La durée de séjour hospitalier suite à l'admission pour un traumatisme craniocérébral dans un système de traumatologie intégré au Canada

Authors: Tardif, Pier-Alexandre
Advisor: Moore, Lynne
Abstract: Prolonged length of stay (LOS), estimated to represent approximately 20% of acute care days, leads to adverse outcomes in terms of complications, morbidity, mortality, and costs. However, we lack comprehensive information on hospital resource use for patients admitted following traumatic brain injury (TBI). We conducted a multicenter, retrospective cohort study based on 11,199 patients discharged alive from the Quebec trauma system between 2007 and 2012 in order to compare acute care index LOS to total LOS and identify the determinants of LOS. Acute care LOS is slightly underestimated when only index LOS is considered. TBI patients have much higher resource use than general provincial admissions. Eight variables related either to patients’ characteristics or treatments explain 80% of the variation in LOS. This information can be used to develop targeted interventions to reduce LOS for TBI admissions to improve the efficiency and quality of acute care for these patients.
Document Type: Mémoire de maîtrise
Issue Date: 2015
Open Access Date: 24 April 2018
Grantor: Université Laval
Collection:Thèses et mémoires

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