Visualization, Surgical patients represent a considerable percentage of total hospitalizations events and risk factors for PLOS related to surgery have been previously described for several types of surgeries[13, 14]. Validation, The percentage increased from 2.4% in 2000 to 7.6% in 2007, then declined slightly in the ensuing years and remained stable during 2009–2016 with a later peak in 2017. We also observed several diagnosis groups to be associated with an increased risk for PLOS. (2018) Risk factors associated with prolonged hospital length-of-stay: 18-year retrospective study of hospitalizations in a tertiary healthcare center in Mexico. We generated inverse weights using the predictions of this univariate multinomial model for PLOS. The median socioeconomic level was 3 [IQR 2–4]. Washington (DC): Department of Veterans Affairs (US); 2011–. COVID-19 is an emerging, rapidly evolving situation. During each event of hospitalization, patients could be transferred several times to different areas of the hospital depending on their clinical status (e.g. Investigation, Other factors previously identified to be associated with PLOS are gender, hospitalizations in shared rooms, admissions through the ED, comorbidities and socioeconomic status. We report some key sociodemographic and disease-specific differences in patients with PLOS which include a younger age, male gender, a lower physician-to-patient ratio, emergency and weekend admissions, surgery, the number of comorbidities, residence outside Mexico City and lower socioeconomic status. eCollection 2020. These data are available for researchers following evaluation of a formal research proposal by the Ethics and Research Committee (contact: Department of Medicine, direccion.medicina@incmnsz.mx or direccionmedicina.incmnsz@gmail.com). Fig 3. Please enable it to take advantage of the complete set of features! A health care-acquired infection (HAI) is defined as an infection occurring during the process of care in a hospital or other health care facility, neither present nor incubating at the time of admission nor at the time of a visit to a health care facility. Citation: Marfil-Garza BA, Belaunzarán-Zamudio PF, Gulias-Herrero A, Zuñiga AC, Caro-Vega Y, Kershenobich-Stalnikowitz D, et al. To identify the independent effect of pressure ulcers on excess length of stay and control for all observable factors that may also contribute to excess length of stay. We then fit a multivariate logistic regression model to estimate the risk of PLOS including age, gender, physician-to-patient ratio, type of admission, rehospitalization at 30 days, day of admission (weekday vs weekend), number of additional diagnosis, place of residence and socioeconomic status, and used inverse probability weights (IPW) to adjust for the effect of the discharge diagnosis on LOS. Only events that included at least one day of stay in the general hospital wards during their total hospitalization were included in the analysis. Yes diagnosis, prognosis, and treatment)(S1 and S2 Tables). The frequency of PLOS was significantly higher during hospitalization events that required a surgical intervention. PLOS were found to have a lower median socioeconomic status in our study, which further accentuates this issue. Patient length of stay (LOS) is one of the biggest issues facing hospitals today. The black, dotted line, summarizes the annual median length-of-stay (LOS) in days across time, during the study period. De la Garza-Ramos R, Goodwin CR, Abu-Bonsrah N, Jain A, Miller EK, Neuman BJ, Protopsaltis TS, Passias PG, Sciubba DM. We compared the characteristics of hospitalization events by LOS (NLOS vs PLOS) in Table 1. Median age at hospitalization was 51-years old (yo) (IQR 35–66). eCollection 2020. These could serve to develop a specific model of directed hospital healthcare for patients identified as in risk of PLOS. NIH We also include the calendar-year in our model, and show the adjusted odds ratios for PLOS per calendar-year in Fig 3, Panel B, where we can observe that the adjusted risk of PLOS increases sharply between 2003 and 2007 in comparison to 2000, and then decreased afterwards in such degree of magnitude that the adjusted odds ratio of PLOS is lower in any calendar-year after 2012 in comparison to 2000. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, https://doi.org/10.1371/journal.pone.0207203, https://doi.org/10.1371/journal.pone.0209944, http://apps.who.int/nha/database/Country_Profile/Index/en. In particular, being a retrospective, cross-sectional analysis, our study is highly susceptible to different types of bias and confounding. 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