Kristian D. Stensland^1,2, Joan C. Delto³, Navneet Ramesh⁴, Chris Robertson⁴, Jared P. Schober¹, Peter Chang⁵, Andrew A. Wagner⁵

Canadian Journal of Urology, Vol.29, No.2, pp. 11080-11086, 2022

Abstract Introduction: To assess the association between postoperative discharge day after minimally invasive partial nephrectomy with 30-day readmission rates, and specifically compare postoperative day 1 to postoperative day 2 discharge. We hypothesized that discharge on earlier postoperative days would be associated with higher rates of readmission after partial nephrectomy.
Materials and methods: The National Cancer Database was queried for patients undergoing minimally invasive partial nephrectomy for non-metastatic disease without chemo or radiation therapy from 2010-2014. Readmission rates were compared between postoperative discharge days. Multivariable logistic regression was used to analyze variables associated with 30-day readmission.
Results: A total of… More >

Ayesha Siddiqa¹, Syed Abbas Zilqurnain Naqvi¹, Muhammad Ahsan¹, Allah Ditta², Hani Alquhayz³, M. A. Khan⁴, Muhammad Adnan Khan^5,*

CMC-Computers, Materials & Continua, Vol.70, No.3, pp. 5519-5536, 2022, DOI:10.32604/cmc.2022.021666 - 11 October 2021

Abstract Due to unforeseen climate change, complicated chronic diseases, and mutation of viruses’ hospital administration’s top challenge is to know about the Length of stay (LOS) of different diseased patients in the hospitals. Hospital management does not exactly know when the existing patient leaves the hospital; this information could be crucial for hospital management. It could allow them to take more patients for admission. As a result, hospitals face many problems managing available resources and new patients in getting entries for their prompt treatment. Therefore, a robust model needs to be designed to help hospital administration… More >

Ashley M. Shumate¹, Grayson Roth², Colleen T. Ball², Kaitlynn Custer², David D. Thiel¹

Canadian Journal of Urology, Vol.26, No.2, pp. 9726-9732, 2019

Abstract Introduction: To prospectively analyze the association of clinical and operative variables on patient length of hospital stay (LOS) following robotic-assisted partial nephrectomy (RAPN) and develop an accurate clinical-based scoring system to predict prolonged LOS following RAPN.
Materials and methods: We analyzed 304 consecutive RAPNs performed by a single surgeon. Prolonged LOS was defined as greater than 3 days of hospitalization postoperatively. Preoperative clinical factors and operative variables were analyzed for association with LOS. After adjusting for multiple testing, p ≤ 0.004 was considered statistically significant.
Results: LOS was 1 day in 17 (5.6%) patients, 2 days in 136… More >

Sarah Tweddell, Rohit S. Loomba, David S. Cooper, Alexis L. Benscoter

Congenital Heart Disease, Vol.14, No.5, pp. 785-790, 2019, DOI:10.1111/chd.12779

Abstract Introduction: Health care‐associated infections (HAIs) increase mortality, length of stay, and cost in hospitalized patients. The incidence of and risk factors for developing HAIs in the pediatric population after cardiac surgery have been studied. This study evaluates the impact of HAIs on length of stay, inpatient mortality, and cost of hospitalization in the pediatric population after cardiac surgery.
Methods: TheKids’InpatientDatabasewasqueriedforanalysis.Patientsunder18years of age who underwent cardiac surgery from 1997 to 2012 were included. HAIs were defined as central line‐associated blood stream infections, catheter‐associated urinary tract infections, ventilator‐associated pneumonias, and surgical wound infections. Univariate analysis compared admissions with and… More >

Jeannine M. Hoch¹, Oluwatosin Fatusin², Gayane Yenokyan³, W. Reid Thompson², Maureen A. Lefton‐Greif⁴

Congenital Heart Disease, Vol.14, No.3, pp. 438-445, 2019, DOI:10.1111/chd.12742

Abstract Background: Tube feedings are often needed to achieve the growth and nutrition goals associated with decreased morbidity and mortality in patients with single ventricle anat‐ omy. Variability in feeding method through the interstage period has been previously described, however, comparable information following stage 2 palliation is lacking.
Objectives: To identify types of feeding methods following stage 2 palliation and their influence on length of stay.
Design: Secondary analysis of the National Pediatric Cardiology Quality Improvement Collaborative registry was performed on 932 patients. Demographic data, medical characteristics, postoperative complications, type of feeding method, and length of stay for stage… More >

R. Ashley McLellan¹, David G. Bell^1,2, Ricardo A. Rendon^1,2

Canadian Journal of Urology, Vol.13, No.5, pp. 3244-3249, 2006

Abstract Objectives: To assess the impact of a clinical pathway (CP) on length of stay (LOS), complications, readmission rates, and patient satisfaction for patients undergoing a radical retropubic prostatectomy (RRP).
Materials and methods: A standardized CP for all patients undergoing RRP was developed and implemented. Post-operatively, patients enrolled in the CP received oral ibuprofen and acetaminophen analgesia, with oral and subcutaneous narcotics available for breakthrough pain. Patients enrolled in the CP were compared to a pre-CP historical cohort. Patients were asked to complete a short, validated satisfaction questionnaire 10 days post-operatively.
Results: Sixty-eight consecutive patients underwent a RRP More >