Jung, Bockmi. Factors impacting length of stay for Medicare patients 65 years and older diagnosed with sepsis. Retrieved from https://doi.org/doi:10.7282/t3-tvc0-n728
DescriptionPurpose of Project: This study aims to explore if APN-led transitional care reduces the length of stay (LOS) during transitional care from the acute care setting to an alternative care setting for Medicare patients 65 years and older diagnosed with sepsis.
Methodology: The study was designed as a descriptive statistic through a retrospective chart review in a teaching hospital in Northern New Jersey. The study sample of 104 charts randomly selected.
Results: The mean LOS for males was 11.20 days, and for females 11.28 days. The mean LOS for sepsis was 9.20, severe sepsis 9.83, and septic shock 19.39. There were the differences of p-values in outcomes of LOS based on variables of interest: the p-value for age was 0.149, for gender 0.648, for race 0.862, diagnosis 0.432, and comorbidities 0.163.
Implications for Practice: In this study, the cases that had APN involvement during transitional care and the patient’s community support system were too small to perform a statistical test of the association with LOS. However, the patient’s age (p = 0.149), comorbidities (p = 0.163), and diagnosis (p = 0.432) were associated with patients’ LOS. Yet, these factors were not statistically significant. Therefore, this study was not able to conclude that the APN involvement during transitional care was the key factor in reducing LOS in this study setting.