Factors predicting the Hospital Length of Stay in Gynecological Patients Receiving Surgery

Main Article Content

Narumol Sriintravanit
Bualuang Sumdaengrit
Sirapiechchaya Patharathamaporn

Abstract

Aims and Background: Length of stay in the hospital is the main indicator for nursing service administration. To manage the bed occupying is necessary for super tertiary hospital in providing effectively patients care.  Aim of this research was to study factors predicting prolonged length of stay in gynecological patients underwent surgery.


Methods: This study was descriptive research. Samples included 120 women who admitted for surgery in Ramathibodi Hospital during January – December 2013.The instrument was the personal health and operative data which was developed by the investigators. Data were collected from patient medical records and were analyzed by descriptive and multiple regression statistic.  


Results: Results showed that age of 120 patients ranged from 19 to 88, mean 53.00 (SD = 11.09). Length of stay varied from 75 to 305 hours, mean 108.23 (SD = 28.90) hours. In addition results found that age, ASA classification, anesthesia period, comorbidity status, and electrolyte imbalance could predict the hospital length of stay (P = 0.000, 0000, 0.003, 0.004, 0.004), whereas estimated blood loss and abnormal laboratory result before operation could predict the hospital length of stay (P = 0.032, 0.013).


Conclusion: Findings from the study can be used as evidence-based to provide and improve effectively bed occupying in tertiary hospital for gynecological patients receiving operation.


 

Article Details

How to Cite
1.
Sriintravanit N, Sumdaengrit B, Patharathamaporn S. Factors predicting the Hospital Length of Stay in Gynecological Patients Receiving Surgery. Rama Med J [Internet]. 2016 Mar. 29 [cited 2024 Apr. 20];39(1):37-44. Available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/57582
Section
Original Articles

References

Turgut A, Soydinç HE, Evsen MS, Başaranoğlu S, Yalınkaya A. Which parameters may influence the duration of hospitalization after vaginal hysterectomy? J Turk Ger Gynecol Assoc. 2013;14(1):15-8. doi:10.5152/jtgga.2013.04.

Dean MM, Finan MA, Kline RC. Predictors of complications and hospital stay in gynecologic cancer surgery. Obstet Gynecol. 2001;97(5 Pt 1):721-4.

Archapitak A, Aree-Ue S, Malathum P. Relationship between selected factors and length of hospital stay of older patients undergoing orthopedic surgery. Ramathibodi Nurse Journal. 2009;15:249-65.

Silarat M, Srijakkot J, Silarat S. Factors associated with postoperative length of stay after of older patients undergoing coronary artery bypass graft. J Nurses Assoc Thai, North-eastern Devision. 2013;31:134-43.

Kijjanon N, Get-Kong S. Factors influencing length of stay in open heart surgery patients. Thai J Cardio-Thoracic Nursing. 2009;20:33-45.

Collins TC, Daley J, Henderson WH, Khuri SF. Risk factors for prolonged length of stay after major elective surgery. Ann Surg. 1999;230(2):251-9.

Kelly M, Sharp L, Dwane F, Kelleher T, Drummond FJ, Comber H. Factors predicting hospital length-of-stay after radical prostatectomy: a population-based study. BMC Health Serv Res. 2013;13:244. doi:10.1186/1472-6963-13-244.

Cohen J. A Power Primer. Psychological Bulletin. 1992;112:115-59.

Sriintravanit N, Sumdaengrit B. Anxiety and information need in women with gynecological problem before operation. J Nursing Health Care. 2014;32:24-31.