and Objectives: The coronavirus disease 2019 (COVID-19) pandemic significantly impacted healthcare systems worldwide. As a result, remote areas such as the Penghu Islands have encountered unique challenges related to pediatric care. This study examined the effects of the pandemic on the emergency air medical transport (EAMT) of pediatric patients from the Penghu Islands to Taiwan. Materials and Methods: This retrospective study analyzed 40 pediatric patients who received EAMT from the Penghu Islands to Taiwan between January 2017 and December 2022. This study compared patients befor

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Brauckmann, Vesta, Ole Moritz Block, Luis A. Pardo, et al. "Can Early Post-Operative Scoring of Non-Traumatic Amputees Decrease Rates of Revision Surgery?" Medicina 60, no. 4 (2024): 565. http://dx.doi.org/10.3390/medicina60040565.

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Background and Objectives: Medical registries evolved from a basic epidemiological data set to further applications allowing deriving decision making. Revision rates after non-traumatic amputation are high and dramatically impact the following rehabilitation of the amputee. Risk scores for revision surgery after non-traumatic lower limb amputation are still missing. The main objective was to create an amputation registry allowing us to determine risk factors for revision surgery after non-traumatic lower-limb amputation and to develop a score for an early detection and decision-making tool for

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Bashir, Ayisha. "Commentary and Reflection Related to the Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care." Health Services Research and Managerial Epidemiology 5 (January 1, 2018): 233339281880054. http://dx.doi.org/10.1177/2333392818800549.

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Telehealth nursing enabling communication with chronic disease patients has shown to improve medical outcomes for patients suffering from diabetes mellitus, chronic obstructive pulmonary disease (COPD), and chronic heart disease. Studies have been conducted to examine whether telehealth technology impacts the perceived level of internal service quality (SQ) delivered by nurses within a telehealth organization. Overall, the perspectives toward telehealth SQ researched through case studies showed positive results. The innovative role of telehealth nursing and related technology toward patient ca

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Salonga-Reyes, Armi, and Ian A. Scott. "Stranded: causes and effects of discharge delays involving non-acute in-patients requiring maintenance care in a tertiary hospital general medicine service." Australian Health Review 41, no. 1 (2017): 54. http://dx.doi.org/10.1071/ah15204.

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Objectives The aims of the present study were to identify causes of prolonged discharge delays among non-acute in-patients admitted to a tertiary general medicine service, quantify occupied bed days (OBDs) and propose strategies for eliminating avoidable delays. Methods A retrospective study was performed of patients admitted between 1 January 2012 and 31 May 2015 and discharged as non-acute cases requiring maintenance care and who incurred a total non-acute length of stay (LOS) >7 days and total hospital LOS >14 days. Long-stay patients with non-acute LOS ≥28 days were subject to chart

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Hakim, Sheikh Mohd A., Md Habibullah Sarkar, and Manzurur Rahman Shah Chowdhury. "Risk Factors of Perforation of Appendix and Unfavorable Outcome in Delayed Presentation of Acute Appendicitis: A Cross-Sectional Analysis." TAJ: Journal of Teachers Association 30, no. 1 (2018): 42–48. http://dx.doi.org/10.3329/taj.v30i1.39122.

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Background: Perforated or gangrenous appendicitis in patient with a lately presented acute appendicitis remains a challenge for practicing surgeons and continues to be associated with more deadly complications. Results might improve with earlier consideration of the diagnosis followed by prompt surgical intervention. Objective: To identify the risk factors of appendiceal perforation, gangrene and other sequelae in patients with delayed presentation of acute appendicitis and its effects on the prognosis. Patients and Methods: This cross-sectional study was carried out from January, 2015 to July

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Gur, Ersin, Yigit Ozer Tiftikcioglu, Turgut Furkan Kuybulu, Kutay Durukan, Mehmet Emre Yegin, and Nadir Ozkayin. "Emergency and delayed microsurgical salvage of traumatic lower extremities." Journal of Surgery and Medicine 7, no. 4 (2023): 288–94. http://dx.doi.org/10.28982/josam.7613.

