PMID: 9176685May 1, 1997Paper

The relationship between hospital length of stay and rate of death in heart failure

Heart & Lung : the Journal of Critical Care
E F PhilbinT A Rocco

Abstract

To study the relationship between length of stay (LOS) and the rate of death among patients hospitalized with congestive heart failure (CHF). A retrospective, observational study. Fifteen acute care community hospitals in upstate New York. Three thousand nine hundred fourteen patients whose principal billing diagnosis was diagnosis-related group number 127 (CHF and shock). Mean total LOS and hospital death rate. Mean number of nonacute care hospital days per patient, mean number of acute care days (acute LOS) per patient, cases per hospital, hospital bed capacity, and the presence of a cardiac catheterization laboratory, cardiac surgical services, or a medical residency training program. An index of severity of illness and a severity-weighted expected LOS were calculated for each patient as well. Significant variability in mean total LOS (7.6 to 12.7 days), mean acute LOS (7.1 to 10.3 days), and death rates (4.3 to 12.0%) was noted among the centers. Minimal variation in mean expected LOS (5.2 to 6.1 days) and mean severity score (2.8 to 3.3) was observed. Mean total LOS (r = 0.14, p = 0.61) and acute LOS (r = 0.11, p = 0.69) were not related significantly to death rate for the 15 centers. When the hospitals were separated into...Continue Reading

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Citations

Mar 14, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M J LageJ Scherer
Jul 18, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M J LageJ Scherer
Oct 26, 1999·The Journal of Cardiovascular Nursing·S R Edwardson
Oct 6, 2001·The Journal of Cardiovascular Nursing·P DavidsonJ Cockburn
Mar 24, 1999·Pacing and Clinical Electrophysiology : PACE·R van den Oever
May 3, 2006·Journal of Psychosomatic Research·Laurent MichaudFriedrich Stiefel
Sep 4, 2010·Health Policy·Sungwon ChangPatricia M Davidson
Aug 25, 2009·American Heart Journal·Mihai GheorghiadeUNKNOWN Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival (EPHESUS) Investigators
Feb 11, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Janet DubordHubert Wong
Jan 1, 2008·Journal of Medical Economics·Neree ClaesJohan Vijgen

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