+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Factors influencing length of stay in neurosurgical intensive care unit

Factors influencing length of stay in neurosurgical intensive care unit

Journal of the Medical Association of Thailand 91(6): 875-881

Background: The demand of occupancy in neurosurgical intensive care unit (NICU) has extremely risen up in King Chulalongkorn Memorial Hospital but the intensive care personnel have not proportionally increased with the demand identifying especially for intensivists. The possible management that may be help to solve this problem is identifying the factors which may be involved in prolonging length of stay (LOS) in ICU and modifying of those risk factors.Objective: To determine the factors which influenced the LOS in NICU.Setting: Neurosurgical intensive care unit (NICU) in King Chulalongkorn Memorial Hospital which is the tertiary care hospital.Research design: A retrospective observational study.Material and Method. All data of NICU had been gathered over the period of October 1(st), 2004 to December 31(st), 2004. The patient characteristics; age, gender diagnosis, underlying diseases, and length of NICU stay were recorded Postoperative events were stratified into 4 groups involving pulmonary complications, cardiovascular complications, neurological conditions and others.Results: A total of 178 admissions utilized 605 ICU days. Short-stay patients (LOS <= 3 days) accounted for 76.4% of total admissions which consumed only 32.1% of ICU days. The patients who were admitted between 3 to 14 days had 20.8% but mostly utilized 49.4% of ICU day. Cerebral aneurysm had the highest proportion (41.03%) in LOS more than 3 days group. The major causes of prolonged LOS are triple-H therapy (28%) and mechanical ventilation assisting (28%).Conclusion: The major causes of prolonged LOS are triple-H therapy and mechanical ventilation assisting in neurosurgical ICU Early tracheotomy and using the proper weaning protocol might help reducing LOS in ICU with limited specific care procedure.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 031412772

Download citation: RISBibTeXText

PMID: 18697388

Related references

Factors influencing length of stay in the intensive care unit. American Journal of Critical Care 15(5): 502-509, 2006

Factors influencing intensive care unit length of stay after surgery for acute aortic dissection type A. Annals of Thoracic Surgery 73(3): 714-8; Discussion 718-9, 2002

Parameters Affecting Length of Stay Among Neurosurgical Patients in an Intensive Care Unit. Acta Medica Indonesiana 48(4): 275-281, 2017

Early indicators of prolonged intensive care unit stay: impact of illness severity, physician staffing, and pre-intensive care unit length of stay. Critical Care Medicine 31(1): 45-51, 2003

Effect of resident handoffs on length of hospital and intensive care unit stay in a neurosurgical population: a cohort study. Journal of Neurosurgery 125(1): 222-228, 2015

Premature infants born after preterm premature rupture of membranes with 24-34 weeks of gestation: a study of factors influencing length of neonatal intensive care unit stay. Journal of Maternal-Fetal & Neonatal Medicine 24(7): 960-965, 2011

Factors affecting length of stay in a psychiatric intensive care unit. General Hospital Psychiatry 12(5): 303-308, 1990

Explanatory factors for length of stay in the postoperative intensive care unit. Annales Francaises D'anesthesie et de Reanimation 16(4): 343-349, 1997

Length of surgical intensive care unit stay and risk factors. Journal of the Medical Association of Thailand 84(8): 1103-1108, 2002

Factors influencing decision criteria for allocation of intensive care unit beds in Greek neurosurgical patients. European Journal of Anaesthesiology 22(Supplement 34): 166-167, 2005

Factors Affecting the Length of Stay in the Intensive Care Unit: Our Clinical Experience. Biomed Research International 2018: 9438046-9438046, 2018

Pharmacologic Treatment of Intensive Care Unit Delirium and the Impact on Duration of Delirium, Length of Intensive Care Unit Stay, Length of Hospitalization, and 28-Day Mortality. Mayo Clinic Proceedings: -, 2018

B-Type Natriuretic Peptide: A Predictor for Mortality, Intensive Care Unit Length of Stay, and Hospital Length of Stay in Patients With Resolving Sepsis. Cardiology Research 8(6): 271-275, 2018

Factors associated with increased mortality and prolonged length of stay in an adult intensive care unit. Revista Brasileira de Terapia Intensiva 22(3): 250-256, 2010

Perioperative factors associated with prolonged intensive care unit and hospital length of stay after pediatric neurosurgery. Pediatric Neurosurgery 47(6): 423-429, 2012