ArticleBMC health services research2015
Impact of socio-economic status on hospital length of stay following injury: a multicenter cohort study.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Hospital length of stay prediction tools for all hospital admissions and general medicine populations: systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- Location selection criteria for field hospitals: A systematic review.Health promotion perspectives · 2022Pooled it
- Interventions to Reduce Hospital Length of Stay in High-risk Populations: A Systematic Review.JAMA network open · 2021Pooled it
- Urgent Admission and Inequities in Acute Hospital Stay in Canada.International journal of environmental research and public health · 2026Article
- Disparities in Access to Trauma Care in Canada: A Geospatial Analysis of Census Data.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Frailty and hospital outcomes among patients with neurological disorders.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Article
- Comparison of Risk Assessment Tools' Prediction of Outcomes for Penetrating Trauma.The Journal of surgical research · 2025Observational
- Impact of Glucagon-Like Peptide-1 Receptor Agonist Exposure on Gastrointestinal Outcomes Among ICU Patients: A Multicenter Matched Cohort Study.Critical care explorations · 2025Article
- Influence of socioeconomic status on postoperative outcomes in acute type A aortic dissection repair.JTCVS open · 2025Article
- Risk factors and economic impact of long-term nursing care after major trauma.Frontiers in public health · 2025Article
- Explainable predictions of a machine learning model to forecast the postoperative length of stay for severe patients: machine learning model development and evaluation.BMC medical informatics and decision making · 2024Article
- Comparing Hospital Length of Stay Between Persons With LEP and English-Speaking Patients in a Large Rural Academic Medical Center.The Permanente journal · 2024Article
- Association of health confidence with hospital length of stay and readmission.Journal of hospital medicine · 2024Article
- Pre-Sepsis Length of Hospital Stay and Mortality: A Nationwide Multicenter Cohort Study.Journal of Korean medical science · 2024Article
- Morbidity and Length of Stay After Injury Among People Experiencing Homelessness in North America.JAMA network open · 2024Article
- Unsupervised clustering analysis of trauma/non-trauma centers using hospital features including surgical care.PloS one · 2024Article
- Household Income as a Predictor for Surgical Outcomes and Opioid Use After Spine Surgery in the United States.Global spine journal · 2023Article
- Functional State and Rehabilitation of Patients after Primary Brain Tumor Surgery for Malignant and Nonmalignant Tumors: A Prospective Observational Study.Current oncology (Toronto, Ont.) · 2023Observational
- Preoperative Deficiency Anemia in Digital Replantation: A Marker of Disparities, Increased Length of Stay, and Hospital Cost.Journal of hand and microsurgery · 2022Article
- Association Between Patient Diversity in Hospitals and Racial/Ethnic Differences in Patient Length of Stay.Journal of general internal medicine · 2022Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundInjury is second only to cardiovascular disease in terms of acute care costs in North America. One key to improving injury care efficiency is to generate knowledge on the determinants of resource use. Socio-economic status (SES) is a documented risk factor for injury severity and mortality but its impact on length of stay (LOS) for injury admissions is unknown. This study aimed to examine the relationship between SES and LOS following injury. This multicenter retrospective cohort study was based on adults discharged alive from any trauma center (2007-2012; 57 hospitals; 65,486 patients) in a Canadian integrated provincial trauma system. SES was determined using ecological indices of material and social deprivation. Mean differences in LOS adjusted for age, gender, comorbidities, and injury severity were generated using multivariate linear regression.
resultsMean LOS was 13.5 days. Patients in the highest quintile of material/social deprivation had a mean LOS 0.5 days (95 % CI 0.1-0.9)/1.4 days (1.1-1.8) longer than those in the lowest quintile. Patients in the highest quintiles of both social and material deprivation had a mean LOS 2.6 days (1.8-3.5) longer than those in the lowest quintiles.
conclusionsResults suggest that patients admitted for traumatic injury who suffer from high social and/or material deprivation have longer acute care LOS in a universal-access health care system. The reasons behind observed differences need to be further explored but may indicate that discharge planning should take patient SES into consideration.
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