ArticleHealth services research2002
Do hospital length of stay and staffing ratio affect elderly patients' risk of readmission? A nation-wide study of Norwegian hospitals.
Article in Health services research, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Facilitators of and barriers to reducing thirty-day readmissions and improving patient-reported outcomes after surgical aortic valve replacement: a process evaluation of the AVRre trial.BMC health services research · 2020Trial
- Increased Risk of Mortality among Patients Cared for by Physicians with Short Length-of-Stay Tendencies.Journal of general internal medicine · 2015Trial
- Healthcare Quality by Specialists Under a Mixed Compensation System: An Empirical Analysis.Health economics · 2025Article
- Technologies in Home-Based Digital Rehabilitation: Scoping Review.JMIR rehabilitation and assistive technologies · 2023Article
- Hospital length of stay and 30-day readmissions in older people: their association in a 20-year cohort study in Italy.BMC geriatrics · 2023Article
- Tasks as needs: reframing the paradigm of clinical natural language processing research for real-world decision support.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Reducing the Length of Stay by Enhancing the Patient Discharge Process: Using Quality Improvement Tools to Optimize Hospital Efficiency.Global journal on quality and safety in healthcare · 2021Article
- Hospital physicians' views on discharge and readmission processes: a qualitative study from Norway.BMJ open · 2019Article
- Impact of Integrated Care on Patient-Related Outcomes Among Older People - A Systematic Review.International journal of integrated care · 2019Article
- Effect of an Integrated Payment System on the Direct Economic Burden and Readmission of Rural Cerebral Infarction Inpatients: Evidence from Anhui, China.International journal of environmental research and public health · 2019Article
- An Integrated Framework for Reducing Hospital Readmissions using Risk Trajectories Characterization and Discharge Timing Optimization.IISE transactions on healthcare systems engineering · 2019Article
- Do Reduced Hospital Mortality Rates Lead to Increased Utilization of Inpatient Emergency Care? A Population-Based Cohort Study.Health services research · 2018Article
- Readmissions Among Sepsis Survivors: Risk Factors and Prevention.Clinical pulmonary medicine · 2018Article
- The Effects of Natural Daylight on Length of Hospital Stay.Environmental health insights · 2018Article
- Association between length of stay and readmission for COPD.The American journal of managed care · 2017Observational
- Costs and Consequences of Early Hospital Discharge After Major Inpatient Surgery in Older Adults.JAMA surgery · 2017Article
- Higher Quality and Lower Cost from Improving Hospital Discharge Decision Making.Journal of economic behavior & organization · 2016Article
- Effectiveness of an intermediate care hospital on readmissions, mortality, activities of daily living and use of health care services among hospitalized adults aged 60 years and older--a controlled observational study.BMC health services research · 2015Observational
- The influence of an intermediate care hospital on health care utilization among elderly patients--a retrospective comparative cohort study.BMC health services research · 2015Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo test whether there is an association between hospital operating conditions such as average length of stays (LOS) and staffing ratio, and elderly patients' risk of readmission. DATA SOURCES: The main data source was a national patient database of admissions to all acute-care Norwegian hospitals during the year of 1996. STUDY
designIt is a cross-sectional study, where Cox' regression analysis was used to test the factors acting on the probability of early unplanned readmission (within 30 days), and later occuring ones. The principal hospital variables included average hospital LOS and staffing ratio (discharges per man-years of personnel). Adjusting patient variables in the model included age, gender, and cost-weights of the Diagnosis Related Groups (DRGs). DATA EXTRACTION
methodsThe selected material included discharges from 59 hospitals, and 113,055 elderly patients (> or = 67 years). Multiple admissions to the same hospital were linked together chronologically, and additional hospital data were matched on. To maximize the association between the index stay and the defined outcome (unplanned readmission), no intervening planned admission was accepted. PRINCIPAL
findingsBeing admitted to a hospital with relatively short average LOS increased the patient's risk of early readmission significantly. In addition it was found that more intensive care (more staff) could have a compensatory effect. Furthermore, the predictive factors were shown to be time dependent, as hospital variables had much less impact on readmissions occurring late (within 90-180 days).
conclusionsThe results give support to the assumption of a link between hospital operating conditions and patient outcome.
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