ReviewBMC health services research2023
Prevalence and predictors of prolonged length of stay among patients admitted under general internal medicine in a tertiary government hospital in Manila, Philippines: a retrospective cross-sectional study.
Review in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- The Dynamics of Hospitalization Expenses and Health Insurance: A Finite Mixture Model Approach.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Prevalence, Clinical Characteristics, and Outcomes of Intensive Care Unit Patients Requiring Prolonged Mechanical Ventilation in a Tertiary Hospital in the Philippines: A Single-center Retrospective Cross-sectional Study.Acta medica Philippina · 2026Article
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- Postoperative hospital stay and associated factors among adult surgical patients at a specialized hospital in Ethiopia.BMC surgery · 2025Article
- A Three Decade Analysis of Trends in Length of Stay After Liver Transplantation.Progress in transplantation (Aliso Viejo, Calif.) · 2025Article
- Leveraging deep neural network and language models for predicting long-term hospitalization risk in schizophrenia.Schizophrenia (Heidelberg, Germany) · 2025Article
- Prolonged hospitalization in Brazil: clinical need or systemic failure?Revista da Associacao Medica Brasileira (1992) · 2025Article
- Investigating the Effects of NosocomialHCA healthcare journal of medicine · 2024Article
- Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProlonged hospitalization leads to poorer health outcomes and consumes limited hospital resources. This study identified factors associated with prolonged length of stay (PLOS) among internal medicine patients admitted in a tertiary government hospital.
methodsWe reviewed the medical records of 386 adult patients admitted under the primary service of General Internal Medicine at the Philippine General Hospital from January 1 to December 31, 2019. PLOS was defined as at least 14 days for emergency admissions or 3 days for elective admissions. Sociodemographics, clinical characteristics, admission- and hospital system-related factors, disease-specific factors, outcome on the last day of hospitalization, and hospitalization costs were obtained. We determined the proportion with PLOS and reviewed reasons for discharge delays. We conducted multiple logistic regression analyses to assess associations between various factors and PLOS.
resultsThe prevalence of PLOS is 19.17% (95% CI 15.54, 23.42). Positive predictors include being partially dependent on admission (aOR 2.61, 95% CI 0.99, 6.86), more co-managing services (aOR 1.26, 95% CI 1.06, 1.50), and longer duration of intravenous antibiotics (aOR 1.36, 95% CI 1.22, 1.51). The only negative predictor is the need for intravenous antibiotics (aOR 0.14, 95% CI 0.04, 0.54). The most common reason for discharge delays was prolonged treatment. The median hospitalization cost of patients with PLOS was PHP 77,427.20 (IQR 102,596).
conclusionsAlmost a fifth of emergency admissions and a quarter of elective admissions had PLOS. Addressing factors related to predictors such as functional status on admission, number of co-managing services, and use of intravenous antibiotics can guide clinical and administrative decisions, including careful attention to vulnerable patients and judicious use of resources.
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