Factors Associated With a Long Mean Hospital Stay in Patients Hospitalized With Tuberculosis

Sánchez-Rojas, María del Carmen Vera; Pérez, Emma Muñoz; Pérez, Ángeles Muñoz; Cifuentes, Salvador Valero; Villalba, Eva; Campoy, María de la Paz Egea; Sánchez, Alfredo Cano; Bernal, Enrique

doi:10.1016/j.arbr.2016.10.008

Cited by 2 publications

(2 citation statements)

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“…This finding may indicate that comorbidities contributed to a more severe condition that required hospitalization [ 26 ]. In the previous research, patients with TB and comorbidities, particularly renal and liver diseases, diabetes mellitus, HIV, or cancer, were more likely to be hospitalized and have longer inpatient treatment [ 8 , 26 , 27 , 28 ]. Similarly, we found that patients with UGTB and hepatitis B were more likely to stay longer in the hospital.…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations and Treatment Outcomes in Patients with Urogenital Tuberculosis in Tashkent, Uzbekistan, 2016–2018

Ismatov

Sereda

Sahakyan³

et al. 2021

IJERPH

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Despite the global shift to ambulatory tuberculosis (TB) care, hospitalizations remain common in Uzbekistan. This study examined the duration and determinants of hospitalizations among adult patients (≥18 years) with urogenital TB (UGTB) treated with first-line anti-TB drugs during 2016–2018 in Tashkent, Uzbekistan. This was a cohort study based on the analysis of health records. Of 142 included patients, 77 (54%) were males, the mean (±standard deviation) age was 40 ± 16 years, and 68 (48%) were laboratory-confirmed. A total of 136 (96%) patients were hospitalized during the intensive phase, and 12 (8%) had hospital admissions during the continuation phase of treatment. The median length of stay (LOS) during treatment was 56 days (Interquartile range: 56–58 days). LOS was associated with history of migration (adjusted incidence rate ratio (aIRR): 0.46, 95% confidence interval (CI): 0.32–0.69, p < 0.001); UGTB-related surgery (aIRR: 1.18, 95% CI: 1.01–1.38, p = 0.045); and hepatitis B comorbidity (aIRR: 3.18, 95% CI: 1.98–5.39, p < 0.001). The treatment success was 94% and it was not associated with the LOS. Hospitalization was almost universal among patients with UGTB in Uzbekistan. Future research should focus on finding out what proportion of hospitalizations were not clinically justified and could have been avoided.

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Section: Discussionmentioning

confidence: 99%

Hospitalizations and Treatment Outcomes in Patients with Urogenital Tuberculosis in Tashkent, Uzbekistan, 2016–2018

Ismatov

Sereda

Sahakyan³

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…LOSE was defined as a hospital stay greater than 75th percentile for the entire study population ( > 14 days), based on previous reports and combined with the actual situation in China. [8][9][10] Readmission was defined as patient's readmission to the hospital within 31 days after discharge (due to TB-related illness). Severe TB is diagnosed if one the following conditions is met: (1) The lesion range is more than 3 lobes, and the symptoms of TB poisoning are severe (the body temperature is less than 39 ℃); (2) TB of two or more organs (except TB with tuberculous pleuritis).…”

Section: Extended Length Of Stay Readmission and Severe Tuberculosismentioning

confidence: 99%

Factors Associated with Extended Hospital Stay and its Impact on Subsequent Short-term Readmission with Tuberculosis Patients

Cao,

Xie,

et al. 2024

Arch Iran Med

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<strong data-sider-select-id="72ab8072-c5c2-430e-955c-7d40b15e5789">Background: This study aimed to explore the factors associated with extended length of stay (LOSE) for patients with tuberculosis (TB) in China, and construct a nomogram to predict it. In addition, the impact of extended hospital stay on short-term readmission after discharge was assessed. <strong data-sider-select-id="fae5f176-d9ca-459d-b777-0c4860e05eec">Methods: A retrospective observational study was conducted at Changsha Central Hospital, from January 2018 to December 2020. Patients (≥18 years who were first admitted to hospital for TB treatment) with non-multidrug-resistant TB were selected using the World Health Organization’s International Classification of Diseases, 10th Revision (ICD-10-CM), and the hospital’s electronic medical record system. <strong data-sider-select-id="86fb3d7e-0f65-43d6-80be-478bfa46bbe2">Results: A multivariate logistic regression analysis was used to evaluate the associations between TB and LOSE. The relationship between length of hospital stay and readmission within 31 days after discharge was assessed using a univariate Cox proportional risk model. A total of 14259 patients were included in this study (13629 patients in the development group and 630 in the validation group). The factors associated with extended hospital stays were age, smear positivity, extrapulmonary involvement, surgery, transfer from other medical structures, smoking, chronic liver disease, and drug-induced hepatitis. There was no statistical significance in the 31-day readmission rate of TB between the LOSE and length of stay≤14 days groups (hazards ratio: 0.92, 95% CI: 0.80-1.06, P=0.229). <strong data-sider-select-id="a6f584f7-f578-408e-b36f-226653e345f6">Conclusion: LOSE with TB was influenced by several patient-level factors, which were combined to construct a nomograph. The established nomograph can help hospital administrator and clinicians to identify patients with TB requiring extended hospital stays, and more efficiently plan for treatment programs and resource needs.

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Factors Associated With a Long Mean Hospital Stay in Patients Hospitalized With Tuberculosis

Cited by 2 publications

References 13 publications

Hospitalizations and Treatment Outcomes in Patients with Urogenital Tuberculosis in Tashkent, Uzbekistan, 2016–2018

Hospitalizations and Treatment Outcomes in Patients with Urogenital Tuberculosis in Tashkent, Uzbekistan, 2016–2018

Factors Associated with Extended Hospital Stay and its Impact on Subsequent Short-term Readmission with Tuberculosis Patients

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