Length of Hospital Stay After Stroke: A Korean Nationwide Study
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objective To investigate the length of hospital stay (LOS) after stroke using the database of the Korean Health Insurance Review & Assessment Service.Methods We matched the data of patients admitted for ischemic stroke onset within 7 days in the Departments of Neurology of 12 hospitals to the data from the database of the Korean Health Insurance Review & Assessment Service. We recruited 3,839 patients who were hospitalized between January 2011 and December 2011, had a previous modified Rankin Scale of 0, and no acute hospital readmission after discharge. The patients were divided according to the initial National Institute of Health Stroke Scale score (mild, ≤5; moderate, >5 and ≤13; severe, >13); we compared the number of hospitals that admitted patients and LOS after stroke according to severity, age, and sex.Results The mean LOS was 115.6±219.0 days (median, 19.4 days) and the mean number of hospitals was 3.3±2.1 (median, 2.0). LOS was longer in patients with severe stroke (mild, 65.1±146.7 days; moderate, 223.1±286.0 days; and severe, 313.2±336.8 days). The number of admitting hospitals was greater for severe stroke (mild, 2.9±1.7; moderate, 4.3±2.6; and severe, 4.5±2.4). LOS was longer in women and shorter in patients less than 65 years of age.Conclusion LOS after stroke differed according to the stroke severity, sex, and age. These results will be useful in determining the appropriate LOS after stroke in the Korean medical system.
Abstract
Objective To investigate the length of hospital stay (LOS) after stroke using the database of the Korean Health Insurance Review & Assessment Service.Methods We matched the data of patients admitted for ischemic stroke onset within 7 days in the Departments of Neurology of 12 hospitals to the data from the database of the Korean Health Insurance Review & Assessment Service. We recruited 3,839 patients who were hospitalized between January 2011 and December 2011, had a previous modified Rankin Scale of 0, and no acute hospital readmission after discharge. The patients were divided according to the initial National Institute of Health Stroke Scale score (mild, ≤5; moderate, >5 and ≤13; severe, >13); we compared the number of hospitals that admitted patients and LOS after stroke according to severity, age, and sex.Results The mean LOS was 115.6±219.0 days (median, 19.4 days) and the mean number of hospitals was 3.3±2.1 (median, 2.0). LOS was longer in patients with severe stroke (mild, 65.1±146.7 days; moderate, 223.1±286.0 days; and severe, 313.2±336.8 days). The number of admitting hospitals was greater for severe stroke (mild, 2.9±1.7; moderate, 4.3±2.6; and severe, 4.5±2.4). LOS was longer in women and shorter in patients less than 65 years of age.Conclusion LOS after stroke differed according to the stroke severity, sex, and age. These results will be useful in determining the appropriate LOS after stroke in the Korean medical system.
참고문헌 (22)
- 이경석, "삼차의료기관 재활의학과 입원 환자들의 퇴원 양상", Annals of Rehabilitation Medicine, 29(1), pp.135~140 (2005), 대한재활의학회
- 강은경, "급성기 후 재활병원에 입원한 뇌졸중 환자의 재활 서비스 욕구", Annals of Rehabilitation Medicine, 31(4), pp.404~409 (2007), 대한재활의학회
- 정세희, "Inpatient Course and Length of Hospital Stay in Patients with Brain Disorders in South Korea: A Population-based Registry Study", Annals of Rehabilitation Medicine, 36(5), pp.609~617 (2012), 대한재활의학회
- Appelros P, "Prediction of length of stay for stroke patients", Acta Neurol Scand, 116, pp.15~19 (2007)
- Chang KC, "Prediction of length of stay of first-ever ischemic stroke", Stroke, 33, pp.2670~2674 (2002)
- Jorgensen HS, "Acute stroke care and rehabilitation: an analysis of the direct cost and its clinical and social determinants. The Copenhagen Stroke Study", Stroke, 28, pp.1138~1141 (1997)
- Schlegel D, "Utility of the NIH Stroke Scale as a predictor of hospital disposition", Stroke, 34, pp.134~137 (2003)
- Zizza CA, "Total water intakes of community-living middle-old and oldest-old adults", J Gerontol A Biol Sci Med Sci, 64, pp.481~486 (2009)
- Saxena SK, "Determinants of length of stay during post-stroke rehabilitation in community hospitals", Singapore Med J, 48, pp.400~407 (2007)
- Tan WS, "Factors predicting inpatient rehabilitation length of stay of acute stroke patients in Singapore", Arch Phys Med Rehabil, 90, pp.1202~1207 (2009)
- Svendsen ML, "Quality of care and length of hospital stay among patients with stroke", Med Care, 47, pp.575~582 (2009)
- Miyai I, "Results of new policies for inpatient rehabilitation coverage in Japan", Neurorehabil Neural Repair, 25, pp.540~547 (2011)
- van Straten A, "Length of hospital stay and discharge delays in stroke patients", Stroke, 28, pp.137~140 (1997)
- Hakim EA, "A study of the factors which influence the length of hospital stay of stroke patients", Clin Rehabil, 12, pp.151~156 (1998)
- Granger CV, "The Uniform Data System for Medical Rehabilitation: report of patients with hip fracture discharged from comprehensive medical programs in 2000-2007", Am J Phys Med Rehabil, 90, pp.177~189 (2011)
- Kim JS, "Cultural and noncultural predictors of health outcomes in Korean daughter and daughterin-law caregivers", Public Health Nurs, 20, pp.111~119 (2003)
- Feigenson JS, "Factors influencing outcome and length of stay in a stroke rehabilitation unit. Part 1. Analysis of 248 unscreened patients: medical and functional prognostic indicators", Stroke, 8, pp.651~656 (1977)
- Monane M, "Variability in length of hospitalization for stroke. The role of managed care in an elderly population", Arch Neurol, 53, pp.875~880 (1996)
- Saxena SK, "Total direct cost, length of hospital stay, institutional discharges and their determinants from rehabilitation settings in stroke patients", Acta Neurol Scand, 114, pp.307~314 (2006)
- Turner-Stokes L, "Healthcare tariffs for specialist inpatient neurorehabilitation services:rationale and development of a UK casemix and costing methodology", Clin Rehabil, 26, pp.264~279 (2012)
- Turner-Stokes L, "The Rehabilitation Complexity Scale: extended version. Detection of patients with highly complex needs", Disabil Rehabil, 34, pp.715~720 (2012)
- Turner-Stokes L, "International casemix and funding models: lessons for rehabilitation", Clin Rehabil, 26, pp.195~208 (2012)