Determinants of alternate-level-of-care delayed discharge among acute care survivors of hypoxic-ischemic brain injury: a population-based cohort study

Stock, David; Cowie, Cassandra; Chan, Vincy; Colantonio, Angela; Wodchis, Walter P.; Alter, David A.; Cullen, Nora

doi:10.9778/cmajo.20150123

Cited by 13 publications

(11 citation statements)

References 25 publications

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“…However, we did find studies with results suggesting longer delays in older patients [3,32]. In contrast, other studies found that being of younger age was a predictor of greater delayed discharge [27,33]. In both age groups, problems were observed regarding the lengthened stay.…”

Section: Discussioncontrasting

confidence: 56%

Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study

Pellico-López

Cantarero

Fernández-Feito

et al. 2019

IJERPH

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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 characteristics and healthcare service use associated with the total length of stay. All cases of delayed discharge were studied at the hospitalization units of a general university hospital in Northern Spain between 2007 and 2015. According to regression estimates, the following characteristics were related to a longer stay: higher complexity through (Diagnosis-Related Group) DRG weight, a diagnosis that implied a lack of functional ability, surgical treatment, having to wait for a destination upon final discharge or return home. After an initial increase, a reduction in delayed discharge was observed, which was maintained for the duration of the study period. Multi-component interventions related with discharge planning can favor a reduced inefficiency with fewer unnecessary stays.

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Section: Discussioncontrasting

confidence: 56%

Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study

Pellico-López

Cantarero

Fernández-Feito

et al. 2019

IJERPH

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“…1,18,19 The alternate level of care code has been used for regular reporting by CIHI, provincial quality agencies (e.g., Health Quality Ontario) and other studies examining delayed discharge. 1,7,20,21…”

Section: Discussionmentioning

confidence: 99%

Delayed discharge after major surgical procedures in Ontario, Canada: a population-based cohort study

Jerath

Sutherland

Austin

et al. 2020

CMAJ

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“…Some studies have clearly found longer delays in older patients, but the relationship between age and length of stay is unclear [5,16]. In contrast, other studies relate younger age of cases with delayed discharge to longer length of stay [17,18]. Therefore, it is relevant to conduct studies in regions of northern Spain where an increase in the regional aging rate was observed during the study period, concretely increasing from 18.57% in 2007 to 20.27% in 2015 [19].…”

Section: Introductionmentioning

confidence: 99%

Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost

Pellico-López¹,

Fernández-Feito

Cantarero

et al. 2021

IJERPH

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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 was €922,997.82. The mean diagnostic-related groups’ weight was 3.40. Up to 85.29% of patients resided in an urban area near the hospital (p = 0.001), and 83.33% were referred to a long-stay facility for functional recovery (p = 0.001). The proportion of patients with hip procedures and delayed discharge was lower than previous reports; however, their length of stay was longer. The cost of prolonged stay could account for 21.17% of the total. Compared with the remaining cases of delayed discharge, the appropriate stay was shorter in hip procedures, with a profile of older women living in an urban area close to the hospital and referred to a long-stay center for functional recovery.

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Determinants of alternate-level-of-care delayed discharge among acute care survivors of hypoxic-ischemic brain injury: a population-based cohort study

Cited by 13 publications

References 25 publications

Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study

Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study

Delayed discharge after major surgical procedures in Ontario, Canada: a population-based cohort study

Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost

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