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Background/Aim: The power of free flaps for lower extremity injury reconstruction is no longer a matter of debate; however, contrasting views remain regarding the timing of reconstruction. The mainstay article of Godina reported that reconstruction within the first three days after injury was more advantageous than surgery at later times, but different views about the best day for reconstruction have also been described in the literature. With developments in the field of microsurgery, plastic surgeons have become more experienced, shortened the times needed for surgery, and achieved flap succ

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Rizk, Rimon Boshra, Mohamed Ahmed Mahmoud, Hesham Salem Mostafa, and Ahmed Saad Ahmed. "Comparative study between early versus late enteral nutrition after gastrointestinal anastomosis operations." Egyptian Journal of Surgery 42, no. 3 (2023): 573–83. http://dx.doi.org/10.4103/ejs.ejs_93_23.

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Introduction An anastomosis of the digestive tract is a common operation, whether it be an unexpected medical crisis or a planned procedure. Feeding soon after gastrointestinal anastomosis is not only physiological, but also protects against morphologic and functional trauma-related modifications in the gut. Aim of work This research aimed to evaluate the advantages and disadvantages of initiating Enteral Nutrition immediately following gastrointestinal anastomosis surgery versus delaying it for a later time. Additionally, the frequency of Adverse Events. Patients and methods Thirty patients u

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Kantor, Paul. "542 Comparative Analysis of Unhoused vs. Housed Individuals in the Burn ICU." Journal of Burn Care & Research 45, Supplement_1 (2024): 139. http://dx.doi.org/10.1093/jbcr/irae036.176.

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Abstract Introduction Decreasing LOS by one day can decrease the cost of a hospital stay by 3% (Taheri et al., 2000). Several factors contribute to LOS in the BICU, including, but not limited to, age, comorbidities, acuity, treatment, exit strategy, and housing situation. The purpose of this study is to identify LOS differences between housing situations amongst BICU patients. Housing situations can delay or assist with LOS; unhoused individuals may experience a more complex exit strategy as compared with housed individuals, leading to greater LOS. Methods A retrospective analysis utilizing th

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Narula, Neeraj, Diana Ulic, Raed Al-Dabbagh, et al. "Fecal Occult Blood Testing as a Diagnostic Test in Symptomatic Patients is not Useful: A Retrospective Chart Review." Canadian Journal of Gastroenterology and Hepatology 28, no. 8 (2014): 421–26. http://dx.doi.org/10.1155/2014/189652.

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BACKGROUND: The fecal occult blood test (FOBT) is a screening tool designed for the early detection of colorectal cancer in primary care. Although not validated for use in hospitalized patients, it is often used by hospital physicians for reasons other than asymptomatic screening.OBJECTIVE: To profile the in-hospital use of the FOBT and assess its impact on patient care.METHODS: Patient charts were retrospectively reviewed for all FOBTs conducted over a three-month period in 2011 by the central laboratory supporting the three acute care campuses of Hamilton Health Sciences (Hamilton, Ontario).

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Cazeau, Naomi, Kathleen Cavalier, Valkal Bhatt, et al. "Outpatient BEAM Using Daily Etoposide and Cytarabine with Autologous Hematopoietic Stem Cell Transplantation for Lymphoma Is Feasible and Decreases Inpatient Length of Stay." Blood 134, Supplement_1 (2019): 5830. http://dx.doi.org/10.1182/blood-2019-127402.

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Introduction: High dose therapy with carmustine, etoposide, cytarabine, and melphalan (BEAM) followed by autologous hematopoietic stem cell transplantation (AHCT) is the most common consolidation therapy for chemosensitive patients with relapsed/refractory Non-Hodgkin Lymphoma (NHL) and Hodgkin Lymphoma (HL) in the US. Inpatient hospitalization is usually required due to the twice daily dosing of etoposide and cytarabine, and patients remain admitted until neutrophil recovery. Utilizing our outpatient transplant program, we aimed to evaluate the feasibility and safety of outpatient BEAM with A

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Roseveare, Chris. "Editorial." Acute Medicine Journal 13, no. 4 (2014): 151. http://dx.doi.org/10.52964/amja.0368.

