Prediction of length of stay for stroke patients
Prediction of length of stay for stroke patients
复制标题
DOI：
10.1111/j.1600-0404.2006.00756.x
复制
发表时间：
2007-07-01
影响因子：
3.5
通讯作者：
Appelros, P.
中科院分区：
文献类型：
--
作者：
Appelros, P.
目的：探讨影响脑卒中患者急性住院时间和总住院时间（LOS）的因素。材料和方法：本研究的基础是基于人群的首次卒中患者队列（n = 388）。受试者为首次住院的幸存者（n = 295）。登记年龄、性别、社会因素、危险因素、痴呆、脑卒中类型和脑卒中严重程度，采用NIH脑卒中量表（NIHSS）进行测量。结果：急性LOS平均为12天，总LOS平均为29天。急性LOS的独立预测因子为卒中严重程度、腔隙性卒中、卒中前痴呆和吸烟。卒中严重程度和卒中前日常生活活动（ADL）依赖是总LOS的独立预测因子。与失活最相关的NIHSS项目为脑轻瘫、单侧忽视和意识水平。结论-卒中严重程度是LOS的一个强有力且可靠的预测因子。本研究的结果可作为评估卒中护理改变的成本效益的基线，例如组织改变或新药评估。
Objectives - To examine the factors that influence acute and total length of stay (LOS) for stroke patients.Materials and methods - The basis of this investigation was a population-based cohort of first-ever stroke patients (n = 388). Subjects were survivors of the initial hospitalization (n = 295). Age, sex, social factors, risk factors, dementia, stroke type, and stroke severity, measured with the NIH stroke scale (NIHSS), were registered.Results - Mean acute LOS was 12 days and mean total LOS was 29 days. Independent predictors of acute LOS were stroke severity, lacunar stroke, prestroke dementia, and smoking. Independent predictors of total LOS were stroke severity and prestroke activities of daily living (ADL) dependency. The NIHSS items that best correlated with LOS were paresis, unilateral neglect and level of consciousness.Conclusions - Stroke severity is a strong and reliable predictor of LOS. The results of this study can be used as a baseline for evaluating cost-effectiveness of stroke care changes, e.g. organizational changes or evaluation of new drugs.