Relationships Between Wheelchair-Provision Time for Hospital Inpatients and Their Lengths of Stay and Costs of Hospitalization: A Cohort Study

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2025-10-01 DOI:10.1016/j.apmr.2025.04.019

Ronald Lee Kirby MD , Kim Parker MASc , Alistair Lloyd Maksym BEng , Suzanne Patricia Frances Salsman MD , Christopher John Theriault BEng , Bahareh Yavarizadeh PhD , Fitsum Hadgu Woldeyohannes MSc

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引用次数: 0

Abstract

Objectives

To test the hypotheses that wheelchair-provision time (WPT) (from when a loaner wheelchair was ordered to when the wheelchair arrived at the hospital site) has a significant relationship with length of stay (LOS) and total cost of hospitalization (COH).

Design

Cohort study.

Setting

Hospital inpatient units.

Participants

Hospital inpatients (N=97).

Intervention

Order for loaner wheelchair placed during their admissions.

Main Outcome Measures

Demographic, clinical, and process data from 4 available databases, from which we derived WPT, LOS, and COH. To test the hypotheses, we used Spearman correlation coefficients, negative binomial regression for LOS (n=90), and linear regression for COH (n=69).

Results

The median values for WPT, LOS, and total COH were 3.8 days, 51.0 days, and $43,062 Canadian dollars. Multivariable regression revealed that WPT was associated to a statistically significant extent with LOS (P=.0049) (a 18% increase in LOS for each additional day in WPT), but not with COH. However, LOS was associated to a statistically significant extent with COH (P<.0001). The Spearman correlation between LOS and COH was 0.8915 (P<.0001).

Conclusions

Statistically significant associations exist between WPT and LOS and between LOS and COH. Although this study does not establish causality and further research is needed, our findings suggest that more rapid provision of loaner wheelchairs to hospital inpatients could have a positive effect on the health care system.

查看原文本刊更多论文

住院病人轮椅提供时间与其住院时间和住院费用之间的关系：一项队列研究。

目的：检验轮椅供应时间（WPT）（从订购轮椅到轮椅到达医院现场）与住院时间（LOS）和总住院费用（COH）之间的关系。设计：队列研究。地点：新斯科舍省卫生部中心区的住院病房。参与者：住院患者97例。干预：订购在他们入院期间放置的租借轮椅。主要结果测量：来自四个可用数据库的人口统计学、临床和过程数据，我们从中得出WPT、LOS和COH。为了检验假设，我们使用Spearman相关系数，对LOS （n = 90）使用负二项回归，对COH （n = 69）使用线性回归。结果：WPT、LOS和总COH的中位值分别为3.8天、51.0天和43062加元（CADs）。多变量回归显示，WPT与LOS (p = 0.0049)（WPT每增加一天，LOS增加18%）在统计学上显著相关，但与COH无关。然而，LOS与COH的相关性具有统计学意义（p < 0.0001）。LOS与COH的Spearman相关性为0.8915 （p < 0.0001）。结论：WPT与LOS、LOS与COH之间存在统计学意义上的相关性。虽然本研究没有建立因果关系，需要进一步的研究，但我们的研究结果表明，更快速地向住院病人提供租借轮椅可能对医疗保健系统产生积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.