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Winter has arrived again, and our thoughts turn to the management of pressures associated with surges of respiratory and diarrhoeal illness, when the bed stock of the hospital remains permanently full. The phenomenon of ‘exit block’ is as real a challenge for Acute Medical Units as it is for Emergency Departments (ED), with patients commonly exceeding the desired length of stay in the AMU while awaiting availability of a suitable speciality bed. The problem is compounded by increased numbers of patients whose discharge or transfer is delayed, particularly in the period after Christmas when the

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Luis, Noelia López, Cristobalina Rodríguez-Álvarez, Leticia Cuéllar-Pompa, and Ángeles Arias. "Evaluation of Delayed Effective Discharge for Non-Medical Reasons in Patients Admitted to Acute Care Hospitals in Spain: A Scoping Review." Nursing Reports 14, no. 1 (2023): 12–24. http://dx.doi.org/10.3390/nursrep14010002.

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Delayed discharge for non-clinical reasons is defined as a period of stay that continues after a patient has been deemed medically fit to leave the hospital but is unable to do so for non-medical reasons. This circumstance overburdens the healthcare system and constitutes a major problem for healthcare systems and the patients themselves in this situation. The aim of this study was to evaluate the delay in effective discharge for non-medical reasons for patients admitted to acute care hospitals in Spain. A scoping review followed the Joanna Briggs Institute methodology guidelines to search for

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NAWADAT, Q., MA KHALID, and A. PARVEEN. "ASSOCIATION BETWEEN INTENSIVE CARE UNIT TRANSFER DELAY AND HOSPITAL MORTALITY." Biological and Clinical Sciences Research Journal 2023, no. 1 (2023): 300. http://dx.doi.org/10.54112/bcsrj.v2023i1.300.

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This study assessed the impact of ICU admission delay on hospital mortality using electronic Cardiac Arrest Risk Triage (eCART). An observational cohort study was conducted in the Intensive care unit of Shifa International Hospital from April 2022- April 2023. A total of 400 patients admitted to medical and surgical wards were included in the study. The eCART score was used to estimate the extent of critical illness using demographic data from the records, vital signs, and laboratory data. A duration of 6 hours was considered a cut-off for the delay as it is usually a critical threshold in cri

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van Rijckevorsel, Veronique A. J. I. M., Louis de Jong, Michael H. J. Verhofstad, and Gert R. Roukema. "Influence of time to surgery on clinical outcomes in elderly hip fracture patients." Bone & Joint Journal 104-B, no. 12 (2022): 1369–78. http://dx.doi.org/10.1302/0301-620x.104b12.bjj-2022-0172.r2.

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Aims Factors associated with high mortality rates in geriatric hip fracture patients are frequently unmodifiable. Time to surgery, however, might be a modifiable factor of interest to optimize clinical outcomes after hip fracture surgery. This study aims to determine the influence of postponement of surgery due to non-medical reasons on clinical outcomes in acute hip fracture surgery. Methods This observational cohort study enrolled consecutively admitted patients with a proximal femoral fracture, for which surgery was performed between 1 January 2018 and 11 January 2021 in two level II trauma

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Kim, Jo, Kim, et al. "Usefulness of Protocolized Point-of-Care Ultrasonography for Patients with Acute Renal Colic Who Visited Emergency Department: A Randomized Controlled Study." Medicina 55, no. 11 (2019): 717. http://dx.doi.org/10.3390/medicina55110717.

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Background and Objectives: Ultrasonography is useful in evaluating patients with renal colic and it has high sensitivity and specificity for diagnosing ureter stones by revealing hydronephrosis. We evaluated the efficacy of point-of-care ultrasonography protocol in managing patients with acute renal colic who visited the emergency department (ED). Materials and Methods: Between March 2019 and July 2019, patients who visited the ED because of renal colic were randomly assigned by date of visit either to the conventional group (CG), who underwent routine diagnostic work-up without ultrasonograph

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Fischer, Arabella, Cecilia Veraar, Isabella Worf, et al. "More Nutritional Support on the Wards after a Previous Intensive Care Unit Stay: A nutritionDay Analysis in 136,667 Patients." Nutrients 15, no. 16 (2023): 3545. http://dx.doi.org/10.3390/nu15163545.

