Trend in Hospital Lengths of Stay and Readmissions

Overview

Medical and surgical innovations have allowed to shorter length of hospital stay (LOS). We assume that hospitals with uncontrolled reduction in LOS may expose patients to unsafe care. At the institutional level, a dynamic analysis of LOS evolution over time could clarify the existence of a link with the risk of readmission.

Full Title of Study: “Association Between Trend in Length of Stay and Risk of Readmission at Hospital After Surgery”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Retrospective
  • Study Primary Completion Date: March 2018

Interventions

  • Other: Hospital stay
    • Collection of hospital lengths of stay and readmissions

Arms, Groups and Cohorts

  • Colorectal surgery
    • Patient who underwent elective colorectal surgery
  • Hip fracture
    • Patient who underwent urgent surgical procedure for hip fracture

Clinical Trial Outcome Measures

Primary Measures

  • Unplanned hospital readmission with death, intensive care, or reoperation
    • Time Frame: 30 days
    • Number of unplanned hospital readmission with death, intensive care, or reoperation within 30 days of surgical procedure

Secondary Measures

  • Unplanned hospital readmission with death, intensive care, or reoperation
    • Time Frame: 3 months
    • Number of unplanned hospital readmission with death, intensive care, or reoperation within 3 months of surgical procedure
  • Unplanned hospital readmission with death, intensive care, or reoperation
    • Time Frame: 6 months
    • Number of unplanned hospital readmission with death, intensive care, or reoperation within 6 months of surgical procedure

Participating in This Clinical Trial

Inclusion Criteria

  • All patients who underwent elective colorectal surgery or urgent surgical procedure for hip fracture in French public and private hospitals from January 2014 to December 2016 Exclusion Criteria:

  • Age < 18 years old – Death during the index stay

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Hospices Civils de Lyon
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Antoine DUCLOS, MD, PhD, Principal Investigator, Pôle Information Médicale Evaluation Recherche des Hospices Civils de Lyon
  • Overall Contact(s)
    • Antoine DUCLOS, MD, PhD, 04 72 11 51 66, antoine.duclos@chu-lyon.fr

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