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Volume 33, Issue 160 (September & October 2025)
J Adv Med Biomed Res 2025, 33(160): 207-215 |
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Ethics code: ZUMS.REC.1394.277
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Maghbooli M, Kakovan M, Bahrampour F. Factors Contributing to Prolonged Length of Stay in Patients with Acute Stroke. J Adv Med Biomed Res 2025; 33 (160) :207-215
URL: http://journal.zums.ac.ir/article-1-7624-en.html
URL: http://journal.zums.ac.ir/article-1-7624-en.html
1- Neurology Department of Vali-e-Asr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
2- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran ,mkakovanr@yahoo.com
2- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran ,
Abstract: (353 Views)
Background & Objective: Extended hospital stays are associated with increased morbidity and substantial healthcare expenses. This study investigates factors contributing to prolonged hospitalization in patients with cerebrovascular accidents (CVAs).
Materials & Methods: This retrospective cross-sectional study analyzed the medical records of CVA patients hospitalized over a two-year period (2014-2015). A total of 190 patients were included using systematic random sampling, and their demographic, clinical, and paraclinical data were recorded. A prolonged length of stay (LOS) was defined as an in-hospital stay of 12 days or longer.
Results: Among 190 included patients with acute stroke, 146 (76.8%) were male, the median age was 72.56 ± 9.55 years, and 80 (42.1%) had a prolonged LOS. Univariate Poisson regression analysis showed a significant association between infection and prolonged LOS with a p-value of 0.010. Meanwhile, the use of ventilators demonstrated borderline significance with a p-value of 0.065. In the multiple Poisson regression analysis, only infection was significantly associated with prolonged LOS (p-value = 0.014).
Conclusion: The results indicated that infection was associated with prolonged LOS. This factor should be considered an independent predictor of hospital stay duration in patients with stroke.
Type of Study: Original Research Article |
Subject:
Clinical Medicine
Received: 2025/03/23 | Accepted: 2025/10/16 | Published: 2025/11/11
Received: 2025/03/23 | Accepted: 2025/10/16 | Published: 2025/11/11
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