PMID- 12721875
OWN - NLM
STAT- MEDLINE
DCOM- 20030603
LR  - 20181130
IS  - 0012-0472 (Print)
IS  - 0012-0472 (Linking)
VI  - 128
IP  - 18
DP  - 2003 May 2
TI  - [Influence of institutional factors in neurological, medical and geriatric 
      departments on length of stay in patients with stroke].
PG  - 979-83
AB  - BACKGROUND: Length of hospital stay (LOS) is determined not only by medical 
      procedures or complications but also by institutional factors. We examined the 
      influence of various institutional factors in neurological, medical and geriatric 
      departments on LOS in patients with ischemic stroke. METHODS: We used data of 
      12,410 patients from the Westphalian Stroke Register for the years 2000 and 2001. 
      Forty-two centres including 24 neurological, 13 medical and five geriatric 
      departments participated in the register. The register is based on a standardized 
      data assessment, including patient-related sociodemographic and clinical items, 
      diagnostic and treatment procedures, complications, and status at discharge. 
      RESULTS: 7855 patients with ischemic stroke from 37 centres (median age: 73 
      years, 51 % female) were included in the analysis. In neurological departments, 
      the LOS decreased with increasing numbers of stroke patients treated per centre 
      and year, presence of a stroke unit or a rehabilitation unit. Conversely, the 
      ratio beds to number of physicians was positively associated with LOS. In 
      geriatric departments, a significant decrease in LOS with an increasing number of 
      stroke cases and availability of a rehabilitation unit was also observed. In 
      departments of medicine, no significant influence on LOS was found for the 
      institutional factors analysed. CONCLUSIONS: Institutional factors have a 
      significant influence on LOS in patients with stroke. In this analysis, the 
      influence varied between the different medical specialties. Institutional factors 
      gain importance in the management of stroke patients, when Diagnosis Related 
      Groups (DRG) are introduced.
FAU - Schmidt, W-P
AU  - Schmidt WP
AD  - Institut fur Epidemiologie und Sozialmedizin, Universitat Munster.
FAU - Berger, K
AU  - Berger K
FAU - Taeger, D
AU  - Taeger D
FAU - Lay, M
AU  - Lay M
FAU - Bucker-Nott, H-J
AU  - Bucker-Nott HJ
FAU - Kolominsky-Rabas, P
AU  - Kolominsky-Rabas P
LA  - ger
PT  - Comparative Study
PT  - Journal Article
TT  - Ausstattungsmerkmale von Krankenhausern und ihr Einfluss auf die Liegezeit von 
      Schlaganfallpatienten.
PL  - Germany
TA  - Dtsch Med Wochenschr
JT  - Deutsche medizinische Wochenschrift (1946)
JID - 0006723
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Data Interpretation, Statistical
MH  - Female
MH  - *Geriatrics
MH  - Germany
MH  - Hospital Bed Capacity
MH  - *Hospital Departments
MH  - Humans
MH  - *Internal Medicine
MH  - *Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Neurology
MH  - Physicians/supply & distribution
MH  - *Registries
MH  - Socioeconomic Factors
MH  - Stroke/*therapy
MH  - Stroke Rehabilitation
MH  - Workforce
EDAT- 2003/05/02 05:00
MHDA- 2003/06/05 05:00
CRDT- 2003/05/02 05:00
PHST- 2003/05/02 05:00 [pubmed]
PHST- 2003/06/05 05:00 [medline]
PHST- 2003/05/02 05:00 [entrez]
AID - 10.1055/s-2003-38956 [doi]
PST - ppublish
SO  - Dtsch Med Wochenschr. 2003 May 2;128(18):979-83. doi: 10.1055/s-2003-38956.