Department of Surgical Nursing, School of Nursing, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Adult Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One. 2024 Aug 12;19(8):e0296143. doi: 10.1371/journal.pone.0296143. eCollection 2024.
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.
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.
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.
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.
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.
全国各家医院的住院时间都在延长，延长幅度在 2%至 14%之间。这导致住院时间较长的患者在医院死亡的风险增加了三倍。因此，确定导致住院时间延长的因素可以提高改善服务和提高患者护理质量的能力。然而，在埃塞俄比亚和研究地区，关于外科住院患者住院时间延长相关因素的记录证据有限。
本研究旨在评估 2023 年在埃塞俄比亚阿法尔州综合专科医院外科病房住院的成年外科患者的住院时间及相关因素。
2023 年 4 月 17 日至 5 月 22 日，采用基于机构的横断面研究方法，对 452 名成年外科患者进行调查。数据收集基于经过预测试的、结构化的、访谈员管理的问卷、病历回顾和 BMI 的直接测量。采用系统随机抽样技术选择研究参与者。收集的数据经过清理后，输入 EpiData 版本 4.6.0 并导出到 STATA 版本 14 进行分析。采用二元逻辑回归分析。多变量逻辑回归分析中 p 值<0.05 的变量被认为具有统计学意义。
在本研究中，延长住院时间的患病率为 26.5%（95%CI：22.7，30.8）。从另一家公立卫生机构转来的患者（AOR=2.65；95%CI：1.14，6.14）、医院获得性肺炎（AOR=3.64；95%CI：1.43，9.23）、手术时间≥110 分钟（AOR=2.54；95%CI：1.25，5.16）、体重不足（AOR=5.21；95%CI：2.63，10.33）和术前贫血（AOR=3.22；95%CI：1.77，5.86）与延长住院时间有关。
本研究发现，外科病房住院患者中存在相当比例的延长住院时间。从另一家公立卫生机构转来的患者、术前贫血、体重不足、手术时间≥110 分钟和医院获得性肺炎是与延长住院时间相关的因素。在手术前早期筛查和治疗贫血和营养不良可以缩短住院时间。