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ICU (intensive care unit) patients are exposed to nutritional risks such as swallowing problems and delayed gastric emptying. A previous ICU stay may affect nutritional support upon transfer to the ward. The aim was to study the use of enteral (EN), parenteral nutrition (PN), and oral nutritional supplements (ONS) in ward patients with and without a previous ICU stay, also referred to as post- and non-ICU patients. In total, 136,667 adult patients from the nutritionDay audit 2010–2019 were included. A previous ICU stay was defined as an ICU stay during the current hospitalisation before nutrit

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Pokharel, BR, S. Humagain, P. Pant, R. Gurung, R. Koju, and TRS Bedi. "Spectrum of diseases in a medical ward of a teaching hospital in a developing country." Journal of College of Medical Sciences-Nepal 8, no. 2 (2012): 7–11. http://dx.doi.org/10.3126/jcmsn.v8i2.6831.

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Communicable and respiratory tract diseases especially chronic obstructive pulmonary diseases are the main reasons of admission in medical ward of low and middle income countries. This is different from the developed countries where non communicable diseases are the main reasons of hospital admission. In developing countries the data of hospital admission are still lacking. Therefore this study will help us to assess the common patterns of diseases admitted in a medical ward, the average length of hospital stay etc. The record of 1040 hospitalized patients in medical ward was analyzed for the

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Draper, Brian, Rosemary Karmel, Diane Gibson, Ann Peut, and Phil Anderson. "Alcohol-Related Cognitive Impairment in New South Wales Hospital Patients Aged 50 Years and Over." Australian & New Zealand Journal of Psychiatry 45, no. 11 (2011): 985–92. http://dx.doi.org/10.3109/00048674.2011.610297.

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Objectives: The aim of this study was to describe the principal reasons for admission, medical comorbidities, interventions and outcomes of patients admitted to New South Wales hospitals with alcohol-related cognitive impairment. Methods: We extracted data from the NSW Admitted Patient Care Database for nearly 410 000 multi-day hospital admissions from 222 public hospitals ending between July 2006 and June 2007 for people aged 50 and over. Data linkage using a unique patient identifier, derived by the Centre for Health Record Linkage identified hospital transfers and readmissions for individua

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Shrestha, Aashara, Dimitrios Zikos, and Leonidas Fegaras. "Seasonality of Discrepancies between Admission and Discharge Diagnosis for Medicare Patients." Technologies 6, no. 4 (2018): 111. http://dx.doi.org/10.3390/technologies6040111.

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Admission and discharge diagnoses of in-hospital patients are often in discord. Incorrect admission diagnoses are related to an increased cost of care and patient safety. Additionally, due to the seasonality of many conditions, this discord may vary across the year. In this paper, we used medical claims data to develop a methodological framework that examines these differences for Medicare beneficiaries. We provide examples for pneumonia, which is a condition with seasonal implications, and aneurysm, where early detection can be lifesaving. Following a Bayesian approach, our work quantifies an

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Ashraf, Muhammad, and Muhammad Zakria. "DISEASE PATTERNS;." Professional Medical Journal 21, no. 03 (2014): 570–74. http://dx.doi.org/10.29309/tpmj/2014.21.03.2150.

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Communicable and gastrointestinal diseases followed by respiratory diseasesare the main reasons of admission in medical ward of developing countries. This is different fromthe developed countries where non communicable diseases are the main reasons of hospitaladmission. In developing countries the data of hospital admission are still lacking. Therefore thisstudy will help us to assess the common patterns of diseases admitted in a medical ward, theaverage length of hospital stay etc. Objective: The objectives of this study are to assess thepatterns and prevalence of diseases, the most common di

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Han, Xueyan, Feng Jiang, Huixuan Zhou, et al. "Hospitalization Pattern, Inpatient Service Utilization and Quality of Care in Patients With Alcohol Use Disorder: A Sequence Analysis of Discharge Medical Records." Alcohol and Alcoholism 55, no. 2 (2019): 179–86. http://dx.doi.org/10.1093/alcalc/agz081.

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Abstract Aims To identify and group hospitalization trajectory of alcohol use disorder (AUD) patients and its associations with service utilization, healthcare quality and hospital-level variations. Methods Inpatients with AUD as the primary diagnosis from 2012 to 2014 in Beijing, China, were identified. Their discharge medical records were extracted and analyzed using the sequence analysis and the cluster analysis. Results Eight-hundred thirty-one patients were included, and their hospitalization patterns were grouped into four clusters: short stay (n = 565 (67.99%)), mean psychiatric length

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Clarke, David M., and Graeme C. Smith. "Consultation-Liaison Psychiatry in General Medical Units." Australian & New Zealand Journal of Psychiatry 29, no. 3 (1995): 424–32. http://dx.doi.org/10.3109/00048679509064950.

