Abstract Details

Title The Influence of Teaching vs. Non-teaching Hospitals on Length of Stay and Discharge Status for Adult CVT Patients

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P3 - Poster Session 3 (5:00 PM-6:00 PM)

Poster/Presentation
Number 4-017

Objective

This study aims to evaluate the influence of hospital teaching status on length of stay (LOS) and discharge disposition among adult patients with cerebral venous thrombosis (CVT).

Background

CVT is a rare but potentially fatal neurological condition that disproportionately affects younger adults and women of reproductive age. Teaching hospitals often serve as referral centers for complex cases, yet it is unclear how teaching status affects patient outcomes, such as LOS and discharge plans.

Design/Methods A retrospective cohort study was conducted using 487 adult CVT patients (ages 18–89) identified in the Cerner HealthFacts database (2010–2016). Patients admitted through the emergency department were included. Pediatric cases and those leaving against medical advice were excluded. Outcomes of interest were LOS (<4, 4–9, 10–13, ≥14 days) and discharge disposition (home vs. follow-up care). Ordinal logistic regression was used to analyze associations between hospital teaching status and outcomes, adjusting for demographics, insurance type, and hospital size.

Results Most patients (n=409) were treated at teaching hospitals. Patients in teaching hospitals had 2.09 times greater odds of prolonged LOS compared to those in non-teaching hospitals. Teaching status was not significantly associated with discharge disposition. Payer type, however, strongly influenced discharge outcomes: patients with self-pay or unknown insurance were more likely to be discharged with follow-up care, whereas those with government insurance had the lowest likelihood of follow-up after discharge.

Conclusions Teaching hospital status was associated with longer LOS for CVT patients but not with discharge disposition. Payer type significantly influenced discharge planning, underscoring the role of socioeconomic factors in post-acute care access. These findings highlight the need to address disparities in post-acute care planning for CVT patients.

Authors/Disclosures
Shreya Chalapalli PRESENTER	Ms. Chalapalli has nothing to disclose.
Madeleine Brownfield	Ms. Brownfield has nothing to disclose.
Kate Burnes	Ms. Burnes has nothing to disclose.
Qasim Chohdry	Mr. Chohdry has nothing to disclose.
Milo Coffee	Mr. Coffee has nothing to disclose.
David J. Walsh, MD (Medical University of South Carolina)	No disclosure on file
Parashar Koirala, MD, MBBS	Dr. Koirala has nothing to disclose.

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