ArticleBMC health services research2012
Delay in discharge and its impact on unnecessary hospital bed occupancy.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Article
- Association Between In-Hospital Applications for Long-Term Care Services and Hospital Length of Stay Among Older Adults: Ecological Cross-Sectional Study.JMIR formative research · 2025Article
- Development and Validation of a Discharge Disposition Prediction Model in Injured Adults.The Journal of surgical research · 2025Article
- Prevalence of Delayed Discharge Among Patients Admitted to the Internal Medicine Wards: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2025Article
- Developing a decision support tool to predict delayed discharge from hospitals using machine learning.BMC health services research · 2025Article
- Exploring the Ramifications of Delayed Hospital Discharges: Impacts on Patients, Physicians, and Healthcare Systems.Cureus · 2024Review
- Healthcare provider cost of antimicrobial resistance in two teaching hospitals in Ghana.Health policy and planning · 2024Article
- Morbidity and Length of Stay After Injury Among People Experiencing Homelessness in North America.JAMA network open · 2024Article
- Reduction of hospital length of stay through the implementation of SAFER patient flow bundle and Red2Green days tool: a pre-post study.BMJ open quality · 2024Article
- Leaving the hospital on time: hospital bed utilization and reasons for discharge delay in the Netherlands.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Article
- Inappropriate Hospital Stay of Patients Admitted Under Care of General Medicine Units: A retrospective study.Sultan Qaboos University medical journal · 2023Article
- Introducing a structured daily multidisciplinary board round to safely enhance surgical ward patient flow in the bed shortage era: a quality improvement research report.BMJ open quality · 2023Article
- Magnitude and associated non-clinical factors of delayed discharge of patients from post-anesthesia care unit in a comprehensive specialized referral hospital in Ethiopia, 2022.Annals of medicine and surgery (2012) · 2022Article
- Impact of a same day admission project in reducing the preoperative bed occupancy demand in a pediatric inpatient hospital.Annals of medicine and surgery (2012) · 2022Article
- Optimising acute stroke pathways through flexible use of bed capacity: a computer modelling study.BMC health services research · 2022Article
- Impact of integrated medication management program on medication errors in a medical center: an interrupted time series study.BMC health services research · 2022Article
- Decreasing boarders in the emergency department by reducing clerical work in the discharge process of in-hospital patients in Brazil - an interrupted time-series analysis.BMC emergency medicine · 2022Article
- Defining Delayed Discharges of Inpatients and Their Impact in Acute Hospital Care: A Scoping Review.International journal of health policy and management · 2022Article
- Health care utilization and health-related quality of life of injury patients: comparison of educational groups.BMC health services research · 2021Article
- Risk Factors for Nonhome Discharge After Esophagectomy for Neoplastic Disease.The Annals of thoracic surgery · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElderly patients are potentially more vulnerable to prolonged hospital stay as they frequently require additional resources to facilitate their discharge. In an acute hospital setting, we aimed to quantify and compare length of stay (LOS) for all patients over and under the age of 65, and identify the number and cause of days lost under the care of a single surgical unit.
methodsOver a 4 month period from January to April 2010, data on the management and source of potential delay was collected daily on consecutive patients admitted and discharged under the care of one consultant surgeon at a district general hospital. Statistical analysis was then performed with particular focus on actual delays affecting elderly patients.
resultsA total of 99 complete inpatients episodes were recorded. There were 30 elective and 69 acute admissions. 10 (33%) elective vs. 42 (61%) acute patients encountered delays, losing 39 and 232 days respectively (χ2 [1, N = 99] = 6.36, p = .012). 23 of a total 39 elderly patients admitted acutely required specialist care of the elderly opinion and placement in community hospitals resulting in delays of 188 days. vs. 36 days for the 16 discharged home and 8 days for 30 patients under 65 (χ2 (2, N = 69) = 26.54, p = <.001).
conclusionsElderly patients experiencing acute surgical admission and discharge to community hospitals had prolonged LOS due to significant delays associated with care of the elderly provision. The financial considerations behind bed capacity in primary and secondary care and the provision of care of elderly services need to be balanced against unnecessary occupancy of acute hospital beds with its associated health and economic implications.
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