Original communicationReasons for prolonged hospital stay: A study of need for hospital care☆
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2021, NutritionCitation Excerpt :Moreover, it is important to highlight that prolonged or increased LOS is a hospital outcome parameter with a wide range of definitions, and several studies have found that it can be the consequence of several medical and non-medical factors [39]. On one hand, in some studies prolonged LOS has been strongly influenced by the definition of discharge (e.g., transfer from the hospital to nursing homes or other intermediate facilities instead of home), and on the other hand, some studies have found that about 25%–30% of excessive LOS is related to non-medical determinants, such as logistic or social factors (unwillingness to go home; lack of home assistance) [40–42]. Overall, considering all these factors and the fact that LOS is a hospital quality indicator in many health care systems, it has also been suggested that it be adjusted for clinical and non-clinical factors.
Impact of delayed discharge for nonmedical reasons in a tertiary hospital internal medicine department
2012, Revista Clinica EspanolaNosocomial infections in the elderly. Increased risk per hospital day
1988, The American Journal of MedicineAn alternate level of care, the prospective payment system and the challenge of extended care
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1981, Journal of Chronic DiseasesHow Much Blood Loss Is Too Much for a 1-Level Open Lumbar Fusion?
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This investigation was carried out by the United Community Services of Metropolitan Boston in cooperation with the Harvard School of Public Health, and was supported in part by a Research Grant (RG-4045C) from the National Institutes of Health, Public Health Service.
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Director, Medical Care Evaluation Studies, United Community Services of Metropolitan Boston, Boston, Mass.
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Associate Professor of Medical Care, Harvard School of Public Health, Boston, Mass.
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Public Health Adviser, Eastern Mediterranean Region of the World Health Organization, Alex- andria, Egypt.