TY  - JOUR
PY  - 2015//
TI  - Impact of socio-economic status on hospital length of stay following injury: a multicenter cohort study
JO  - BMC health services research
A1  - Moore, Lynne
A1  - Cissé, Brahim
A1  - Batomen Kuimi, Brice Lionel
A1  - Stelfox, Henry T.
A1  - Turgeon, Alexis F.
A1  - Lauzier, François
A1  - Clement, Julien
A1  - Bourgeois, Gilles
SP  - e285
EP  - e285
VL  - 15
IS  - 
N2  - BACKGROUND: Injury is second only to cardiovascular disease in terms of acute care costs in North America. One key to improving injury care efficiency is to generate knowledge on the determinants of resource use. Socio-economic status (SES) is a documented risk factor for injury severity and mortality but its impact on length of stay (LOS) for injury admissions is unknown. This study aimed to examine the relationship between SES and LOS following injury. This multicenter retrospective cohort study was based on adults discharged alive from any trauma center (2007-2012; 57 hospitals; 65,486 patients) in a Canadian integrated provincial trauma system. SES was determined using ecological indices of material and social deprivation. Mean differences in LOS adjusted for age, gender, comorbidities, and injury severity were generated using multivariate linear regression. <br><br>RESULTS: Mean LOS was 13.5 days. Patients in the highest quintile of material/social deprivation had a mean LOS 0.5 days (95 % CI 0.1-0.9)/1.4 days (1.1-1.8) longer than those in the lowest quintile. Patients in the highest quintiles of both social and material deprivation had a mean LOS 2.6 days (1.8-3.5) longer than those in the lowest quintiles. <br><br>CONCLUSIONS: Results suggest that patients admitted for traumatic injury who suffer from high social and/or material deprivation have longer acute care LOS in a universal-access health care system. The reasons behind observed differences need to be further explored but may indicate that discharge planning should take patient SES into consideration.<p />  <p>Language: en</p>
LA  - en
SN  - 1472-6963
UR  - http://dx.doi.org/10.1186/s12913-015-0949-2
ID  - ref1
ER  -