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The activities of a consultation-liaison psychiatry service to general medical units in a university affiliated suburban teaching hospital are described, with a report from the MICRO-CARES clinical database on 165 consecutive referrals over a 12 month period. The referral rate was 4.2% of admissions. The data confirm the association of psychiatric referral and prolonged length of hospital stay (mean of 18 days for referred patients, 9 days for non-referred patients). The most common reasons for referral were depression, suicide risk evaluation, organic brain syndrome and suspected psychologica

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Sanson, Gianfranco, Massimiliano Sartori, Lorella Dreas, Roberta Ciraolo, and Adam Fabiani. "Predictors of extubation failure after open-chest cardiac surgery based on routinely collected data. The importance of a shared interprofessional clinical assessment." European Journal of Cardiovascular Nursing 17, no. 8 (2018): 751–59. http://dx.doi.org/10.1177/1474515118782103.

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Background: Extubation failure (ExtF) is associated with prolonged hospital length of stay and mortality in adult cardiac surgery patients postoperatively. In this population, ExtF-related variables such as the arterial partial pressure of oxygen to fraction of inspired oxygen ratio (PaO2/FiO2), rapid shallow breathing index, cough strength, endotracheal secretions and neurological function have been sparsely researched. Aim: To identify variables that are predictive of ExtF and related outcomes. Method: Prospective observational longitudinal study. Consecutively presenting patients ( n=205) u

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Al-Khalil, Majid, Manuela Roman, Ahmed Emam, and Nicholas Marsden. "Comparison of outcomes between early and delayed weight bearing following lower limb free flaps: an 18-month single-center study." Plastic and Aesthetic Research 10 (2023): 15. http://dx.doi.org/10.20517/2347-9264.2022.102.

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Aim: Post-operative protocols following lower limb free flap surgery are not well defined, with a lack of consensus in the literature around limb dependency and weight bearing. The aim was to compare the complication rate for lower limb free flaps before and after the introduction of an enhanced lower limb free flap protocol with earlier dangling (day 3 vs. day 4) and weight bearing (day 5 vs. day 14) post lower limb free flap surgery. Methods: All lower limb free flaps between June 2020-January 2022 were identified from a departmental flap database. Patient data were collected from the compre

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Baralo, Bohdan, Muhammad Hanif, Archen Krupadev, et al. "Oncology consults in admitted cancer patients: The ways to reduce length of stay." Journal of Clinical Oncology 39, no. 15_suppl (2021): e13516-e13516. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e13516.

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e13516 Background: The cancer patients, while being admitted to the hospital often have an oncologist consult (OC) through the admission. The goal of the study is to assess, whether OC impact the length of stay (LOS) and to define the group of cancer patients in whom omitting the OC can decrease LOS. Methods: We reviewed 415 admissions of cancer patients from 1/1/2018 to 11/30/2020 to the both campuses of Mercy Catholic Medical Center. We included patients who are 18 years or older with confirmed malignancy. We excluded COVID positive, patients who died during admission, were transferred to te

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Yousafzai, Sajjad Mohammad, Murat Ugurlucan, Abid Awan, and Charles C. Canver. "Cost and clinical effectiveness of aggressive surgical debridement and delayed primary closure of infected cardiac surgical wounds." Journal of Wound Care 31, no. 2 (2022): 148–53. http://dx.doi.org/10.12968/jowc.2022.31.2.148.

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Objective: Postoperative wound infection in cardiac surgery remains a subject of significant concern due to associated morbidity, prolonged hospital stay and rise in treatment cost. A conservative management approach to postoperative wound infection with topical dressings and healing by secondary intention is not cost-effective and cosmetic results are less acceptable. We developed our institutional protocol for the treatment of infected postoperative cardiac surgical wounds to reduce hospital stay and improve cosmetic outcome. This study aims to compare our institutional protocol with the con

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Cai, Christopher, Karla Lindquist, and Tasce Bongiovanni. "Factors associated with delays in discharge for trauma patients at an urban county hospital." Trauma Surgery & Acute Care Open 5, no. 1 (2020): e000535. http://dx.doi.org/10.1136/tsaco-2020-000535.

