| Title: |
Improving patient flow: ethnicity and socio-economic status associated with delayed discharge from hospital in patients with COVID-19 infection: An observational epidemiological study |
| Authors: |
Crooks, Colin J; West, Joe; Gazis, Tasso; Morling, Joanne R; Simmonds, Mark; Juurlink, Irene; Briggs, Steve; Cruickshank, Simon; Hammond-Pears, Susan; Shaw, Dominick; Card, Timothy R; Fogarty, Andrew |
| Publisher Information: |
SAGE Publications |
| Publication Year: |
2025 |
| Collection: |
University of Nottingham: Repository@Nottingham |
| Description: |
Background:Understanding the reasons for delays in leaving hospital once an in-patient is considered ready for discharge is important to inform the development of interventions to improve patient flow through resource-stressed healthcare systems.Aims:To identify risk factors for delayed discharge from hospital during the COVID-19 pandemic.Methods:The study population was all patients admitted with COVID-19 infection from February 2020 to September 2021 to a large UK teaching hospital.Results:Data were available from 7929 admission events with a median delay of 0.20 days from being considered medically safe for discharge and the discharge date. Age older than 60 years (+2.23 days), White ethnicity (+1.58 days compared to SE Asian), living in an area of increased affluence (+0.13 days per decile decrease in deprivation) and having two or more comorbidities (+1.82 days; compared to no comorbidities) were associated with delayed discharge.There was a total potential saving of over 22,000 bed-days if all patients had been discharged when they were considered medically safe.Conclusions:Early identification of patients at an increased risk of a delayed discharge may allow development of appropriate anticipatory interventions, and inform policymakers to help identify and minimise bottlenecks at the institutional level. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
https://nottingham-repository.worktribe.com/output/43682222; Journal of Research in Nursing; Volume 30; Issue 7-8; Pagination 669-679 |
| DOI: |
10.1177/17449871241310384 |
| Availability: |
https://doi.org/10.1177/17449871241310384; https://nottingham-repository.worktribe.com/file/43682222/1/Improving%20patient%20flow%3A%20ethnicity%20and%20socio-economic%20status%20associated%20with%20delayed%20discharge%20from%20hospital%20in%20patients%20with%20COVID-19%20infection; https://nottingham-repository.worktribe.com/output/43682222 |
| Rights: |
openAccess ; https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.21FFD1B9 |
| Database: |
BASE |