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123 results for “Length of Stay”
Importance of respiratory syncytial virus as a predictor of hospital length of stay in Bronchiolitis
<p>DATA BASE OF ARTICLE TITTLED "<strong>Importance of respiratory syncytial virus as a predictor of hospital length of stay in Bronchiolitis"</strong></p>
Factors associated with length to recover adequate nutrition and length of stay in children hospitalized for bronchiolitis: a retrospective study.
<p><strong>Context:</strong> Inadequate feeding is a frequent reason for hospital referring in children with bronchiolitis and leads to prolonged hospitalization in 26% of the cases. The main objective was to identify the factors associated with the time to recover adequate nutrition in infants hospitalized for bronchiolitis.</p> <p><strong>Method:</strong> We conducted a single-center retrospective study including infants less than 12 months hospitalized for bronchiolitis at Le Havre Hospital (France) between September 2018 and February 2021. A multivariate logistic regression model was computed to investigate the factors associated with (1) the time to recover adequate feeding (LOFR), and (2) the hospital length of stay (LOS).</p> <p><strong>Results:</strong> 268 infants were included to assess the LOFR and 478 infants to assess the LOS. The median age was 3.2 months (1.6-5.4) and the sex ratio M/F was 11/20. The use of accessory muscles, nutritional support, and RR ≥ 70/min or < 30/min or apnea are associated (OR=1.5), from virtually no association (OR=1.0) to a significant positive association (OR=2.6) with the LOFR. Intense use of accessory muscles (OR=3.9; 95%CI 1.6-10.4) and "severe" clinical condition (OR=2.8; 95%CI 1.7-4. 8) at admission, O2 supplementation (OR=2.0; 95%CI 1.3-3.1) were significantly related to prolonged LOS in the multivariate analysis.</p> <p><strong>Conclusion:</strong> The clinical severity on admission may be related to the LOFR, ranging from none to significant. Other known factors such as oxygen therapy and the new clinical severity scale proposed by the latest French guidelines appeared to be related to the LOS in this work. Further studies are needed to highlight these factors.</p> <p> </p> <p>DATA.zip contain all statistics documents</p> <p>Supporting_documents contain ethic statement and reference methodology MR004 n° 2221599.</p>
Importance of respiratory syncytial virus as a predictor of hospital length of stay in Bronchiolitis
<p>Database paper </p>
Association between preoperative medication lists and postoperative hospital length of stay after endoscopic transsphenoidal pituitary surgery
<p><strong><span>Background</span></strong><span>:</span> <span>Endoscopic transsphenoidal surgery is the most common technique for resection of pituitary adenoma. Data on factors associated with extended hospital stay after this surgery are limited. We aimed to characterize the relationship between preoperative medications and the risk of prolonged postoperative length of stay after this procedure.</span></p> <p><strong><span>Methods</span></strong><span>:</span> <span>This single-center, retrospective cohort study included all adult patients scheduled for transsphenoidal pituitary surgery from July 1</span><span>st,</span><span> 2016 to December 31</span><span>st</span><span>, 2019.</span> <span>Anatomical Therapeutic Chemical</span><span> codes were used to identify patients' preoperative medications. The primary outcome was prolonged postoperative hospital length of stay. Secondary outcomes included unplanned admission to the Intensive Care Unit, in-hospital and one-year mortality. We developed a descriptive logistic model that included preoperative medications, obesity, and age.</span></p> <p><strong><span>Results</span></strong><span>:</span> <span>Median postoperative length of stay was 3 days for the 7</span><span>04 </span><span>analyzed patients. A prolonged length of stay was</span> <span>defined as > 4 days. Patients taking ATC-H drugs were at increased risk of prolonged length of stay (OR 1.56, 95% CI 1.26-1.95, p<0.001). No association was found between preoperative ATC-H medication and unplanned ICU admission or in-hospital mortality. Patients with multiple preoperative ATC-H medications had significantly higher mean LOS (5.4 ± 7.6 days) and one-year mortality (p<0.02).</span></p> <p><strong><span>Conclusions</span></strong><span>: Clinicians should be aware of the possible vulnerability of patients taking systemic hormones preoperatively. Future studies should test this medication-based approach on endoscopic transsphenoidal pituitary surgery populations from different hospitals and countries.</span></p>
Deciphering the explanatory potential of blood pressure variables on post-operative length of stay through hierarchical clustering: A retrospective monocentric study
