ArticleJournal of clinical medicine2022
Determinants of Prolonged Length of Hospital Stay in Patients with Severe Acute Ischemic Stroke.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 31 citations in OpenAlex.
- Early versus delayed antihypertensive treatment in patients with acute ischaemic stroke: multicentre, open label, randomised, controlled trial.BMJ (Clinical research ed.) · 2023Trial
- Machine Learning Methods to Predict the Length of Stay for Acute Stroke: A Scoping Review and Meta-Analysis.Health care science · 2026Review
- Determinants of Hospital Length of Stay Among Trauma Patients in Sudan: A Retrospective Study (2009-2014).Cureus · 2026Article
- Higher allostatic load at hospitalization is linked to worse outcome 90 days after stroke.Frontiers in stroke · 2026Article
- Evaluation of the SLS CHARTER care model to support post-stroke care continuity and employment.Scientific reports · 2025Article
- Article
- Animal-Assisted Activities for Patients with Central Nervous System Disease in Acute Rehabilitation Setting.Brain sciences · 2025Article
- Level of discharge readiness and influencing factors in ischaemic stroke patients: a descriptive, cross-sectional study.Frontiers in neurology · 2025Article
- Predictors of Hospital Stay After Acute Ischemic Stroke in Hospitalized Patients: Retrospective-Cohort Study.Cardiology research and practice · 2025Article
- Determinants of hospital length of stay in ischemic stroke patients: A retrospective cohort study at Indonesian national stroke center.PloS one · 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
- Impact of Frailty on Healthcare Outcomes after Cardioembolic Ischaemic Stroke Due to Atrial Fibrillation.International journal of environmental research and public health · 2024Article
- Peripheral blood mononuclear cell low molecular mass protein 7 in acute ischemic stroke: vertical change from admission to discharge and correlation with disability, stroke recurrence, and death.Frontiers in immunology · 2024Article
- Risk factor identification and prediction models for prolonged length of stay in hospital after acute ischemic stroke using artificial neural networks.Frontiers in neurology · 2023Article
- Treatment of acute ischemic stroke in patients with active malignancy: insight from a comprehensive stroke center.Therapeutic advances in neurological disorders · 2023Article
- A clinical prediction model based on interpretable machine learning algorithms for prolonged hospital stay in acute ischemic stroke patients: a real-world study.Frontiers in endocrinology · 2023Article
- Stroke nurse navigator utilization reduces unplanned 30-day readmission in stroke patients treated with thrombolysis.Frontiers in neurology · 2023Article
Corrections and comments
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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
objectiveLong hospitalizations are associated with a high comorbidity and considerable hospital cost. Admissions of severe acute ischemic stroke are prone to longer hospitalizations. We aimed to explore the issue and method for improving the length of stay.
methodsFrom the prospective Stroke Registry between January 2019 and June 2020, acute ischemic strokes with an admission National Institutes of Health Stroke Scale ≥ 15 were identified. Prolonged length-of-stay was defined as in-hospital-stay ≥ 30 days. All clinical characteristics were collected, and all do-not-resuscitate documentations were categorized if the order had been written within 7 days of onset.
resultsA total of 212 patients were eligible for severe stroke. Of these, 42 (19.8%) had prolonged length-of-stay and 170 had non-prolonged length-of-stay (median 43 vs. 13 days). The prolonged group was younger, mostly men, and was more likely to be in an independent state and more likely to receive reperfusion therapy, and there was a higher frequency of late do-not-resuscitate orders if signed. Although there was a lower in-hospital mortality rate in the prolonged group (12% vs. 23%), there was a higher proportion with a severe functional state (Modified Rankin Scale = 4-5) among the survivors (97% vs. 87%).
conclusionsSevere acute ischemic stroke patients with a prolonged length-of-stay were younger, mostly male, more likely to receive reperfusion therapy, less likely to have an early do-not-resuscitate order if signed, and more likely to have poor functional status at discharge, although there was a lower rate of in-hospital mortality.
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