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BackgroundDischarge delays for non-medical reasons put patients at unnecessary risk for hospital-acquired infections, lead to loss of revenue for hospitals and reduce hospital capacity to treat other patients. The objective of this study was to determine prevalence of, and patient characteristics associated with, delays in discharge at an urban county trauma service.MethodsWe performed a retrospective cohort study with data from Zuckerberg San Francisco General Hospital (ZSFGH), a level-1 trauma center and safety net hospital in San Francisco, California. The study included 1720 patients from

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Kristoffersen, Eirunn Wallevik, Anne Opsal, Tor Oddbjørn Tveit, Rigmor C. Berg, and Mariann Fossum. "Effectiveness of pre-anaesthetic assessment clinic: a systematic review of randomised and non-randomised prospective controlled studies." BMJ Open 12, no. 5 (2022): e054206. http://dx.doi.org/10.1136/bmjopen-2021-054206.

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ObjectivesThe aim of this systematic review was to examine the effectiveness of pre-anaesthesia assessment clinics (PACs) in improving the quality and safety of perioperative patient care.DesignSystematic review.Data sourcesThe electronic databases CINAHL Plus with Full Text (EBSCOhost), Medline and Embase (OvidSP) were systematically searched on 11 September 2018 and updated on 3 February 2020 and 4 February 2021.Eligibility criteriaThe inclusion criteria for this study were studies published in English or Scandinavian language and scientific original research that included randomised or non-

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Bravo, Michael, Felicia Paluck, Omar Taibah, et al. "34 Improving language concordant care in the paediatric emergency department." Paediatrics & Child Health 29, Supplement_1 (2024): e16-e16. http://dx.doi.org/10.1093/pch/pxae067.033.

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Abstract Background Paediatric patients and families with limited English proficiency (LEP) experience worse health outcomes. Use of professional medical interpreter services (IS) helps ensure that all patients receive high quality care, regardless of their preferred language of communication. Objectives The aim of this quality improvement (QI) study was to improve language concordant care within a paediatric emergency department (ED) in downtown Toronto by increasing the rate of over-the-phone interpreter use by 50% by July 2024 and to understand common reasons for interpreter non-use. Design

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Mandai, Shintaro, Fumiaki Ando, Takayasu Mori, et al. "Burden of kidney disease on the discrepancy between reasons for hospital admission and death: An observational cohort study." PLOS ONE 16, no. 11 (2021): e0258846. http://dx.doi.org/10.1371/journal.pone.0258846.

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Background Physicians have long noted a substantial discrepancy between the reasons for hospital admission and ultimate causes of death, particularly among older adults or patients with complex underlying diseases. However, objective data on this phenomenon are lacking. We aimed to examine the risk of in-hospital death caused by a reason other than the original reason for hospitalization and its association with underlying kidney disease in a nationwide inpatient database. Methods In this retrospective cohort study, we studied 639,556 Japanese adults who died in the hospital from 2012 to 2015,

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Völlm, Birgit, Rachel Edworthy, Jessica Holley, et al. "A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation." Health Services and Delivery Research 5, no. 11 (2017): 1–234. http://dx.doi.org/10.3310/hsdr05110.

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BackgroundForensic psychiatric services provide care for those with mental disorders and offending behaviour. Concerns have been expressed that patients may stay for too long in too high levels of security. The economic burden of these services is high, and they are highly restrictive for patients. There is no agreed standard for ‘long stay’; we defined a length of stay exceeding 5 years in medium secure care, 10 years in high secure care or 15 years in a combination of both settings as long stay.ObjectivesTo (1) estimate the number of long-stay patients in secure settings; (2) describe patien

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Roberts, D. M., J. F. Fraser, N. A. Buckley, and B. Venkatesh. "Experiences of Anticholinesterase Pesticide Poisonings in an Australian Tertiary Hospital." Anaesthesia and Intensive Care 33, no. 4 (2005): 469–76. http://dx.doi.org/10.1177/0310057x0503300408.