<p><em>Objective:</em> Mean arterial pressure is widely used as the variable to monitor during anesthesia. But there are many other variables proposed to define intraoperative arterial hypotension. The goal of the present study was to search arterial pressure variables linked with prolonged postoperative length of stay (pLOS).</p> <p><em>Design: </em>Retrospective cohort study of adult patients having received general for a scheduled non cardiac surgical procedure between 15<sup>th</sup> July 2017 and 31st December 2019.</p> <p><em>Methods:</em> pLOS was defined as a stay longer than the median (main outcome), adjusted for surgery type and duration. 330 arterial pressure variables were analyzed and organized through a clustering approach. An unsupervised hierarchical aggregation method for optimal cluster determination, employing Kendall's tau coefficients and a penalized Bayes information criterion was used. Variables were ranked using the absolute standardized mean distance (aSMD) to measure their effect on pLOS. Finally, after multivariate independence analysis, the number of variables was reduced to three.</p> <p><em>Results:</em> Our study examined 9,516 patients. When LOS is defined as strictly greater than the median, 34% of patients experienced pLOS. Key arterial pressure variables linked with this definition of pLOS included the difference between the highest and lowest pulse pressure values computed throughout the surgery (aSMD[95%CI] =0.39[0.31-0.40], p<0.001), the accumulated time pulse pressure above 61mmHg (aSMD = 0.21[0.17-0.25], p<0.001), and the lowest MAP during surgery (aSMD= 0.20[0.16-0.24], p<0.001).</p> <p><em>Conclusions: </em>By applying a clustering approach, three arterial pressure variables were associated with pLOS. This scalable method can be applied to various dichotomized outcomes.</p>
Intraoperative Infusion of Precedex to Reduce Length of Stay After Lumbar Spine Fusion
ClinicalTrials.gov study NCT00808665. IPD Sharing: UNDECIDED. Countries: 1. Publications: 5.
Enhanced Recovery at Cesarean Birth to Improve Postoperative Outcomes and Reduce Postoperative Length of Stay
ClinicalTrials.gov study NCT02956616. IPD Sharing: NO. Countries: 1. Publications: 16.
European Mortality & Length Of Intensive Care Unit (ICU) Stay Evaluation (ELOISE)
ClinicalTrials.gov study NCT01422070. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Vibratory PEP Device and Hospital Length of Stay for Acute Exacerbation of COPD
ClinicalTrials.gov study NCT03094806. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Deciphering the explanatory potential of blood pressure variables on post-operative length of stay through hierarchical clustering: A retrospective monocentric study
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Association between preoperative medication lists and postoperative hospital length of stay after endoscopic transsphenoidal pituitary surgery
Open the record for dataset details and reuse information.
Impact of a Clinical Decision Algorithm on Length of Hospital Stay and Costs of Care of Burned Patients
ClinicalTrials.gov study NCT03876340. IPD Sharing: NO. Countries: 1. Publications: 3.
Impact on the Length of Stay in Incentive Spirometry and Pain in the Decompensation of Sickle Cell Disease: .
ClinicalTrials.gov study NCT04041180. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Closed Intravenous Catheter System on Catheter Success, Length of Stay and Complications
ClinicalTrials.gov study NCT05769452. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Does the Length of Hospital Stay for Rehabilitation Affect Functional Outcomes in Stroke Patients
ClinicalTrials.gov study NCT04700982. IPD Sharing: NO. Countries: 1. Publications: 3.
Prognostic Value of Lung Ultrasound in Predicting Intensive Care Unit Length of Stay in Adult Cardiac Surgery
ClinicalTrials.gov study NCT04499027. IPD Sharing: UNDECIDED. Countries: 1. Publications: 5.
Evaluation of Fluid Output Threshold for Safe Chest Tube Removal - A Potential Way to Decrease Length of Stay in Hospital and to Improve Postoperative Care After Lung Surgery?
ClinicalTrials.gov study NCT03093610. IPD Sharing: NO. Countries: 1. Publications: 9.
The PENG Block in Elective Hip Surgery and Its Effect on Postoperative Pain and Length of Stay.
ClinicalTrials.gov study NCT05056675. IPD Sharing: YES. Countries: 1. Publications: 7.
Effect of Osteopathic Manipulative Treatment on Length of Stay in Preterms
ClinicalTrials.gov study NCT01544257. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Effect of Early Mobilization on Length of Stay, Recovery and Readmission Rate of Patients After CABG or AVR/MVR Surgery
ClinicalTrials.gov study NCT04401397. IPD Sharing: NO. Countries: 1. Publications: 17.
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