• Login
    View Item 
    •   Home
    • Brock Theses
    • Newly Added Theses
    • View Item
    •   Home
    • Brock Theses
    • Newly Added Theses
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of BrockUCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjectsProfilesView

    My Account

    LoginRegister

    Statistics

    Display statistics

    What Factors Increase Odds of Long-Stay Delayed Discharge in Alternate Level of Care Patients?

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Brock_Carfagnini_Quinten_2022.pdf
    Embargo:
    2023-06-01
    Size:
    1.499Mb
    Format:
    PDF
    Download
    Author
    Carfagnini, Quinten
    Keyword
    Delayed Discharge
    Emergency Department
    Public Health
    Alternate Level of Care
    Hospital Overcrowding
    
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/10464/16402
    Abstract
    Background: Patients no longer requiring the current level of care they are receiving, but continue to be delayed from discharging, are designated as Alternate Level of Care (ALC) patients. These patients add to the continued challenge surrounding hospital overcrowding. We assessed risk factors of long-stay ALC patients; patients who have been delayed more than 30 days. Objective: The primary objective of this study was to determine the factors that increase the odds of long-stay delayed discharge in ALC patients. Methods: We conducted a retrospective cohort study utilizing data from Niagara Health’s WTIS database between September 2014 and September 2019. We compared hospital location, demographic and needs/barriers factors pertaining to regular versus long-stay ALC patients using logistical regression analysis. Results: Of the 16,436 patients, 1,679 (10.2%) were considered long-stay ALC patients. Long-stay ALC patients were more likely to be male (OR=1.22, [1.08-1.38]), be directly admitted as opposed to through the ED (OR=1.30), currently occupy a convalescent care bed (OR=5.52, [1.66-18.37]) or mental health bed (OR=9.75, [2.36-36.17]) and have a discharge destination of an LTC bed (OR=66.39, [26.22-168.09]). Each present barrier increased the odds of becoming long-stay ALC by 44%. Odds were also increased by the presence of a bariatric (OR=6.13, [2.98-12.59]), feeding (OR=6.48, [1.92-21.92]) or infection (isolation) (OR=2.03, [1.49-2.77]) barrier. Conclusions: Long-stay ALC patients were more likely to be directly admitted, males with discharge destinations to LTC and assisted living facilities with the presence of bariatric, feeding and/or isolation requirements.
    Collections
    Newly Added Theses

    entitlement

     
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.