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There is limited information regarding the management and outcomes of patients presenting with anticholinesterase pesticide poisoning in Australia. Patients presenting to a tertiary referral hospital with anticholinesterase exposures were identified by discharge coding. The medical records of each patient were retrospectively reviewed. Based on clinical outcome, patients were classified as severe or non-severe poisonings. Forty-one presentations were noted between 1990 and 2003. Eight patients (20%) had severe poisoning of which tachycardia, fasciculations with weakness and metabolic acidosis

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Alsulimani, Loui K., Ohoud Baajlan, Khalid Alghamdi, Raghad Alahmadi, Abdullah Bakhsh, and Jameel Abualenain. "Effects of Not Intubating Non-Trauma Patients With Low Glasgow Coma Scale Scores: a Retrospective Study." Journal of Medicine, Law & Public Health 2, no. 1 (2022): 83–90. http://dx.doi.org/10.52609/jmlph.v2i1.41.

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Background: Endotracheal intubation (EI) is a critical life-saving procedure commonly performed on emergency department (ED) patients who present with altered mental status (AMS). Aims: We aimed to investigate the safety of observing, without EI, patients who present to the ED with decreased levels of consciousness (LOC). Methods: We reviewed the data of all adult ED patients with a Glasgow Coma Scale (GCS) score ≤ 8, during the period between 2012 and 2018, in an academic tertiary care centre. Trauma patients were excluded. The patients were divided into two groups for comparison: those who w

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Islam, Md Tarikul, SM Shakhwat Hossain, Syed Naufel Mahmud, Md Anowar Hossain, Md Amzad Hossain, and Md Shakil Salekin. "Laparoscopic Cholecystectomy: An Experience in Combined Military Hospital, Rangpur." Journal of Rangpur Medical College 10, no. 1 (2025): 34–39. https://doi.org/10.3329/jrpmc.v10i1.81558.

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Background: Laparoscopic surgery (LC) has gained popularity quickly due to its many benefits over traditional open surgery. The reduction in postoperative pain had a positive impact on humans, as did the shorter hospital stay and earlier return to work. Nevertheless, this procedure has various per-operative and postoperative complications that cannot be ignored, despite being a minimally invasive technique. Objective: The aim was to evaluate the intraoperative, postoperative complications of laparoscopic cholecystectomy (LC); the rate of conversion to open cholecystectomy and the reasons for i

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Patel, Amour B. U., Anna Reyes, and Gareth L. Ackland. "Non-inferiority of retrospective data collection for assessing perioperative morbidity." PeerJ 3 (December 1, 2015): e1466. http://dx.doi.org/10.7717/peerj.1466.

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Background.Postoperative morbidity has immediate and delayed consequences for surgical patients, including excess risk of premature death. Capturing these data objectively and routinely in large electronic databases using tools such as the Postoperative Morbidity Survey (POMS) would offer tremendous clinical and translational potential. However, POMS has thus far only utilised prospective data collection by research staff. We hypothesised that retrospective data collection from routinely collated hospital data from paper and electronic charts, medical and nursing notes was non-inferior to pros

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Saha, R., NS Shrestha, M. Thapa, J. Shrestha, J. Bajracharya, and SM Padhye. "Non-descent Vaginal Hysterectomy: Safety and Feasibility." Nepal Journal of Obstetrics and Gynaecology 7, no. 2 (2014): 14–16. http://dx.doi.org/10.3126/njog.v7i2.11134.

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Aims: To assess safety and feasibility of non-descent vaginal hysterectomy. Methods: A hospital based prospective study was conducted at the department of obstetrics and gynecology of Kathmandu Medical College Teaching Hospital from 1st January 2010 to 31st December 2011. All the patients undergoing non -descent vaginal hysterectomy for benign indication, without suspected adnexal pathology were included in the study. Vaginal hysterectomy was done in usual manner. In bigger size uterus morcellation techniques like bisection, debulking, myomectomy, slicing, or combination of these were used to

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Ohayon, Chaim, Amit Perelman, Adi Katz Biton, et al. "Conservative vs. Surgical Management of Condylar Fractures in Pediatric Populations: Complications and Factors for Consideration." Children 12, no. 3 (2025): 323. https://doi.org/10.3390/children12030323.

