| Summary: | 碩士 === 國立高雄醫學大學 === 公共衛生學研究所碩士在職專班 === 90 === Abstract
Background and purpose：The purposes of this study were to analyze the length of stay (LOS) among the cerebral infarct patients and the factors affecting LOS. Methods：This research prospectively studied cerebral infarct patients admitted to the neurological ward in a medical center from 1st August 1998 to 31 July 2001. Under the discharge-planning program, the case manager went through the medical and non-medical factors affecting LOS. The services to meet the patient’s needs were also delivered and evaluated.
Results：According to the anatomy，915 cerebral infarct patients were divided into three groups：1).449 were anterior cerebral infarction with an average length of stay (ALOS) of 11.0±6.5days. Seven variables explained 54% of variance of the model. Medical factors affecting LOS were unstable condition, complication, and poorer activities of daily living (ADL). Non-medical factors were waiting for consultation, waiting for rehabilitate bed, deciding transfer to long-term care facilities (LTC), and the problem of caregiver. 2).375 were posterior cerebral infarction with ALOS of 13.6±8.7days. Four variables explained 39% of variance of the model. Medical factors affecting LOS were unstable condition, complication, from intensive care unit, and poorer ADL. 3).91 were lacunars infarction with ALOS of 10.4±4.9days.Seven variables explained 59% of variance of the model. Medical factors affecting LOS were unstable condition, complication, from intensive care unit, and poorer ADL. Non-medical factors were lower education level, social service needs, and deciding transfer to LTC.
Conclusions：The results of study offer the evidences and information：1).To create the clinical pathway of cerebral infarction；2).To design a stroke unit such as scale, care model, and professional man power et al.
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