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Abstract Details

Factors And Hospital Charges Associated With Prolonged Length Of Hospitalization In Patients Admitted With Ischemic Stroke In The United States
Cerebrovascular Disease and Interventional Neurology
P15 - Poster Session 15 (12:00 PM-1:00 PM)
4-010
We identified the proportion and determinants of prolonged hospitalization and determined the impact on hospital charges using nationally representative data.
The duration of hospitalization and associated factors are not well studied in national cohorts.
National estimates of length of stay, mortality, and hospital charges in patients admitted with primary diagnosis of ischemic stroke (ICD-9 CM diagnosis-related code 433.01, 433.11, 433.21, 433.31, 433.81, 433.91, 434.01, 434.11, 434.91, and 436) using Nationwide Inpatient Sample data from 2010-2015.  All the variables pertaining to hospitalization were compared in four quartiles based on distribution data for length of hospital stay (≤2, 3 to 4, 5 to 6 and ≥7 days).
A total of 2,490,136 patients were admitted with the diagnosis of ischemic attack during the study period. The median length of stay for hospitalization was 4 days. The length of hospitalization was ≤2, 3 to 4, 5 to 6 and ≥7 days in 706,550 (28.4%), 842,872 (33.8%), 417,592 (16.8%) and 523,122 (21.0%) patients, respectively. The mean hospitalization charges were $22,819, $32,593, $ 45,486 and $97,868 for patients hospitalized in four quartiles, respectively. In the multivariate analysis, the following patient factors and in hospital complications were associated with above median length of hospitalization of ≥4 days: age >65 years (odds ratio [OR], 1.06), women (OR, 1.07), history of alcohol use (OR, 1.29), deep venous thrombosis (OR, 2.67), urinary tract infection (OR, 1.68), pneumonia (OR, 1.53), sepsis (OR, 1.85), pulmonary embolism (OR, 1.48), admission to urban teaching hospitals (OR, 1.07), Medicaid insurance (OR, 1.53), and hospital location in Northeast US region (OR, 1.86; all P values <0.0001).
The hospital stay in more than half of patients admitted with ischemic stroke is 4 days or greater. Strategies that focus on modifiable factors associated with prolonged hospital stay may reduce the hospitalization charges in United States.
Authors/Disclosures

PRESENTER 		No disclosure on file
Saqib A. Chaudhry, MD Dr. Chaudhry has nothing to disclose.
No disclosure on file
Sairah Bashir, MD, FÂ鶹´«Ã½Ó³»­ Dr. Bashir has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Medtronic .
No disclosure on file
Hamza I. Maqsood, MD (Dept of Neurology) Dr. Qureshi has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for AstraZeneca.