914 Daily Rounds and Length of Stay: Housed versus Unhoused
Paul Kantor

TL;DR
The study examines how housing status affects burn patients' hospital length of stay and how daily discharge planning rounds impact these differences.
Contribution
The study introduces the impact of daily rounds with case managers and social workers on length of stay differences between housed and unhoused burn patients.
Findings
Unhoused patients had a longer length of stay than housed patients both with and without surgical intervention.
Daily rounds with case management and social work decreased length of stay for housed patients but increased it for unhoused patients.
Discharge planning rounds promote better communication and relationships between stakeholders and patients.
Abstract
Burn patients’ length of stay (LOS) are complicated by the extent of injury and inpatient interventions. Complexities (not limited to) wound care and surgical needs can delay discharge; housing situations impose added factors for hospital systems to account for when planning exit strategies. Charges for an overnight stay in the intensive care unit (ICU) vary based on several factors and acuity of injury; In 2021, average overnight costs in Burn Unit Intensive Care (BICU) was $4,181, but costs vary based on burn injury acuity (KFF.org). An analysis utilizing the national burn database to gather information about discharged patients from TMMC BICU between June 2022 and June 2024. Average LOS was calculated and separated by the patient’s documented housing situation. The “LOS Without Surgery” was targeted to show differences in discharge timelines for patients with less complicated exit…
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Taxonomy
TopicsHealth Promotion and Cardiovascular Prevention
