Ann Rehabil Med.  2012 Oct;36(5):609-617.

Inpatient Course and Length of Hospital Stay in Patients with Brain Disorders in South Korea: A Population-based Registry Study

Affiliations
  • 1Department of Rehabilitation Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul 156-707, Korea.
  • 2Department of Rehabilitation Medicine, Chungbuk National University School of Medicine, Cheongju 761-711, Korea.
  • 3Department of Rehabilitation Medicine, Myoungji St. Mary's Hospital, Seoul 150-760,.
  • 4Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
  • 5Department of Rehabilitation Medicine, Inha University College of Medicine, Incheon 400-711, Korea.
  • 6Department of Rehabilitation Medicine, Gildong Senior Care Hospital, Seoul 134-815,.
  • 7Department of Rehabilitation Medicine, Graduate School of East-West Medical Science, Kyung Hee University, Yongin 446-701, Korea.
  • 8Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul 110-744, Korea. tairyoon@snu.ac.kr

Abstract


OBJECTIVE
To describe inpatient course and length of hospital stay (LOS) for people who sustain brain disorders nationwide. METHOD: We interviewed 1,903 randomly selected community-dwelling patients registered as 'disabled by brain disorders' in 28 regions of South Korea.
RESULTS
Seventy-seven percent were initially admitted to a Western medicine hospital, and 18% were admitted to a traditional Oriental medicine hospital. Forty-three percent were admitted to two or more hospitals. Mean LOS was 192 days. Most patients stayed in one hospital for more than 4 weeks. The transfer rate to other hospitals was 30-40%. Repeated admissions and increased LOS were related to younger onset age, higher education, non-family caregiver employment, smaller families, and more severe disability.
CONCLUSION
Korean patients with brain disorders showed significantly prolonged LOS and repeated admissions. Factors increasing burden of care influenced LOS significantly.

Keyword

Inpatients; Length of stay; Discharge; Stroke; Brain diseases

MeSH Terms

Age of Onset
Brain
Brain Diseases
Caregivers
Employment
Humans
Inpatients
Length of Stay
Medicine, East Asian Traditional
Stroke

Figure

  • Fig. 1 Length of stay according to admission step. (A) Mean length of stay in one hospital, according to admission step. (B) Proportion of patients with a given length of stay in one hospital, according to admission step.

  • Fig. 2 Rate and reasons of transfer to another hospital. Rate of transfer to another hospital, according to admission step. Dark bar, number of patients who were discharged home; Light bar, number of patients who were transferred to another hospital.


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