{"title":"缩短肿瘤外科病人的住院时间:早期住院医师共同管理的影响","authors":"R. T. Costa","doi":"10.19080/jtmp.2018.03.555611","DOIUrl":null,"url":null,"abstract":"We conducted an observational retrospective study in cancer patients assisted by the Hospital Medicine Department in a 480 beds Cancer Center in Brazil between January 2013 and December 2016. Data were retrieved from a prospectively collected database. We included a total of 4695 patients that were evaluated by the Hospitalist Department in the study period. The following clinical data were included: number of patients, age, Average Length of Stay (ALOS) and time from hospital admission to the beginning of co-management by a hospitalist. Linear regression was used to compare the ALOS during the study period. The surgical patients were divided in two groups according to the time from hospital admission to the first evaluation of the hospitalist team: early comanagement group (time to first evaluation ≤ 3 days) vs late comanagement group (time to first evaluation > 3 days). Age was described as mean ± standard deviation and mean age between groups were compared using the t-student test. Non-parametric variables were described as median (25-75% percentile). We used the Mann-Whitney test to analyze the non-parametric variables. The median hospital LOS (16 days) for the surgical population was used as the cutoff value to build a Kaplan-Meier curve considering a LOS higher than 16 days (high LOS) as endpoint. The primary outcome was the hospital length of stay (LOS) of the patients evaluated. P-values <.05 were considered to indicate statistical significance.","PeriodicalId":198850,"journal":{"name":"Journal of Tumor Medicine & Prevention","volume":"121 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2018-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Reducing the Length of Stay in Oncological Surgical Patients: Impact of Early Hospitalist Co-Management\",\"authors\":\"R. T. Costa\",\"doi\":\"10.19080/jtmp.2018.03.555611\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We conducted an observational retrospective study in cancer patients assisted by the Hospital Medicine Department in a 480 beds Cancer Center in Brazil between January 2013 and December 2016. Data were retrieved from a prospectively collected database. We included a total of 4695 patients that were evaluated by the Hospitalist Department in the study period. The following clinical data were included: number of patients, age, Average Length of Stay (ALOS) and time from hospital admission to the beginning of co-management by a hospitalist. Linear regression was used to compare the ALOS during the study period. The surgical patients were divided in two groups according to the time from hospital admission to the first evaluation of the hospitalist team: early comanagement group (time to first evaluation ≤ 3 days) vs late comanagement group (time to first evaluation > 3 days). Age was described as mean ± standard deviation and mean age between groups were compared using the t-student test. Non-parametric variables were described as median (25-75% percentile). We used the Mann-Whitney test to analyze the non-parametric variables. The median hospital LOS (16 days) for the surgical population was used as the cutoff value to build a Kaplan-Meier curve considering a LOS higher than 16 days (high LOS) as endpoint. The primary outcome was the hospital length of stay (LOS) of the patients evaluated. P-values <.05 were considered to indicate statistical significance.\",\"PeriodicalId\":198850,\"journal\":{\"name\":\"Journal of Tumor Medicine & Prevention\",\"volume\":\"121 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-08-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Tumor Medicine & Prevention\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.19080/jtmp.2018.03.555611\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Tumor Medicine & Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.19080/jtmp.2018.03.555611","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Reducing the Length of Stay in Oncological Surgical Patients: Impact of Early Hospitalist Co-Management
We conducted an observational retrospective study in cancer patients assisted by the Hospital Medicine Department in a 480 beds Cancer Center in Brazil between January 2013 and December 2016. Data were retrieved from a prospectively collected database. We included a total of 4695 patients that were evaluated by the Hospitalist Department in the study period. The following clinical data were included: number of patients, age, Average Length of Stay (ALOS) and time from hospital admission to the beginning of co-management by a hospitalist. Linear regression was used to compare the ALOS during the study period. The surgical patients were divided in two groups according to the time from hospital admission to the first evaluation of the hospitalist team: early comanagement group (time to first evaluation ≤ 3 days) vs late comanagement group (time to first evaluation > 3 days). Age was described as mean ± standard deviation and mean age between groups were compared using the t-student test. Non-parametric variables were described as median (25-75% percentile). We used the Mann-Whitney test to analyze the non-parametric variables. The median hospital LOS (16 days) for the surgical population was used as the cutoff value to build a Kaplan-Meier curve considering a LOS higher than 16 days (high LOS) as endpoint. The primary outcome was the hospital length of stay (LOS) of the patients evaluated. P-values <.05 were considered to indicate statistical significance.