Impact of socio-economic status on hospital length of stay following injury: A multicenter cohort study Quality, performance, safety and outcomes

BMC Health Services Research

Volumn 15, Issue 1, 2015, Pages

  Moore, Lynne ^a,b   Cisse, Brahim ^a,b   Batomen Kuimi, Brice Lionel ^a,b   Stelfox, Henry T ^c   Turgeon, Alexis F ^a,b   Lauzier, François ^a,b   Clément, Julien ^a   Bourgeois, Gilles ^d  

^a UNIVERSITÉ LAVAL   (Canada)

^b LAVAL UNIVERSITY   (Canada)

^c UNIVERSITY OF CALGARY   (Canada)

^d Institute national d'excellence en santé et services sociaux   (Canada)

Author keywords

Hospital length of stay; Injury; Material deprivation; Social deprivation; Socioeconomic status

Indexed keywords

ADOLESCENT; ADULT; AGED; CANADA; CLINICAL TRIAL; ECONOMICS; FEMALE; HEALTH CARE PLANNING; HEALTH SERVICE; HOSPITALIZATION; HUMAN; INJURY; INTENSIVE CARE; LENGTH OF STAY; MALE; MIDDLE AGED; MULTICENTER STUDY; NORTH AMERICA; RETROSPECTIVE STUDY; SOCIAL CLASS; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CANADA; CRITICAL CARE; FEMALE; HEALTH RESOURCES; HEALTH SERVICES NEEDS AND DEMAND; HOSPITALIZATION; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; NORTH AMERICA; RETROSPECTIVE STUDIES; SOCIAL CLASS; WOUNDS AND INJURIES; YOUNG ADULT;

EID: 84937885832     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-015-0949-2     Document Type: Article

References (49)

