Big Data-Driven Determinants of Length of Stay for Patients with Hip Fracture
Abstract
:1. Introduction
2. Subjects and Methods
3. Results
4. Discussion
5. Conclusions
Funding
Conflicts of Interest
References
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Variables | National Health | Medicare | Others | Total |
---|---|---|---|---|
N (%) | N (%) | N (%) | N (%) | |
Gender | ||||
Male | 528 (28.6) | 72 (27.9) | 99 (72.8) | 699 (31.2) |
Female | 1316 (71.4) | 186 (72.1) | 37 (27.2) | 1539 (68.8) |
Age | ||||
≤44 | 57 (3.1) | 6 (2.3) | 27 (19.9) | 90 (4.0) |
45–64 | 188 (10.2) | 42 (16.3) | 47 (34.6) | 277 (12.4) |
≥65 | 1599 (86.7) | 210 (81.4) | 62 (45.6) | 1871 (83.6) |
Admission route | ||||
Emergency | 1525 (82.7) | 211 (81.8) | 115 (84.6) | 1851 (82.7) |
Outpatient | 319 (17.3) | 47 (18.2) | 21 (15.4) | 387 (17.3) |
Result of treatment | ||||
Improved | 1690 (91.6) | 236 (91.5) | 130 (95.6) | 2056 (91.9) |
Not improved | 154 (8.4) | 22 (8.5) | 6 (4.4) | 182 (8.1) |
Operation | ||||
No | 341 (18.5) | 53 (20.5) | 31 (22.8) | 425 (19.0) |
Yes | 1503 (81.5) | 205 (79.5) | 105 (77.2) | 1813 (81.0) |
Hospital beds | ||||
100–299 | 694 (37.6) | 131 (50.8) | 52 (38.2) | 877 (39.2) |
300–499 | 160 (8.7) | 28 (10.9) | 19 (14.0) | 207 (9.2) |
500–999 | 815 (44.2) | 85 (32.9) | 54 (39.7) | 954 (42.6) |
≥1000 | 175 (9.5) | 14 (5.4) | 11 (8.1) | 200 (8.9) |
Comorbidity | Number of Patients, (%) | Mean LOS, SD | t | p | |
---|---|---|---|---|---|
Yes | No | ||||
Congestive heart failure | 41 (1.8) | 26.63 ± 21.04 | 24.05 ± 22.17 | −0.74 | 0.46 |
Cardiac arrhythmia | 60 (2.7) | 23.12 ± 18.28 | 24.13 ± 22.25 | 0.35 | 0.73 |
Valvular disease | 24 (1.1) | 24.50 ± 20.30 | 24.10 ± 22.18 | −0.09 | 0.93 |
Pulmonary circulation disease | 20 (0.9) | 23.55 ± 13.94 | 24.11 ± 22.21 | 0.11 | 0.91 |
Peripheral vascular disease | 18 (0.8) | 29.61 ± 20.89 | 24.06 ± 22.16 | −1.06 | 0.29 |
Hypertension | 594 (26.5) | 25.64 ± 23.60 | 23.55 ± 21.59 | −1.97 | <0.05 |
Hypertension, complicated | 13 (0.6) | 26.69 ± 19.77 | 24.09 ± 22.17 | −0.42 | 0.67 |
Paralysis | 9 (0.4) | 45.00 ± 44.14 | 24.02 ± 21.20 | −1.43 | 0.19 |
Neurological disorder | 46 (2.1) | 27.41 ± 20.43 | 24.03 ± 22.19 | −1.03 | 0.31 |
Chronic pulmonary disease | 60 (2.7) | 28.83 ± 20.13 | 23.97 ± 22.20 | −1.68 | 0.94 |
Diabetes | 345 (15.4) | 25.70 ± 25.77 | 23.81 ± 21.42 | −1.46 | 0.15 |
Diabetes, complicated | 38 (1.7) | 30.92 ± 18.29 | 23.98 ± 22.19 | −1.92 | 0.06 |
Hypothyroidism | 20 (0.9) | 27.90 ± 22.48 | 24.07 ± 22.15 | −0.77 | 0.44 |
Renal failure | 90 (4.0) | 25.04 ± 19.53 | 24.06 ± 22.26 | −0.41 | 0.68 |
Liver disease | 30 (1.3) | 30.80 ± 21.70 | 24.01 ± 22.15 | −1.67 | 0.10 |
Peptic ulcer disease | 6 (0.3) | 45.83 ± 19.22 | 24.04 ± 22.14 | −2.41 | <0.05 |
Lymphoma | 2 (0.1) | 13.00 ± 5.66 | 24.11 ± 22.16 | 0.71 | 0.48 |
Metastatic cancer | 4 (0.2) | 26.00 ± 14.17 | 24.10 ± 22.17 | −0.17 | 0.86 |
Solid tumor | 19 (0.8) | 34.00 ± 29.67 | 24.02 ± 22.07 | −1.46 | 0.16 |
Rheumatoid arthritis | 9 (0.4) | 21.33 ± 13.71 | 24.11 ± 22.18 | 0.38 | 0.71 |
Coagulopathy | 9 (0.4) | 40.89 ± 26.72 | 24.03 ± 22.11 | −2.28 | <0.05 |
Weight loss | 3 (0.1) | 21.67 ± 0.58 | 24.10 ± 22.17 | 0.19 | 0.85 |
Electrolyte disorder | 34 (1.5) | 29.53 ± 23.80 | 24.02 ± 22.12 | −1.44 | 0.15 |
Deficiency anemia | 22 (1.0) | 27.91 ± 25.45 | 24.06 ± 22.12 | −0.81 | 0.42 |
Alcohol abuse | 12 (0.5) | 40.75 ± 26.84 | 24.01 ± 22.10 | −2.61 | <0.05 |
