Predictors Of Length Of Hospitalization In Patients Admitted With Intracerebral Hemorrhage In The United States (5241)

Objective: We performed this study to determine the predictors of length of hospitalization in patients admitted with intracerebral hemorrhage using nationally representative data. Background: There is little data available correlating the length of hospitalization with the type and size of intracerebral hemorrhage. Design/Methods: We used the National Inpatient Sample (NIS) from 2010–2015 to assess the factors associated with length of stay in patients admitted with intracerebral hemorrhage using (ICD-9 CM diagnosis-related code 431). Patients who were transferred from another acute hospital were excluded. All variables pertaining to hospitalization were compared in 4 quartile groups on basis of length of hospital stay distribution (≤3, 4–6, 7–10 and ≥11 days) and median length of stay was calculated. The predictors of hospital stay exceeding the median length of stay were identified using multivariate logistic regression. Results: A total of 296,792 patients were admitted with the diagnosis of intracerebral hemorrhage during the study period. The length of hospitalization was (≤3, 4–6, 7–10 and ≥11 days in 79,008 (26.5%), 89,019 (30.0%), 55,555 (18.7%) and 73,211 (24.6%) patients, respectively; median length of stay for the cohort was 6 days. The following clinical factors were associated with length of hospitalization of ≥6 days (median): male (odds ratio [OR] 1.10), hypertension (OR 1.41 ), APRDRG severity (OR 2.87), history of alcohol use (OR 1.27 ), and in-hospital complications such as sepsis (OR 2.73), pneumonia (OR 2.30), urine tract infection (OR 2.34), pulmonary embolism (OR 1.42), and deep vein thrombosis (OR 5.06). Similarly in-hospital procedures such as craniotomy (OR 3.40), and transfusion (OR 2.09), were associated with length of hospitalization of ≥6 days. The excess hospitalization charges associated with length of hospitalization of ≥6 days was $107,915. Conclusions: Prolonged hospitalization is associated with significantly higher cost of hospitalization. The most important determinants being preexisting medical comorbidities and potentially preventable in-hospital complications. Disclosure: Dr. Bashir has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Akhtar has nothing to disclose. Dr. Zafar has nothing to disclose. Dr. Qureshi has nothing to disclose.