...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>DMW: Deutsche Medizinische Wochenschrift >Influence of institutional factors in neurological, medical and geriatric departments on length of stay in patients with stroke
【24h】

Influence of institutional factors in neurological, medical and geriatric departments on length of stay in patients with stroke

机译：神经，医学和老年医学部门的机构因素对中风患者住院时间的影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Length of hospital stay (LOS) is determined not only by medical procedures or complications but also by institutional factors. We examined the influence of various institutional factors in neurological, medical and geriatric departments on LOS in patients with ischemic stroke. METHODS: We used data of 12,410 patients from the Westphalian Stroke Register for the years 2000 and 2001. Forty-two centres including 24 neurological, 13 medical and five geriatric departments participated in the register. The register is based on a standardized data assessment, including patient-related sociodemographic and clinical items, diagnostic and treatment procedures, complications, and status at discharge. RESULTS: 7855 patients with ischemic stroke from 37 centres (median age: 73 years, 51 % female) were included in the analysis. In neurological departments, the LOS decreased with increasing numbers of stroke patients treated per centre and year, presence of a stroke unit or a rehabilitation unit. Conversely, the ratio beds to number of physicians was positively associated with LOS. In geriatric departments, a significant decrease in LOS with an increasing number of stroke cases and availability of a rehabilitation unit was also observed. In departments of medicine, no significant influence on LOS was found for the institutional factors analysed. CONCLUSIONS: Institutional factors have a significant influence on LOS in patients with stroke. In this analysis, the influence varied between the different medical specialties. Institutional factors gain importance in the management of stroke patients, when Diagnosis Related Groups (DRG) are introduced.
机译：背景：住院时间（LOS）的长短不仅取决于医疗程序或并发症，还取决于制度因素。我们检查了神经系统，医学和老年病部门中各种制度因素对缺血性中风患者LOS的影响。方法：我们使用了2000年和2001年威斯特伐利亚中风登记册中的12,410例患者的数据。包括24个神经科，13个医学科和5个老年科的42个中心参加了该登记册。该登记册基于标准化的数据评估，包括与患者有关的社会人口统计学和临床​​项目，诊断和治疗程序，并发症以及出院状态。结果：来自37个中心的7855例缺血性中风患者（中位年龄：73岁，女性51％）被纳入分析。在神经科，随着每个中心和每年治疗的中风患者数量的增加，存在中风病房或康复病房，LOS降低。相反，床位数与医生人数的比例与LOS呈正相关。在老年科中，随着中风病例的增加和康复单位的可用性，LOS显着下降。在医学部门中，对于所分析的制度因素，未发现对LOS有重大影响。结论：制度因素对中风患者的LOS有重要影响。在此分析中，不同医学专业之间的影响有所不同。当引入诊断相关组（DRG）时，制度因素在中风患者的管理中变得越来越重要。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号