1. Raymond G, Pampalon R. Indice de défavorisation matérielle et sociale: son application au secteur de la santé et du bien-être. Santé, Société et Solidarité. 2003;191-208.
2. McDonagh MS, Smith DH, Goddard M. Measuring appropriate use of acute beds. A systematic review of methods and results. Health Policy. 2000;53(3):157-84.
3. Caminiti C, Meschi T, Braglia L, Diodati F, Iezzi E, Marcomini B, et al. Reducing unnecessary hospital days to improve quality of care through physician accountability: a cluster randomised trial. BMC Health Serv Res. 2013;13:14.
4. Covinsky KE, Palmer RM, Fortinsky RH, Counsell SR, Stewart AL, Kresevic D, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc. 2003;51(4):451-8.
5. Shojania KG, Duncan BW, McDonald KM, Wachter RM. Safe but sound: patient safety meets evidence-based medicine. JAMA. 2002;288(4):508-13.
6. World Health Organization: Estimates of Unit Costs for Patient Services for Canada. Available at: http://www.who.int/choice/country/can/cost/en/index.html. Accessed April 26, 2014
7. Perelman J, Closon MC. Impact of socioeconomic factors on in-patient length of stay and their consequences in per case hospital payment systems. J Health Serv Res Policy. 2011;16(4):197-202.
8. Hanchate AD, Schwamm LH, Huang W, Hylek EM. Comparison of ischemic stroke outcomes and patient and hospital characteristics by race/ethnicity and socioeconomic status. Stroke; J Cerebral Circ. 2013;44(2):469-76.
9. Izquierdo C, Oviedo M, Ruiz L, Sintes X, Vera I, Nebot M, et al. Influence of socioeconomic status on community-acquired pneumonia outcomes in elderly patients requiring hospitalization: a multicenter observational study. BMC Public Health. 2010;10:421.
10. McGregor MJ, Reid RJ, Schulzer M, Fitzgerald JM, Levy AR, Cox MB. Socioeconomic status and hospital utilization among younger adult pneumonia admissions at a Canadian hospital. BMC Health Serv Res. 2006;6:152.
11. Abas MA, Vanderpyl J, Robinson E, Le Prou T, Crampton P. Socio-economic deprivation and duration of hospital stay in severe mental disorder. Br J Psychiatry J Ment Sci. 2006;188:581-2.
12. Calvillo-King L, Arnold D, Eubank KJ, Lo M, Yunyongying P, Stieglitz H, et al. Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: systematic review. J Gen Intern Med. 2013;28(2):269-82.
13. Webb S, Yaguez L, Langdon PE. Factors associated with multiple re-admission to a psychiatric hospital. J Ment Health. 2007;16(5):647-61.
14. Roberts ME, Lowndes L, Milne DG, Wong CA. Socioeconomic deprivation, readmissions, mortality and acute exacerbations of bronchiectasis. Intern Med J. 2012;42(6):e129-136.
15. Bernheim SM, Spertus JA, Reid KJ, Bradley EH, Desai RA, Peterson ED, et al. Socioeconomic disparities in outcomes after acute myocardial infarction. Am Heart J. 2007;153(2):313-9.
16. Moore L, Turgeon AF, Sirois MJ, Murat V, Lavoie A. Influence of socioeconomic status on trauma center performance evaluations in a Canadian trauma system. J Am Coll Surg. 2011;213(3):402-9.
17. Injury Hospitalizations and Socio-Economic Status [ https://secure.cihi.ca/free-products/Injury-aib-vE4CCF-v3-en.pdf[
18. Tiao J, Moore L, Boutin A, Turgeon AF. Establishing consensus on the definition of an isolated hip fracture for trauma system performance: A systematic review. JETS. 2014;7(3):209-14.
19. Pampalon R, Hamel D, Gamache P, Raymond G. A deprivation index for health planning in Canada. Chronic Dis Can. 2009;29(4):178-91.
20. Pampalon R, Hamel D, Gamache P, Philibert MD, Raymond G, Simpson A. An area-based material and social deprivation index for public health in Quebec and Canada. Can J Public Health. 2012;103(8 Suppl 2):S17-22.
21. Townsend P. Deprivation and ill health. Nursing. 1991;4(43):11-5.
22. Blais C, Hamel D, Rinfret S. Impact of socioeconomic deprivation and area of residence on access to coronary revascularization and mortality after a first acute myocardial infarction in Quebec. Can J Cardiol. 2012;28(2):169-77.
23. Lowcock EC, Rosella LC, Foisy J, McGeer A, Crowcroft N. The social determinants of health and pandemic H1N1 2009 influenza severity. Am J Public Health. 2012;102(8):e51-58.
24. Morassaei S, Breslin FC, Ibrahim SA, Smith PM, Mustard CA, Amick 3rd BC, et al. Geographic variation in work injuries: a multilevel analysis of individual-level data and area-level factors within Canada. Ann Epidemiol. 2013;23(5):260-6.
25. Remes O, Smith LM, Alvarado-Llano BE, Colley L, Levesque LE. Individual-and regional-level determinants of human papillomavirus (HPV) vaccine refusal: the Ontario Grade 8 HPV vaccine cohort study. BMC Public Health. 2014;14:1047.
26. Terashima M, Rainham DG, Levy AR. A small-area analysis of inequalities in chronic disease prevalence across urban and non-urban communities in the Province of Nova Scotia, Canada, 2007-2011. BMJ Open. 2014;4(5), e004459.
27. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83.
28. AAAM. Abbreviated Injury Scale (AIS) 1990. Illinois: AAAM Publications; 1990.
29. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2(7872):81-4.
30. Moore L, Stelfox HT, Turgeon AF, Nathens AB, Lavoie A, Bourgeois G, et al. Derivation and validation of a quality indicator for 30-day unplanned hospital readmission to evaluate trauma care. J Trauma Acute Care Surg. 2014;76(5):1310-6.
31. Aging, deprivation, and health: A "triple jeopardy" faced by the older population [ http://hdl.handle.net/1974/8341[
32. Briggs A, Nixon R, Dixon S, Thompson S. Parametric modelling of cost data: some simulation evidence. Health Econ. 2005;14(4):421-8.
33. Manning WG, Mullahy J. Estimating log models: to transform or not to transform? J Health Econ. 2001;20(4):461-94.
34. Ruffieux C, Paccaud F, Marazzi A. Comparing rules for truncating hospital length of stay. Casemix Quaterly. 2000;2(1):1-10.
35. Moore L, Lavoie A, LeSage N, Liberman M, Sampalis JS, Bergeron E, et al. Multiple imputation of the Glasgow coma score. J Trauma. 2005;59(3):698-704.
36. Little RJ, Rubin DB. Statistical analysis with missing data, vol. 539, 2nd edn. New York, NY: Wiley; 2002.
37. Brock GN, Barnes C, Ramirez JA, Myers J. How to handle mortality when investigating length of hospital stay and time to clinical stability. BMC Med Res Methodol. 2011;11:144.
38. Weingarten JP, Clay JC, Heckert DA. Impact of socioeconomic status on health care utilization: factors influencing length of stay. J Health Hum Serv Adm. 1997;19(4):384-409.
39. Heffernan DS, Vera RM, Monaghan SF, Thakkar RK, Kozloff MS, Connolly MD, et al. Impact of socioethnic factors on outcomes following traumatic brain injury. J Trauma. 2011;70(3):527-34.
40. Taylor FC, Ascione R, Rees K, Narayan P, Angelini GD. Socioeconomic deprivation is a predictor of poor postoperative cardiovascular outcomes in patients undergoing coronary artery bypass grafting. Heart. 2003;89(9):1062-6.
41. Agboado G, Peters J, Donkin L. Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study. BMJ Open. 2012;2(5):e000869.
42. Wong KY, Wong SY, Fraser HW, Ersoy Y, Ogston S, Wolfson D, et al. Effect of social deprivation on mortality and the duration of hospital stay after a stroke. Cerebrovascular Dis. 2006;22(4):251-7.
43. Welch WP, Dubay LC. The impact of administratively necessary days on hospital costs. Med Care. 1989;27(12):1117-32.
44. Majeed MU, Williams DT, Pollock R, Amir F, Liam M, Foong KS, et al. Delay in discharge and its impact on unnecessary hospital bed occupancy. BMC Health Serv Res. 2012;12:410.
45. Wong AW, Gan WQ, Burns J, Sin DD, van Eeden SF. Acute exacerbation of chronic obstructive pulmonary disease: influence of social factors in determining length of hospital stay and readmission rates. Can Respir J: J Can Thoracic Soc. 2008;15(7):361-4.
46. Ashton CM, Kuykendall DH, Johnson ML, Wray NP, Wu L. The association between the quality of inpatient care and early readmission. Ann Intern Med. 1995;122(6):415-21.
47. Kuimi BL, Moore L, Cisse B, Gagné M, Lavoie A, Bourgeois G, et al. Access to a Canadian provincial integrated trauma system: a population-based cohort study. Injury. 2015;46(4):595-601.
48. Subramanian SV, Chen JT, Rehkopf DH, Waterman PD, Krieger N. Comparing individual-and area-based socioeconomic measures for the surveillance of health disparities: A multilevel analysis of Massachusetts births, 1989-1991. Am J Epidemiol. 2006;164(9):823-34.
49. Bernheim SM, Spertus JA, Reid KJ, Bradley EH, Desai RA, Peterson ED, et al. Socioeconomic disparities in outcomes after acute myocardial infarction. Am Heart J. 2007;153(2):313-9.