Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre Hospital
Our study aimed to analyse delaying factors amongst patients with a length of stay (LOS) > 15 days during the COVID-19 pandemic using time-to-event analysis. A total of 390 patients were admitted between March 2020–February 2021 to the subacute complex discharge unit in St James’s Hospital: 326 (...
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| Format: | Article |
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MDPI AG
2023-02-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/4/627 |
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| author | Nithya Rajendran Puteri Maisarah Rameli Keneilwe Malomo Declan Byrne Joseph Browne Ontefetse Ntlholang |
| author_facet | Nithya Rajendran Puteri Maisarah Rameli Keneilwe Malomo Declan Byrne Joseph Browne Ontefetse Ntlholang |
| author_sort | Nithya Rajendran |
| collection | DOAJ |
| description | Our study aimed to analyse delaying factors amongst patients with a length of stay (LOS) > 15 days during the COVID-19 pandemic using time-to-event analysis. A total of 390 patients were admitted between March 2020–February 2021 to the subacute complex discharge unit in St James’s Hospital: 326 (83.6%) were >65 years of age and 233 (59.7%) were female. The median (IQR) age was 79 (70–86) years with a median (IQR) of 19.4 (10–41) days. A total of 237 (60.7%) events were uncensored, with LOS > 15 days, of which 138 (58.2%) were female and 124 (52.32%) had >4 comorbidities; 153 (39.2%) were censored into LOS ≤ 15 days, and death occurred in 19 (4.8%). Kaplan–Meier’s plot compared factors causing a delay in discharge to the single factors: age, gender, and multimorbidity. A multivariate Cox regression analysis adjusted to age, gender, and multimorbidity predicted factors affecting LOS. Further research is required to explore multimorbidity as a risk factor for mortality in patients with prolonged LOS within a complex discharge unit and target gender-specific frailty measures to achieve high-quality patient management. |
| first_indexed | 2024-03-11T08:45:45Z |
| format | Article |
| id | doaj.art-32c8f288b9294532803b4cc860ff2d1e |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T08:45:45Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-32c8f288b9294532803b4cc860ff2d1e2023-11-16T20:47:52ZengMDPI AGHealthcare2227-90322023-02-0111462710.3390/healthcare11040627Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre HospitalNithya Rajendran0Puteri Maisarah Rameli1Keneilwe Malomo2Declan Byrne3Joseph Browne4Ontefetse Ntlholang5Department of General Internal Medicine, St. James’s Hospital, James’s Street, D08 NHY1 Dublin, IrelandDepartment of General Internal Medicine, St. James’s Hospital, James’s Street, D08 NHY1 Dublin, IrelandDepartment of Geriatrics and General Internal Medicine, St. James’s Hospital, James’s Street, D08 NHY1 Dublin, IrelandDepartment of Geriatrics and General Internal Medicine, St. James’s Hospital, James’s Street, D08 NHY1 Dublin, IrelandDepartment of Geriatrics and General Internal Medicine, St. James’s Hospital, James’s Street, D08 NHY1 Dublin, IrelandDepartment of Geriatrics and General Internal Medicine, St. James’s Hospital, James’s Street, D08 NHY1 Dublin, IrelandOur study aimed to analyse delaying factors amongst patients with a length of stay (LOS) > 15 days during the COVID-19 pandemic using time-to-event analysis. A total of 390 patients were admitted between March 2020–February 2021 to the subacute complex discharge unit in St James’s Hospital: 326 (83.6%) were >65 years of age and 233 (59.7%) were female. The median (IQR) age was 79 (70–86) years with a median (IQR) of 19.4 (10–41) days. A total of 237 (60.7%) events were uncensored, with LOS > 15 days, of which 138 (58.2%) were female and 124 (52.32%) had >4 comorbidities; 153 (39.2%) were censored into LOS ≤ 15 days, and death occurred in 19 (4.8%). Kaplan–Meier’s plot compared factors causing a delay in discharge to the single factors: age, gender, and multimorbidity. A multivariate Cox regression analysis adjusted to age, gender, and multimorbidity predicted factors affecting LOS. Further research is required to explore multimorbidity as a risk factor for mortality in patients with prolonged LOS within a complex discharge unit and target gender-specific frailty measures to achieve high-quality patient management.https://www.mdpi.com/2227-9032/11/4/627complex discharge unitCox regression analysisCOVID-19delayed transfers of careKaplan–Meier analysislength of stay |
| spellingShingle | Nithya Rajendran Puteri Maisarah Rameli Keneilwe Malomo Declan Byrne Joseph Browne Ontefetse Ntlholang Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre Hospital Healthcare complex discharge unit Cox regression analysis COVID-19 delayed transfers of care Kaplan–Meier analysis length of stay |
| title | Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre Hospital |
| title_full | Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre Hospital |
| title_fullStr | Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre Hospital |
| title_full_unstemmed | Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre Hospital |
| title_short | Time-to-Event Analysis of Factors Influencing Delay in Discharge from a Subacute Complex Discharge Unit during the First Year of the Pandemic (2020) in an Irish Tertiary Centre Hospital |
| title_sort | time to event analysis of factors influencing delay in discharge from a subacute complex discharge unit during the first year of the pandemic 2020 in an irish tertiary centre hospital |
| topic | complex discharge unit Cox regression analysis COVID-19 delayed transfers of care Kaplan–Meier analysis length of stay |
| url | https://www.mdpi.com/2227-9032/11/4/627 |
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