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Factors Associated With Delays in Discharge for Patients Undergoing Chronic Wound Reconstruction
Rachel H Park1, Jennifer Smith1, Robert G DeVito1
1From the Department of Plastic Surgery.
Annals of Plastic Surgery
|June 18, 2025
Summary
Discharge delays after chronic wound reconstruction are common. Socioeconomic factors like insurance and where a patient goes after discharge significantly predict these delays.
Area of Science:
- Plastic Surgery
- Healthcare Management
- Wound Care
Background:
- Hospital discharge delays following chronic wound reconstruction contribute to bed shortages.
- Identifying factors associated with delayed discharge is crucial for improving patient flow and resource allocation.
Purpose of the Study:
- To identify and analyze factors contributing to delayed discharge after chronic wound reconstruction.
- To provide insights for reducing hospital stay durations and alleviating bed shortages.
Main Methods:
- Retrospective chart review of patients undergoing chronic wound reconstruction (Jan 2019-Dec 2021).
- Analysis of demographic, socioeconomic, insurance, and disposition data in relation to discharge delay.
- Univariate negative binomial regression model used for statistical analysis.
Main Results:
- 131 encounters analyzed; 61 experienced delays (mean 3.03 days).
- No significant difference in medical comorbidities between delayed and non-delayed groups.
- Commercial insurance and discharge to home were associated with shorter delays compared to government insurance and facility discharge (approx. 3.5 days longer).
Conclusions:
- Socioeconomic factors, specifically insurance status and discharge disposition, are key predictors of discharge delays.
- Addressing these factors can help mitigate delays in patients undergoing chronic wound reconstruction.
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