Analysis of Length of Stay (LOS) Data from the Medical Records of Tertiary Care Hospital in Saudi Arabia for Five Diagnosis Related Groups: Application of Cox Prediction Model
Open Access
- 1 January 2021
- journal article
- research article
- Published by Scientific Research Publishing, Inc. in Open Journal of Statistics
- Vol. 11 (01), 99-112
- https://doi.org/10.4236/ojs.2021.111005
Abstract
Background: One of the main objectives of hospital managements is to control the length of stay (LOS). Successful control of LOS of inpatients will result in reduction in the cost of care, decrease in nosocomial infections, medication side effects, and better management of the limited number of available patients’ beds. The length of stay (LOS) is an important indicator of the efficiency of hospital management by improving the quality of treatment, and increased hospital profit with more efficient bed management. The purpose of this study was to model the distribution of LOS as a function of patient’s age, and the Diagnosis Related Groups (DRG), based on electronic medical records of a large tertiary care hospital. Materials and Methods: Information related to the research subjects were retrieved from a database of patients admitted to King Faisal Specialist Hospital and Research Center hospital in Riyadh, Saudi Arabia between January 2014 and December 2016. Subjects’ confidential information was masked from the investigators. The data analyses were reported visually, descriptively, and analytically using Cox proportional hazard regression model to predict the risk of long-stay when patients’ age and the DRG are considered as antecedent risk factors. Results: Predicting the risk of long stay depends significantly on the age at admission, and the DRG to which a patient belongs to. We demonstrated the validity of the Cox regression model for the available data as the proportionality assumption is shown to be satisfied. Two examples were presented to demonstrate the utility of the Cox model in this regard.Keywords
This publication has 16 references indexed in Scilit:
- The Saudi guidelines for the diagnosis and management of copdAnnals of Thoracic Medicine, 2014
- Trends in Length of Stay and Short-term Outcomes Among Medicare Patients Hospitalized for Heart Failure, 1993-2006JAMA, 2010
- Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costsEmergencias, 2010
- Downwardly MobileArchives of Surgery, 2009
- Prediction of molecular subtypes in acute myeloid leukemia based on gene expression profilingHaematologica, 2009
- Hospital Process Orientation (HPO): The development of a measurement toolTotal Quality Management & Business Excellence, 2008
- Outcomes ResearchJournal of the American College of Cardiology, 2008
- Health Insurance, Treatment and Outcomes: Using Auto Accidents as Health ShocksThe Review of Economics and Statistics, 2005
- Survival Analysis Part II: Multivariate data analysis – an introduction to concepts and methodsBritish Journal of Cancer, 2003
- The Effect of Complications on Length of StayAnnals of Surgery, 1994