Subarachnoid Hemorrhage “Fast Track” Discharge Model: Safety and Feasibility
Project Description: Some nontraumatic subarachnoid hemorrhage patients, especially those with Fisher scores of 3 or less, fared far better clinically than those with higher Fisher grades. These patients typically did not need cerebrospinal fluid (CSF) diversion by means of an external ventricular device (EVD) or a lumbar drain (LD). These patients also did not develop the more serious and potentially devastating complications of the disease. This subset of patients met typical hospital discharge criteria by hospital day 7. We questioned whether we could decrease LOS by one half while safely discharging these patients home, with outpatient neurological monitoring, prior to the typical LOS of 14-21 days for this disease.
QPI: Christina, Smith, (firstname.lastname@example.org)
Advisors: Allison, Peters, (email@example.com); Lisa, Arasi Ruddock, (firstname.lastname@example.org)
UF Health Big Aims: Increase Value None
MeSH Keywords: Costs and Cost Analysis, Length of Stay, Patient Readmission, Subarachnoid Hemorrhage, Vasospasm, Intracranial, Patient Discharge