Clinical prediction score for prolonged length of hospital stay in aneurysmal subarachnoid hemorrhage.

Autor: Prasetyo BT; Neurointervention Division, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Letjen Mt. Haryono Street, No. Kav. 11, East Jakarta, Indonesia.; Faculty of Medicine, Airlangga University, Surabaya, Indonesia., Kurniawan RG; Neurointervention Division, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Letjen Mt. Haryono Street, No. Kav. 11, East Jakarta, Indonesia.; Faculty of Medicine, Airlangga University, Surabaya, Indonesia., Rilianto B; Neurointervention Division, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Letjen Mt. Haryono Street, No. Kav. 11, East Jakarta, Indonesia. beny.rilianto@gmail.com.; Faculty of Medicine, Airlangga University, Surabaya, Indonesia. beny.rilianto@gmail.com., Windiani PR; Neurointervention Division, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Letjen Mt. Haryono Street, No. Kav. 11, East Jakarta, Indonesia., Gotama KT; Neurointervention Division, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Letjen Mt. Haryono Street, No. Kav. 11, East Jakarta, Indonesia., Salam S; Faculty of Medicine, Airlangga University, Surabaya, Indonesia.; Neurointensive Care, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia., Sari IM; Faculty of Medicine, Airlangga University, Surabaya, Indonesia.; Neurointensive Care, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia., Musridharta E; Faculty of Medicine, Airlangga University, Surabaya, Indonesia.; Neurointensive Care, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia., Arham A; Neurointervention Division, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Letjen Mt. Haryono Street, No. Kav. 11, East Jakarta, Indonesia.; Faculty of Medicine, Airlangga University, Surabaya, Indonesia.; Department of Neurosurgery, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia., Kusdiansah M; Faculty of Medicine, Airlangga University, Surabaya, Indonesia.; Department of Neurosurgery, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia., Kiemas LS; Faculty of Medicine, Airlangga University, Surabaya, Indonesia.; Neuroscience Unit, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia., Bustami M; Faculty of Medicine, Airlangga University, Surabaya, Indonesia.; Neurointensive Care, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia.
Jazyk: angličtina
Zdroj: BMC neurology [BMC Neurol] 2023 Jun 16; Vol. 23 (1), pp. 232. Date of Electronic Publication: 2023 Jun 16.
DOI: 10.1186/s12883-023-03279-3
Abstrakt: Background: Length of stay (LOS) is an important indicator of the optimization of health services and hospital financing efficiency in aneurysmal subarachnoid hemorrhage (aSAH) patients. The purpose of this study was to develop a scoring model to predict the LOS of patients with aSAH.
Method: A clinical scoring was developed based on retrospectively collected data from the cerebral aneurysm registry of the National Brain Center Hospital, Jakarta, from January 2019 to June 2022. Multivariate logistic regression was used to determine the odds ratio for risk-adjusted prolonged LOS. LOS predictors were obtained based on the regression coefficients and converted into a point score model.
Results: Of the 209 aSAH patients observed, 117 patients had prolonged LOS (> 14 days of hospital stay). A clinical score was developed with a range of 0-7 points. Four variables were chosen as predictors of prolonged LOS: the presence of high-grade aSAH (1 point), aneurysm treatment (endovascular coiling: 1 point; surgical clipping: 2 points), cardiovascular comorbidities (1 point), and hospital-acquired pneumonia (3 points). The score showed good discrimination with an area under the receiving operating characteristics curve (AUC) of 0.8183 (SE 0.0278) and a p-value for the Hosmer-Lemeshow (HL) goodness-of-fit of 0.9322.
Conclusion: This simple clinical score reliably predicted prolonged LOS in aneurysmal subarachnoid hemorrhage cases and may aid clinicians in improving patient outcomes and decreasing healthcare costs.
(© 2023. The Author(s).)
Databáze: MEDLINE
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