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Abstract Details

Recovery after Hemorrhagic Stroke: the Power of Family Presence at the Bedside
Neuro Trauma, Critical Care, and Sports Neurology
P16 - Poster Session 16 (5:30 PM-6:30 PM)
13-005

To determine whether family presence and involvement has an impact on patients who underwent minimally invasive intracerebral hemorrhage (ICH) evaluation hospital length of stay. 
While the clinical course of patients with ICH is well described, additional insight is needed into the multidisciplinary factors affecting patients hospital stay, such as family involvement. It is widely acknowledged that family members in the ICU help deviate from the physiological focus of recovery but it is not understood how their involvement impacts patients stay.

The medical records of 97 patients who underwent minimally invasive ICH evacuation from December 2015 through August 2018 were retrospectively reviewed. Timelines of presence of family members at the patient’s bedside in the NSICU and at the hospital were extrapolated by close review of chart documentation. Primary outcome was hospital length of stay (LOS). Univariate linear regression and multivariate regression analyses were performed in R 3.5.1 to determine the impact of bedside family presence on LOS. 

Family physical presence in the hospital and involvement in a patient’s discharge process was associated with a significantly shorter hospital length of stay when compared to patients whose families were not present nor involved. Hospital length of stay in patients whose families were present and involved by an average of, respectively, 12.35 days (p = 0.059) and 17.25 (p = 0.014), even when controlling in the multivariate model for factors known to increase length of stay such as age, NIHSS at admission, presence of intraventricular hemorrhage (IVH), ICH hematoma volume at presentation.
Presence of family at the bedside may influence hospital length of stay after discharge. This study quantifies the positive impact of family presence, suggesting the importance of encouraging family involvement particularly in an NSICU setting to improve outcomes and decrease healthcare financial burden.
Authors/Disclosures

PRESENTER 		No disclosure on file
No disclosure on file
No disclosure on file
No disclosure on file
No disclosure on file
No disclosure on file
Jamie Rumsey, DNP (Mount Sinai) No disclosure on file
Alexandra S. Reynolds, MD Dr. Reynolds has nothing to disclose.
John Liang, MD (Mount Sinai Health System) Dr. Liang has nothing to disclose.
No disclosure on file
No disclosure on file
Christopher P. Kellner, MD (Mount Sinai Health System) Dr. Kellner has stock in METIS Innovative. Dr. Kellner has stock in Precision Recovery. Dr. Kellner has stock in Synchron. Dr. Kellner has stock in Fluid BioMed. Dr. Kellner has stock in Proprio. Dr. Kellner has stock in Von Vascular. Dr. Kellner has stock in E8. Dr. Kellner has stock in Borvo. Dr. Kellner has stock in Phantom Neuro. Dr. Kellner has stock in Radical. Dr. Kellner has stock in Reach Neuro. Dr. Kellner has stock in Aurenar. The institution of Dr. Kellner has received research support from Integra. The institution of Dr. Kellner has received research support from Penumbra. The institution of Dr. Kellner has received research support from Viz.AI. The institution of Dr. Kellner has received research support from ICE Neurosystems. The institution of Dr. Kellner has received research support from Irras. The institution of Dr. Kellner has received research support from Microtransponder. The institution of Dr. Kellner has received research support from Medtronic. The institution of Dr. Kellner has received research support from Longeviti. The institution of Dr. Kellner has received research support from Endostream. The institution of Dr. Kellner has received research support from CVAID.
Neha Dangayach, MD, FÂ鶹´«Ã½Ó³»­ (Icahn School of Medicine At Mount Sinai and Mount Sinai Hospital) Dr. Dangayach has nothing to disclose.
No disclosure on file