Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/24937
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dc.contributor.authorOfori-Asenso, Richard-
dc.contributor.authorLiew, Danny-
dc.contributor.authorMårtensson, Johan-
dc.contributor.authorJones, Daryl A-
dc.date2020-09-22-
dc.date.accessioned2020-10-02T03:26:54Z-
dc.date.available2020-10-02T03:26:54Z-
dc.date.issued2020-09-22-
dc.identifier.citationJournal of Clinical Medicine 2020; 9(9): 3055en
dc.identifier.issn2077-0383
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/24937-
dc.description.abstractLimited available evidence suggests that a small proportion of inpatients undergo prolonged hospitalization and use a disproportionate number of bed days. Understanding the factors contributing to prolonged hospitalization may improve patient care and reduce the length of stay in such patients. We undertook a retrospective cohort study of adult (≥20 years) patients admitted for at least 24 h between 14 November 2016 and 14 November 2018 to hospitals in Victoria, Australia. Data including baseline demographics, admitting specialty, survival status and discharge disposition were obtained from the Victorian Admission Episode Dataset. Multivariable logistic regression analysis was used to identify factors independently associated with prolonged hospitalization (≥14 days). Cox proportional hazard regression model was used to examine the association between various factors and in-hospital mortality. There were almost 5 million hospital admissions over two years. After exclusions, 1,696,112 admissions lasting at least 24 h were included. Admissions with prolonged hospitalization comprised only 9.7% of admissions but utilized 44.2% of all hospital bed days. Factors independently associated with prolonged hospitalization included age, female gender, not being in a relationship, being a current smoker, level of co-morbidity, admission from another hospital, admission on the weekend, and the number of admissions in the prior 12 months. The in-hospital mortality rate was 5.0% for those with prolonged hospitalization compared with 1.8% in those without (p < 0.001). Prolonged hospitalization was also independently associated with a decreased likelihood of being discharged to home (OR 0.53, 95% CI 0.52-0.54). Patients experiencing prolonged hospitalization utilize a disproportionate proportion of bed days and are at higher risk of in-hospital death and discharge to destinations other than home. Further studies are required to identify modifiable factors contributing to prolonged hospitalization as well as the quality of end-of-life care in such admissions.en
dc.language.isoeng
dc.subjectbed utilizationen
dc.subjecthospitalizationen
dc.subjectlength of stayen
dc.subjectmortalityen
dc.titleThe Frequency of, and Factors Associated with Prolonged Hospitalization: A Multicentre Study in Victoria, Australia.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of Clinical Medicineen
dc.identifier.affiliationDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3800, Australiaen
dc.identifier.affiliationDepartment of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen, 1165 Copenhagen, Denmark..en
dc.identifier.affiliationIntensive Careen
dc.identifier.affiliationDepartment of Physiology and Pharmacology, Section of Anaesthesia, and Intensive Care, Karolinska Institutet, 171 77 Stockholm, Sweden..en
dc.identifier.doi10.3390/jcm9093055en
dc.type.contentTexten
dc.identifier.orcid0000-0002-6643-3269en
dc.identifier.pubmedid32971851
local.name.researcherJones, Daryl A
item.openairetypeJournal Article-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
crisitem.author.deptIntensive Care-
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