Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals.
BACKGROUND: Length of stay (LOS) is one of the most important quantitative indexes that measures health service utilization within a hospital. Many studies have examined the association of three major stroke categories with LOS. Our aim is to investigate the differences of LOS among ischemic stroke...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2012-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3461000?pdf=render |
| _version_ | 1811268745288482816 |
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| author | Yi Li Hui Liu Jing Wang Yan Li Guo-Pei Yu Xie-Min Ma Ming-Hui Liang Jun Zhang Lue Ping Zhao |
| author_facet | Yi Li Hui Liu Jing Wang Yan Li Guo-Pei Yu Xie-Min Ma Ming-Hui Liang Jun Zhang Lue Ping Zhao |
| author_sort | Yi Li |
| collection | DOAJ |
| description | BACKGROUND: Length of stay (LOS) is one of the most important quantitative indexes that measures health service utilization within a hospital. Many studies have examined the association of three major stroke categories with LOS. Our aim is to investigate the differences of LOS among ischemic stroke subtypes, results from which are helpful to healthcare providers and government agencies to improve health care delivery efficiency. METHODOLOGY/PRINCIPAL FINDINGS: Using the Beijing Municipal Health Bureau's hospitalization summary reports, we performed a retrospective study among first-ever in-hospital patients with ischemic stroke (ICD-10 I63) in three general teaching hospitals in Beijing, China, from 2006 to 2010 with generalized linear model. In our study, 5,559 patients (female, 36.0%; age, 64.4 ± 12.9 years) were included. The estimated mean LOS of ischemic stroke was 17.4 ± 1.8 days. After adjusting for confounders, LOS of lacunar infarction (14.7 days; p<0.001) and LOS of small cerebral infarction (17.0 days; p=0.393) were shorter than that of single cerebral infarction (17.9 days, p<0.001). LOS of multi-infarct (19.0 days; p=0.028), brainstem infarction (19.3 days; p=0.045), basal ganglia infarction (18.5 days; p=0.452) and other subtypes of ischemic stroke (18.9 days; p=0.327) were longer than that of single cerebral infarction. CONCLUSIONS: LOS of ischemic stroke patient differes across single cerebral infarction, lacunar infarction, multi-infarct and brainstem infarction patients. The ascending order of LOS was lacunar infarction, small cerebral infarction, single cerebral infarction, basal ganglia infarction, other subtypes of ischemic stroke, multi-infarct and brainstem infarction. |
| first_indexed | 2024-04-12T21:28:25Z |
| format | Article |
| id | doaj.art-cb828573988041a39b74f6398053eac9 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T21:28:25Z |
| publishDate | 2012-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-cb828573988041a39b74f6398053eac92022-12-22T03:16:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0179e4510110.1371/journal.pone.0045101Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals.Yi LiHui LiuJing WangYan LiGuo-Pei YuXie-Min MaMing-Hui LiangJun ZhangLue Ping ZhaoBACKGROUND: Length of stay (LOS) is one of the most important quantitative indexes that measures health service utilization within a hospital. Many studies have examined the association of three major stroke categories with LOS. Our aim is to investigate the differences of LOS among ischemic stroke subtypes, results from which are helpful to healthcare providers and government agencies to improve health care delivery efficiency. METHODOLOGY/PRINCIPAL FINDINGS: Using the Beijing Municipal Health Bureau's hospitalization summary reports, we performed a retrospective study among first-ever in-hospital patients with ischemic stroke (ICD-10 I63) in three general teaching hospitals in Beijing, China, from 2006 to 2010 with generalized linear model. In our study, 5,559 patients (female, 36.0%; age, 64.4 ± 12.9 years) were included. The estimated mean LOS of ischemic stroke was 17.4 ± 1.8 days. After adjusting for confounders, LOS of lacunar infarction (14.7 days; p<0.001) and LOS of small cerebral infarction (17.0 days; p=0.393) were shorter than that of single cerebral infarction (17.9 days, p<0.001). LOS of multi-infarct (19.0 days; p=0.028), brainstem infarction (19.3 days; p=0.045), basal ganglia infarction (18.5 days; p=0.452) and other subtypes of ischemic stroke (18.9 days; p=0.327) were longer than that of single cerebral infarction. CONCLUSIONS: LOS of ischemic stroke patient differes across single cerebral infarction, lacunar infarction, multi-infarct and brainstem infarction patients. The ascending order of LOS was lacunar infarction, small cerebral infarction, single cerebral infarction, basal ganglia infarction, other subtypes of ischemic stroke, multi-infarct and brainstem infarction.http://europepmc.org/articles/PMC3461000?pdf=render |
| spellingShingle | Yi Li Hui Liu Jing Wang Yan Li Guo-Pei Yu Xie-Min Ma Ming-Hui Liang Jun Zhang Lue Ping Zhao Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals. PLoS ONE |
| title | Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals. |
| title_full | Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals. |
| title_fullStr | Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals. |
| title_full_unstemmed | Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals. |
| title_short | Variable lengths of stay among ischemic stroke subtypes in Chinese general teaching hospitals. |
| title_sort | variable lengths of stay among ischemic stroke subtypes in chinese general teaching hospitals |
| url | http://europepmc.org/articles/PMC3461000?pdf=render |
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