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https://doi.org/10.21256/zhaw-22974| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Influence of weekday of admission and level of distress on length of hospital stay in patients with low back pain: a retrospective cohort study |
| Authors: | Brunner, Emanuel Meichtry, André Vancampfort, Davy Imoberdorf, Reinhard Gisi, David Dankaerts, Wim Graf, Anita Wipf Rebsamen, Stefanie Suter, Daniela Wildi, Lukas Martin Buechi, Stefan Sieber, Cornel |
| et. al: | No |
| DOI: | 10.1186/s12891-021-04529-6 10.21256/zhaw-22974 |
| Published in: | BMC Musculoskeletal Disorders |
| Volume(Issue): | 22 |
| Issue: | 656 |
| Issue Date: | 5-Aug-2021 |
| Publisher / Ed. Institution: | BioMed Central |
| ISSN: | 1471-2474 |
| Language: | English |
| Subjects: | Mental health; Primary care hospital; Pain management |
| Subject (DDC): | 615.82: Physical therapy 617.5: Orthopaedic surgery |
| Abstract: | Background: Low back pain (LBP) is often a complex problem requiring interdisciplinary management to address patients’ multidimensional needs. Providing inpatient care for patients with LBP in primary care hospitals is a challenge. In this setting, interdisciplinary LBP management is often unavailable during weekends. Delays in therapeutic procedures may result in a prolonged length of hospital stay (LoS). The impact of delays on LoS might be strongest in patients reporting high levels of psychological distress. Therefore, this study investigates the influence of weekday of admission and distress on LoS of inpatients with LBP. Methods: This retrospective cohort study was conducted between 1 February 2019 and 31 January 2020. In part 1, a negative binomial model was fitted to LoS with weekday of admission as a predictor. In part 2, the same model included weekday of admission, distress level, and their interaction as covariates. Planned contrast was used in part 1 to estimate the difference in log-expected LoS between group 1 (admissions Friday/Saturday) and the reference group (admissions Sunday-Thursday). In part 2, the same contrast was used to estimate the corresponding difference in (per-unit) distress trends. Results: We identified 173 patients with LBP. The mean LoS was 7.8 days (SD = 5.59). Patients admitted on Friday (mean LoS = 10.3) and Saturday (LoS = 10.6) had longer stays, but not those admitted on Sunday (LoS = 7.1). Analysis of the weekday effect and planned contrast showed that admission on Friday or Saturday was associated with a significant increase in LoS (log ratio = 0.42, 95% CI = 0.21 to 0.63). A total of 101 patients (58%) returned questionnaires, and complete data on distress were available from 86 patients (49%). According to the negative binomial model for LoS and the planned contrast, the distress effect on LoS was significantly influenced (difference in slopes = 0.816, 95% CI = 0.03 to 1.60) by dichotomic weekdays of admission (Friday/Saturday vs. Sunday-Thursday). Conclusions: Delays in interdisciplinary LBP management over the weekend may prolong LoS. This may particularly affect patients reporting high levels of distress. Our study provides a platform to further explore whether interdisciplinary LBP management addressing patients’ multidimensional needs reduces LoS in primary care hospitals. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/22974 |
| Fulltext version: | Published version |
| License (according to publishing contract): | CC BY 4.0: Attribution 4.0 International |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Physiotherapy (IPT) |
| Appears in collections: | Publikationen Gesundheit |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| 2021_Brunner-etal_Influence-of-weekday-of-admission-and-level-of-distress-on-length-of-hospital-stay.pdf | 1.16 MB | Adobe PDF |  View/Open |
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Brunner, E., Meichtry, A., Vancampfort, D., Imoberdorf, R., Gisi, D., Dankaerts, W., Graf, A., Wipf Rebsamen, S., Suter, D., Wildi, L. M., Buechi, S., & Sieber, C. (2021). Influence of weekday of admission and level of distress on length of hospital stay in patients with low back pain: a retrospective cohort study. BMC Musculoskeletal Disorders, 22(656). https://doi.org/10.1186/s12891-021-04529-6
Brunner, E. et al. (2021) ‘Influence of weekday of admission and level of distress on length of hospital stay in patients with low back pain: a retrospective cohort study’, BMC Musculoskeletal Disorders, 22(656). Available at: https://doi.org/10.1186/s12891-021-04529-6.
E. Brunner et al., “Influence of weekday of admission and level of distress on length of hospital stay in patients with low back pain: a retrospective cohort study,” BMC Musculoskeletal Disorders, vol. 22, no. 656, Aug. 2021, doi: 10.1186/s12891-021-04529-6.
BRUNNER, Emanuel, André MEICHTRY, Davy VANCAMPFORT, Reinhard IMOBERDORF, David GISI, Wim DANKAERTS, Anita GRAF, Stefanie WIPF REBSAMEN, Daniela SUTER, Lukas Martin WILDI, Stefan BUECHI und Cornel SIEBER, 2021. Influence of weekday of admission and level of distress on length of hospital stay in patients with low back pain: a retrospective cohort study. BMC Musculoskeletal Disorders. 5 August 2021. Bd. 22, Nr. 656. DOI 10.1186/s12891-021-04529-6
Brunner, Emanuel, André Meichtry, Davy Vancampfort, Reinhard Imoberdorf, David Gisi, Wim Dankaerts, Anita Graf, et al. 2021. “Influence of Weekday of Admission and Level of Distress on Length of Hospital Stay in Patients with Low Back Pain: A Retrospective Cohort Study.” BMC Musculoskeletal Disorders 22 (656). https://doi.org/10.1186/s12891-021-04529-6.
Brunner, Emanuel, et al. “Influence of Weekday of Admission and Level of Distress on Length of Hospital Stay in Patients with Low Back Pain: A Retrospective Cohort Study.” BMC Musculoskeletal Disorders, vol. 22, no. 656, Aug. 2021, https://doi.org/10.1186/s12891-021-04529-6.
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