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Background: The optimal treatment decision for pediatric condylar fractures is influenced by various factors, including the child’s age, fracture type, degree of displacement, and the presence of concomitant injuries. While non-surgical treatments are generally preferred due to high remodeling capacity in children, there remains a lack of comprehensive research comparing the long-term outcomes of open reduction internal fixation (ORIF) versus conservative management. Methods: Retrospective analysis of medical records of 71 pediatric patients (aged 0–18 years) treated for condylar fractures at

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Jones, Julia Mandaro Lavinas, Alina Coutinho Rodrigues Feitosa, Malena Costa Hita, Elisabeth Martinez Fonseca, Rodrigo Braga Pato, and Marcos Tadashi Kakitani Toyoshima. "Medical software applications for in-hospital insulin therapy: A systematic review." DIGITAL HEALTH 6 (January 2020): 205520762098312. http://dx.doi.org/10.1177/2055207620983120.

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Background In-hospital hyperglycemia (HH) is frequent and related to higher morbidity and mortality. Despite the benefits of HH treatment, glycemic control is often poor and neglected. The use of health applications to support diagnosis and therapy is now incorporated into medical practice. Medical applications for inpatient glycemic management have potential to standardize this handling by the nonspecialist physician. However, related studies are scarce. We aim to evaluate the efficacy in inpatient glycemic control parameters of medical software applications in non-critical care settings. Met

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Massouridis, B., S. Lucas, D. Lewis, and M. Garg. "P1068 Preventable hospitalisations for patients with IBD are relatively uncommon in a modern multidisciplinary IBD service, and due to non-adherence or non-engagement in a significant proportion." Journal of Crohn's and Colitis 19, Supplement_1 (2025): i1974. https://doi.org/10.1093/ecco-jcc/jjae190.1242.

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Abstract Background Despite tighter treatment targets and an expanding array of therapeutics, hospitalisations for patients with inflammatory bowel disease (IBD) continue to occur, resulting in significant healthcare expense. This study aimed to identify factors associated with hospitalisation. Methods Patients seen at specialist IBD clinics at a tertiary health service and those hospitalised over a 13-month period from September 2022 to September 2023 were identified, and medical records interrogated for demographic and disease characteristics. Data including indication for admission, length

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Albina, A., F. Kegel, F. Dankoff, and G. Clark. "P139: The impact of a pancreatitis admission algorithm on emergency department length of stay in a tertiary care academic hospital." CJEM 22, S1 (2020): S114—S115. http://dx.doi.org/10.1017/cem.2020.343.

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Background: Emergency department (ED) overcrowding is associated with a broad spectrum of poor medical outcomes, including medical errors, mortality, higher rates of leaving without being seen, and reduced patient and physician satisfaction. The largest contributor to overcrowding is access block – the inability of admitted patients to access in-patient beds from the ED. One component to addressing access block involves streamlining the decision process to rapidly determine which hospital service will admit the patient. Aim Statement: As of Sep 2011, admission algorithms at our institution wer

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Stack, Shobha W., Christy M. McKinney, Charles Spiekerman, and Jennifer A. Best. "Childbearing and maternity leave in residency: determinants and well-being outcomes." Postgraduate Medical Journal 94, no. 1118 (2018): 694–99. http://dx.doi.org/10.1136/postgradmedj-2018-135960.

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PurposeTo characterise determinants of resident maternity leave and their effect on maternal and infant well-being. Among non-parents, to identify factors that influence the decision to delay childbearingStudy designIn 2016, a survey was sent to female residents at a large academic medical centre on their experiences with maternity leave, the impact of personal and programme factors on length of leave, reasons for delaying childbearing and measures of well-being.ResultsForty-four percent (214/481) of residents responded. Fifty (23%) residents were parents, and 25 (12%) took maternity leave dur

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Pellico-López, Amada, Ana Fernández-Feito, David Cantarero, et al. "Cost of stay and characteristics of patients with stroke and delayed discharge for non-clinical reasons." Scientific Reports 12, no. 1 (2022). http://dx.doi.org/10.1038/s41598-022-14502-5.

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AbstractDelayed discharge for non-clinical reasons (bed-blocking) is characteristic of pathologies associated with ageing, loss of functional capacity and dependence such as stroke. The aims of this study were to describe the costs and characteristics of cases of patients with stroke and delayed discharge for non-clinical reasons (bed-blocking) compared with cases of bed-blocking (BB) for other reasons and to assess the relationship between the length of total stay (LOS) with patient characteristics and the context of care. A descriptive cross-sectional study was conducted at a high complexity

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