Length of Hospital Stay of Orthopaedic Inpatients in a Tertiary Care Teaching Hospital in Nepal

Bidary, Suraj; Pandey, Suresh; Gupta, Hemant; Aryal, Roshani; Bhattarai, Kushal

doi:10.54530/jcmc.270

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…In Thailand, the difference may be due to the source population; the study was performed on patients who had a fractured neck of the femur. According to a study, fractured patients had a longer hospital stay than other surgical patients [53].…”

Section: Discussionmentioning

confidence: 99%

Length of hospital stay and associated factors among adult surgical patients admitted to a surgical ward in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia

Dadi,

Habte,

Mulu

et al. 2023

Preprint

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IntroductionHospitals across the country are experiencing a rise in the length of hospital stays, ranging from 2% to 14%. As a result, patients who remain hospitalized for a prolonged period are three times more likely to suffer in-hospital deaths. Therefore, identifying contributing factors for prolonged hospital stays enhances the ability to improve services and the quality of patient care. However, there is limited documented evidence in Ethiopia as well as in the study area about factors associated with prolonged hospital stays among surgical inpatients.ObjectiveThis study aimed to assess the length of hospital stay and associated factors among adult surgical patients admitted to a surgical ward in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia, 2023.MethodsAn institutional-based cross-sectional study was conducted among 452 adult surgical patients from April 17 to May 22, 2023. Data were collected based on a pretested, structured interviewer-administered questionnaire, patient chart review, and direct measurement. Study participants were selected using a systematic random sampling technique. The collected data were cleaned, entered into EpiData 4.6.0 and exported to STATA version 14 for analysis. Binary logistic regression analysis was used. Variables with a p value < 0.05 in the multivariable logistic regression analysis were considered statistically significant.ResultsIn the current study, the prevalence of prolonged hospital stay was 26.5% (95% CI: 22.7–30.8). Patients referred from another public health institution (AOR = 2.46; 95% CI: 1.09, 5.57), hospital-acquired pneumonia (AOR = 3.18; 95% CI: 1.28, 7.89), duration of surgery ≥110 minutes (AOR = 2.48; 95% CI: 1.25, 4.91), and preoperative anemia (AOR = 3.37; 95% CI: 1.88, 6.04) were factors associated with prolonged hospital stays.ConclusionThis study found a significant proportion of prolonged hospital stays. Source of referral, preoperative anemia, duration of surgery, and hospital-acquired pneumonia were factors associated with a prolonged hospital stay. Strengthening the established information system among hospitals when referring patients and early screening and treating anemia upon admission to hospitals can reduce the length of stays.

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Section: Discussionmentioning

confidence: 99%

Length of hospital stay and associated factors among adult surgical patients admitted to a surgical ward in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia

Dadi,

Habte,

Mulu

et al. 2023

Preprint

View full text Add to dashboard Cite

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Length of hospital stay and associated factors among adult surgical patients admitted to surgical wards in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia

Hurisa Dadi,

Habte,

Mulu

2024

PLoS ONE

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Introduction Hospitals across the country are facing increases in hospital length of stay ranging from 2% to 14%. This results in patients who stay in hospital for long periods of time being three times more likely to die in hospital. Therefore, identifying factors that contribute to longer hospital stays enhances the ability to improve services and quality of patient care. However, there is limited documented evidence on factors associated with longer hospital stays among surgical inpatients in Ethiopia and the study area. Objective This study aimed to assess the length of hospital stay and associated factors among adult surgical patients admitted to surgical wards in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia, 2023. Methods An institutional-based cross-sectional study was conducted among 452 adult surgical patients from April 17 to May 22, 2023. Data were collected based on a pretested, structured, interviewer-administered questionnaire, medical record review, and direct measurement of BMI. Study participants were selected using a systematic random sampling technique. The collected data were cleaned, entered into EpiData version 4.6.0 and exported to STATA version 14 for analysis. Binary logistic regression analysis was used. Variables with a p value <0.05 in the multivariable logistic regression analysis were considered statistically significant. Results In the current study, the prevalence of prolonged hospital stay was 26.5% (95% CI: 22.7, 30.8). Patients referred from another public health facility (AOR = 2.65; 95% CI: 1.14, 6.14), hospital-acquired pneumonia (AOR = 3.64; 95% CI: 1.43, 9.23), duration of surgery ≥110 minutes (AOR = 2.54; 95% CI: 1.25, 5.16), being underweight (AOR = 5.21; 95%CI: 2.63, 10.33) and preoperative anemia (AOR = 3.22; 95% CI: 1.77, 5.86) were factors associated with prolonged hospital stays. Conclusion This study found a significant proportion of prolonged hospital stays among patients admitted to surgical wards. Patients referred from another public health facility, preoperative anemia, underweight, duration of surgery ≥110 minutes, and hospital-acquired pneumonia were factors associated with prolonged hospital stay. Early screening and treatment of anemia and malnutrition before surgery can shorten the length of stay.

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Length of Hospital Stay of Orthopaedic Inpatients in a Tertiary Care Teaching Hospital in Nepal

Cited by 2 publications

References 13 publications

Length of hospital stay and associated factors among adult surgical patients admitted to a surgical ward in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia

Length of hospital stay and associated factors among adult surgical patients admitted to a surgical ward in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia

Length of hospital stay and associated factors among adult surgical patients admitted to surgical wards in Amhara Regional State Comprehensive Specialized Hospitals, Ethiopia

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