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Results of a Computerized Screening of Stroke Patients for Unjustified Hospital Stay
Stroke 27:639-644, Goldman,R.S.,et al, 1996
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Article Abstract
The algorithm classified 68%of the 177 patients as having some unjustified hospital days and 41%of all hospital days as unjustified.With the neurologists as the gold standard,the sensitivity of algorithm was.89 and the specificity was.91.The correlation between the number of unjustified days determined by the algorithm and the neurologist was.76.There is considerable unjustified length of stay for stroke patients.Physicians can develop simple clinical algorithms for detecting unjustified hospital stay in stroke patients that provide a reasonable approximation of complex clinical judgement.
 
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