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- Title
A QUALITY IMPROVEMENT INITIATIVE: PATIENT-SPECIFIC FACTORS CONTRIBUTING TO EXTENDED PACU LENGTH OF STAY AND SUBSEQUENT COST.
- Authors
Donigian, Anthony; Hensley, Patrick; Goodwin, Jeff; Dugan, Adam J.; Hanaoka, Mauro; Bylund, Jason; Harris, Andrew M.
- Abstract
Extended postoperative acute care unit length of stay (PLOS) is frustrating for patients and physicians, delays postoperative care pathways, and potentially increases costs. Using National Surgery Quality Improvement Program data for the University of Kentucky Medical Center, the authors retrospectively analyzed perioperative data, PLOS, overnight stay, and cost for more than 780 consecutive patients treated with selected urologic procedures at the university medical center from 2012 to 2016. Results indicated ASA class, elevated blood urea nitrogen (BUN), and elevated creatinine levels are preoperative factors associated with increased PLOS in patients undergoing major urologic surgery. Overnight PLOS is associated with ASA class and BUN levels as well as significantly increased total hospital costs.
- Subjects
UNIVERSITY of Kentucky; PATIENT education; PREOPERATIVE education; BLOOD urea nitrogen; ACADEMIC medical centers; UROLOGICAL surgery; POSTOPERATIVE care; TAMBAQUI; ACUTE care nurse practitioners
- Publication
Physician Leadership Journal, 2021, Vol 8, Issue 1, p38
- ISSN
2374-4030
- Publication type
Article