Hospital Length of Stay and Associated Factors in Patients with Osteoarthritis from Germany: A Cross-Sectional Study
Objective: There is a scarcity of data on hospital length of stay (LOS) in the osteoarthritis population. Therefore, this study aimed to investigate hospital LOS and associated factors in patients with osteoarthritis from Germany. Methods: The present cross-sectional study included patients hospit...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Philipps-Universität Marburg
2024
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| Subjects: | |
| Online Access: | PDF Full Text |
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| Summary: | Objective: There is a scarcity of data on hospital length of stay (LOS) in the osteoarthritis
population. Therefore, this study aimed to investigate hospital LOS and associated factors in patients
with osteoarthritis from Germany. Methods: The present cross-sectional study included patients hospitalized
for osteoarthritis in one of fourteen hospitals in Germany between 2018 and 2023 (hospital
database; IQVIA). The study outcome was the duration of hospital stay in days. Study covariables
included age, sex, hospital department, osteoarthritis type, co-diagnosis, and hospitalization-related
procedure. Associations between covariables and hospital LOS were analyzed using hierarchical
linear regression models. Results: There were 8770 patients included in the study (mean [standard
deviation] age 68.7 [10.8] years; 60.2% women). The mean (standard deviation) hospital LOS was 8.5
(5.0) days. Factors positively and significantly associated with hospital LOS were older age, female
sex, orthopedic surgery and other medical specialty departments (compared with other surgery departments),
knee and other and unspecified osteoarthritis (compared with hip osteoarthritis), multiple
co-diagnoses (e.g., acute posthemorrhagic anemia, other disorders of fluid, electrolyte, and acid–base
balance, and disorders of purine and pyrimidine metabolism), and several hospitalization-related
procedures (i.e., geriatric rehabilitation, hip arthroplasty, and knee arthroplasty). Conclusions: The
mean hospital LOS was higher than eight days in this osteoarthritis population from Germany, with
a spectrum of demographic, clinical, and hospitalization-related factors associated with this hospital
LOS. In this context, interventions are needed to reduce the LOS of hospitalizations for osteoarthritis
in Germany. |
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| Item Description: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| DOI: | 10.3390/jcm13092628 |