ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2020
What factors affect length of hospital stay among trauma patients? A single-center study, Southwestern Iran.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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35 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.
- Return to work after major trauma: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Improving Blunt Thoracic Trauma Prognosis: Validation of the Study of the Management of Blunt Chest Wall Trauma Score against Injury Severity Score in an Indonesian Tertiary Hospital.Journal of chest surgery · 2026Article
- Determinants of Hospital Length of Stay Among Trauma Patients in Sudan: A Retrospective Study (2009-2014).Cureus · 2026Article
- When Pedestrian Crossings Become Danger Zones: Trauma and Mortality Risks in Elderly Pedestrians.International journal of environmental research and public health · 2025Article
- How Does Contrast Administration Influence Creatinine Dynamics in Trauma Patients With Acute Kidney Injury?Cureus · 2025Article
- Comparing piperacillin/tazobactam to current guidelines for the treatment of open fractures: A systematic review.Journal of orthopaedics · 2025Review
- Article
- Analysis of road traffic injuries and length of stay at the emergency department among patients in a trauma hospital in Ethiopia.Trauma surgery & acute care open · 2025Article
- Association of maxillofacial injuries with traumatic brain injuries in paediatric patients: a case-control study.BMC oral health · 2024Article
- Extremity fractures, attempted suicide, blood transfusion and thromboembolic events are independent risk factors for a prolonged hospital stay in severely injured elderly.Aging clinical and experimental research · 2024Article
- Pattern of admission, outcome and predictors of trauma patients visiting the surgical emergency department in comprehensive specialized hospital: a retrospective follow-up study.Annals of medicine and surgery (2012) · 2024Article
- Predictors of medical cost and length of stay of motorcycle injury patients presenting to hospitals in Kisumu City, Kenya.African health sciences · 2024Article
- The predictive value of the Kampala Trauma Score (KTS) in the outcome of multi-traumatic patients compared to the estimated Injury Severity Score (eISS).BMC emergency medicine · 2024Article
- Article
- Trauma Profile in Shahroud: An 8-Year Report of a Hospital-Based Trauma Registry.Journal of research in health sciences · 2024Article
- Article
- RETRACTED: Etiological characteristics of wound infection in severe trauma patients and logistic regression analysis of influencing factors of infection.International wound journal · 2024Article
- Attempted Suicide Is Independently Associated with Increased In-Hospital Mortality and Hospital Length of Stay among Injured Patients at Community Tertiary Hospital in Japan: A Retrospective Study with Propensity Score Matching Analysis.International journal of environmental research and public health · 2024Article
- Prolonged time to recovery and its predictors among trauma patients admitted to the intensive care units in comprehensive specialized hospitals in Northwest Ethiopia: a multicenter retrospective follow-up study, 2022.Frontiers in medicine · 2024Article
- Differences in emergency hospitalization trauma patients during and after the COVID-19 pandemic.PloS one · 2024Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTrauma is a major health concern. Length of hospital stay (LOS) has been targeted as an important metric to assess trauma care. This study aims to evaluate the risk factors that affect LOS among trauma patients in a trauma center in Southwestern Iran.
methodsThis cross-sectional study was conducted on patients admitted to Rajaee Trauma Center, Shiraz, Iran between January 1, 2018 and December 30, 2018. The inclusion criteria were age above 15 years and having traffic accident injuries, including car, motorcycle and pedestrian injury mechanisms. The exclusion criteria were existing diseases including cardiovascular, cerebral, renal, and pulmonary diseases prior to this study, dead upon arrival or within 48 h after admission, and stay at the hospital for less than 6 h. The risk variables analyzed for prolonged LOS were age, gender, mechanism of traffic accident injury, infection during hospital stay, type of injury, injury severity score, surgery during hospitalization, and survival. Poisson regression was performed to evaluate the partial effects of each covariate on trauma hospitalization (≥3 days as longer stay).
resultsThis study was conducted on 14,054 patients with traffic accident injury and the mean age was (33.89 ± 15.78) years. Additionally, 74.35% of the patients were male, with male to female ratio of 2.90. The result of Poisson regression indicated that male patients, higher age, combination of thoracic injuries, onset of infected sites, and surgery patients were more susceptible to have a longer LOS. Considering the site of injury, patients with face injuries followed by those with thorax injuries had the highest means of LOS (3.74 days and 3.36 days, respectively). Simultaneous existence of surgical intervention and infection in a patient had the greatest impact on prolonged LOS.
conclusionThis study identified that age, gender, mechanism of injury, infection, type of injury, survival, and ISS could lead to prolongation of LOS, but the affect can be reduced by eliminating modifiable risk factors.
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