KMID : 0361420160400040675
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Journal of Korean Academy of Rehabilitation Medicine 2016 Volume.40 No. 4 p.675 ~ p.681
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Length of Hospital Stay After Stroke: A Korean Nationwide Study
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Kang Ji-Ho
Bae Hee-Joon Choi Young-Ah Lee Sang-Heon Shin Hyung-Ik
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Abstract
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Objective: To investigate the length of hospital stay (LOS) after stroke using the database of the Korean Health Insurance Review & Assessment Service.
Methods: We matched the data of patients admitted for ischemic stroke onset within 7 days in the Departments of Neurology of 12 hospitals to the data from the database of the Korean Health Insurance Review & Assessment Service. We recruited 3,839 patients who were hospitalized between January 2011 and December 2011, had a previous modified Rankin Scale of 0, and no acute hospital readmission after discharge. The patients were divided according to the initial National Institute of Health Stroke Scale score (mild, ¡Â5; moderate, >5 and ¡Â13; severe, >13); we compared the number of hospitals that admitted patients and LOS after stroke according to severity, age, and sex.
Results: The mean LOS was 115.6¡¾219.0 days (median, 19.4 days) and the mean number of hospitals was 3.3¡¾2.1 (median, 2.0). LOS was longer in patients with severe stroke (mild, 65.1¡¾146.7 days; moderate, 223.1¡¾286.0 days; and severe, 313.2¡¾336.8 days). The number of admitting hospitals was greater for severe stroke (mild, 2.9¡¾1.7; moderate, 4.3¡¾2.6; and severe, 4.5¡¾2.4). LOS was longer in women and shorter in patients less than 65 years of age.
Conclusion: LOS after stroke differed according to the stroke severity, sex, and age. These results will be useful in determining the appropriate LOS after stroke in the Korean medical system.
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KEYWORD
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Length of stay, Stroke, Database, Patient acuity
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