The association between discharge before noon and length of stay in medical and surgical patients.
The association between discharge before noon and length of stay in medical and surgical patients.
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内科和外科患者中午前出院与住院时间之间的关系。
DOI：
10.1002/jhm.2529
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发表时间：
2016
影响因子：
2.6
通讯作者：
Auerbach,Andrew
中科院分区：
文献类型：
--
作者：
Rajkomar,Alvin;Valencia,Victoria;Novelero,Maria;Mourad,Michelle;Auerbach,Andrew
患者在中午前出院是提高床位利用率的关键方法。很少有数据存在，以描述患者是否提前出院或他们的逗留时间延长，以允许提前出院的第二天. DESIGNITIVETo确定如果在中午前出院（DCBN）是与住院时间（LOS）.设计/设置/PATIENTS回顾性分析数据从成人内科和外科出院从一个单一的学术中心，从2012年7月至2015年4月。我们使用多变量广义线性模型来评估DCBN和LOS之间的关系。在38，365例住院患者中，6484例（16.9%）在中午前出院，中位LOS为3.7天。调整后，DCBN与较长的LOS相关（调整后比值比[OR]：1.043，95%置信区间[CI]：1.003 - 1.086）。在急诊入院的患者中，较长的LOS和DCBN之间的相关性更明显（n = 14 192，37%）（调整后OR：1.14，95%CI：1.033 - 1.249）。结论虽然我们无法判断是否延迟出院以在中午前出院，但较早出院与较长的LOS相关，特别是在急诊入院中。Journal of Hospital Medicine 2015; 11：859-861.© 2015医院医学学会
BACKGROUNDDischarging patients before noon is a key approach to improving bed utilization. Few data exist to describe whether patients are discharged earlier or their stay is extended to allow for an early discharge the next day.OBJECTIVETo determine if a discharge before noon (DCBN) is associated with length of stay (LOS).DESIGN/SETTINGS/PATIENTSRetrospective analysis of data from adult medical and surgical discharges from a single academic center from July 2012 through April 2015. We used a multivariable generalized linear model to evaluate the association between DCBN and LOS.RESULTSOf 38,365 hospitalizations, 6484 (16.9%) were discharged before noon, and the median LOS was 3.7 days. After adjustment, DCBN was associated with a longer LOS (adjusted odds ratio [OR]: 1.043, 95% confidence interval [CI]: 1.003‐1.086). The association between longer LOS and DCBN was more pronounced in patients admitted emergently (n = 14,192, 37%) (adjusted OR: 1.14, 95% CI: 1.033‐1.249).CONCLUSIONSAlthough we cannot discern whether discharges were delayed to achieve discharge before noon, earlier discharge was associated with a longer LOS, particularly among emergent admissions.Journal of Hospital Medicine2015;11:859–861. © 2015 Society of Hospital Medicine
联合委员会
DOI：
10.1057/9780230378988_7
发表时间：
1955
期刊：
AJN, American Journal of Nursing
影响因子：
--
作者：
Lisa K. Abel;Johanna Harris
通讯作者：
Johanna Harris
影响因子：
2.6
作者：
Wertheimer, Benjamin;Jacobs, Ramon E. A.;Hochman, Katherine
通讯作者：
Hochman, Katherine
影响因子：
2.6
作者：
Wertheimer, Benjamin;Jacobs, Ramon E. A.;Hochman, Katherine
通讯作者：
Hochman, Katherine