Hospital length of stay
Length of stay (LOS) is a term to describe the duration of a single episode of hospitalization.
Inpatient days are calculated by subtracting day of admission from day of discharge. (However, persons entering and leaving a hospital on the same day have a length of stay of one).
Schipmann et al. performed a systematic literature review on quality indicators (QIs) that are presently used in this field, aiming to elucidate which QIs are scientifically founded and thus potentially justifiable as measures of quality. They found a total of 8 QIs, and methodologically evaluated published studies according to the AIRE (Appraisal of Indicators through Research and Evaluation) criteria. These criteria include length of hospital stay, all-cause readmission rate, and unplanned reoperation rate 1).
Using a comprehensive all-payer cohort of patients with brain tumors in New York State, Missios and Bekelis identified wide disparities at the hospital and the county level despite comprehensive risk-adjustment. Increased charges were not associated with shorter length of stay (LOS), or lower rates of death and unfavorable discharge 2).
Prolonged length of stay (pLOS), disease-related complications, and 30-day readmissions are important quality metrics under the Affordable Care Act.
Aneurysmal subarachnoid hemorrhage length of stay
Lumbar spine surgery length of stay
Long length of stay
see Long length of stay.