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学科主题: 临床医学
题名:
Variable Lengths of Stay among Ischemic Stroke Subtypes in Chinese General Teaching Hospitals
作者: Li, Yi3; Liu, Hui3; Wang, Jing3; Li, Yan2; Yu, Guo-Pei3; Ma, Xie-Min4; Liang, Ming-Hui5; Zhang, Jun1; Zhao, Lue Ping3
刊名: PLOS ONE
发表日期: 2012-09-28
DOI: 10.1371/journal.pone.0045101
卷: 7, 期:9
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Multidisciplinary Sciences
研究领域[WOS]: Science & Technology - Other Topics
关键词[WOS]: ACADEMIC MEDICAL-CENTERS ; QUALITY-OF-CARE ; UNIT ; MORTALITY ; COSTS
英文摘要:

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.

语种: 英语
项目资助者: "985" Project from Ministry of Education of China
WOS记录号: WOS:000309973900026
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59853
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.Peking Univ, Med Informat Ctr, Beijing 100871, Peoples R China
2.Minist Hlth, Inst Hosp Management, Beijing, Peoples R China
3.Peking Univ, Hosp 3, Hlth Sci Ctr, Dept Hosp Management,Dept Neurol, Beijing 100871, Peoples R China
4.Peking Univ, Hosp 1, Hlth Sci Ctr, Dept Hosp Management,Dept Neurol, Beijing 100871, Peoples R China
5.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Beijing 100871, Peoples R China

Recommended Citation:
Li, Yi,Liu, Hui,Wang, Jing,et al. Variable Lengths of Stay among Ischemic Stroke Subtypes in Chinese General Teaching Hospitals[J]. PLOS ONE,2012,7(9).
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