Psychosis | 13 (0.6) | 48.00 ± 57.47 | 23.96 ± 21.74 | −1.51 | 0.16 |
Depression | 32 (1.4) | 34.13 ± 58.19 | 23.96 ± 21.18 | −0.99 | 0.33 |
Variables | National Health | Medicare | Others | |||
---|---|---|---|---|---|---|
Mean, SD | p | Mean, SD | p | Mean, SD | p | |
Gender | ||||||
Male | 23.93 ± 25.27 | 0.45 | 24.85 ± 16.36 | 0.80 | 35.08 ± 33.92 | 0.18 |
Female | 23.01 ± 19.65 | 25.58 ± 22.60 | 27.03 ± 18.97 | |||
Age | ||||||
≤44 | 25.95 ± 47.35 | 0.26 | 32.33 ± 20.21 | 0.33 | 26.41 ± 20.54 | <0.05 |
45–64 | 21.23 ± 18.73 | 28.88 ± 31.04 | 43.77 ± 44.06 | |||
≥65 | 23.42 ± 20.20 | 24.47 ± 18.43 | 27.47 ± 17.48 | |||
Admission route | ||||||
Emergency | 23.12 ± 19.72 | 0.49 | 24.80 ± 18.99 | 0.35 | 32.34 ± 26.36 | 0.63 |
Outpatient | 24.03 ± 28.15 | 27.96 ± 28.52 | 35.90 ± 48.99 | |||
Result of treatment | ||||||
Improved | 24.50 ± 21.54 | <0.01 | 26.08 ± 19.91 | 0.22 | 34.30 ± 30.70 | <0.05 |
Not improved | 9.89 ± 14.22 | 17.77 ± 30.05 | 2.33 ± 3.01 | |||
Operation | ||||||
No | 16.43 ± 31.90 | <0.01 | 17.53 ± 19.47 | <0.01 | 36.68 ± 51.40 | 0.61 |
Yes | 24.83 ± 17.86 | 27.40 ± 20.97 | 31.77 ± 21.40 | |||
Hospital beds | ||||||
100–299 | 25.67 ± 23.78 | <0.01 | 27.77 ± 23.37 | <0.05 | 38.31 ± 36.63 | <0.05 |
300–499 | 28.67 ± 21.15 | 30.46 ± 29.62 | 45.58 ± 27.32 | |||
500–999 | 21.39 ± 19.84 | 20.61 ± 11.09 | 26.78 ± 25.77 | |||
≥1000 | 17.66 ± 15.96 | 21.64 ± 19.35 | 15.36 ± 6.50 |
Variables | National Health Insurance | Medicare | Others | ||||||
---|---|---|---|---|---|---|---|---|---|
ß | t | p | ß | t | p | ß | t | p | |
Gender | |||||||||
Male (ref.) | |||||||||
Female | −1.896 | −1.701 | 0.089 | 3.814 | 1.232 | 0.219 | −7.674 | −1.297 | 0.197 |
Age | 0.018 | 0.453 | 0.650 | −0.230 | −2.220 | <0.05 | −0.016 | −0.111 | 0.912 |
Admission route | |||||||||
Emergency (ref.) | |||||||||
Outpatient | −0.205 | −0.157 | 0.875 | 3.136 | 0.905 | 0.366 | −1.488 | −0.206 | 0.837 |
Result of treatment | |||||||||
Improved (ref.) | |||||||||
Not improved | −13.44 | −7.119 | <0.001 | −2.056 | −0.416 | 0.678 | −37.57 | −2.876 | <0.01 |
Operation | |||||||||
No (ref.) | |||||||||
Yes | 6.507 | 4.766 | <0.001 | 11.276 | 3.184 | <0.01 | −9.228 | −1.379 | 0.170 |
Comorbidity count | 2.337 | 5.019 | <0.001 | 2.642 | 2.293 | <0.05 | 4.869 | 1.469 | 0.144 |
Hospital beds | |||||||||
100–299 (ref.) | |||||||||
300–499 | 2.089 | 1.148 | 0.251 | 1.223 | 0.285 | 0.776 | 8.559 | 1.034 | 0.303 |
500–999 | −6.448 | −5.817 | <0.001 | −9.754 | −3.325 | <0.01 | −12.28 | −2.063 | <0.05 |
≥1000 | −10.83 | −6.117 | <0.001 | −5.567 | −0.969 | 0.333 | −23.73 | −2.401 | <0.05 |
Adj. R2 F (p) Durbin–Watson | 0.084 19.839 (0.000) 1.864 | 0.089 3.798 (0.000) 1.958 | 0.114 2.924 (0.004) 2.034 |
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Lim, J. Big Data-Driven Determinants of Length of Stay for Patients with Hip Fracture. Int. J. Environ. Res. Public Health 2020, 17, 4949. https://doi.org/10.3390/ijerph17144949
Lim J. Big Data-Driven Determinants of Length of Stay for Patients with Hip Fracture. International Journal of Environmental Research and Public Health. 2020; 17(14):4949. https://doi.org/10.3390/ijerph17144949
Chicago/Turabian StyleLim, Jihye. 2020. "Big Data-Driven Determinants of Length of Stay for Patients with Hip Fracture" International Journal of Environmental Research and Public Health 17, no. 14: 4949. https://doi.org/10.3390/ijerph17144949