Factors affecting length of stay in teaching hospitals of a middle-income country

Khosravizadeh, Omid; Vatankhah, Soudabeh; Bastani, Peivand; Kalhor, Rohollah; Alirezaei, Samira; Doosty, Farzane

doi:10.19082/3042

Cited by 50 publications

(39 citation statements)

References 21 publications

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“…This study revealed that length of hospital stay was higher in those patients who had history of surgery. This result was in line with studies done in Tabriz Shahid Madani Cardiovascular Hospital [26], Iran [27]. This could be due to history of surgery might affect the current disease recovery rate and could lead to low immunity.…”

Section: Discussionsupporting

confidence: 91%

Nutritional status significantly affects hospital length of stay among surgical patients in public hospitals of Northern Ethiopia: single cohort study

et al. 2019

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Objective This study aimed to assess the effect of nutritional status on length of hospital stay in Northern Ethiopia. Result Institutional based prospective cohort study was conducted among 324 admitted surgical patients. Length of hospital stay were significantly associated with duration of disease (Adjusted Hazard Ratio (AHR) = 3.7,95% Confidence interval (CI):2.35–5.82), history of surgery (AHR = 1.4, 95% CI 1.40, 95% CI 1.17–1.86), nutritional status (Body Mass Index (AHR = 1.38, 95% CI 1.28–1.51), Mid Upper Arm Circumference (AHR = 1.29, 95% CI 1.04–1.62)) and individual diet diversity score (AHR = 2.64, 95% CI 1.14–6.14). Screening of patients for malnutrition at admission and provision of dietary supplements based on their nutritional status is recommended. Electronic supplementary material The online version of this article (10.1186/s13104-019-4451-5) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 91%

Nutritional status significantly affects hospital length of stay among surgical patients in public hospitals of Northern Ethiopia: single cohort study

et al. 2019

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“…Our ratio of male to female patients is matching the UK national data for primary Total hip Replacement. The results of one study showed that the mean LOS was higher among patients with medical treatment compared with those with surgical intervention only [22] . Among other patient related factors Higher ASA PS grades have strong association for longer LOS.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the length of stay after total hip replacement; a retrospective analysis

Bilal¹,

Niazi²,

Mann³

2018

Int. J. Orthop. Sci.

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“…18,19 Length of care of both disease in the hospital will vary depend on several factors, such as institutional factors, the severity of the disease, social factors, psychological factors, adherence and nutritional status. 20,21 Length of care was associated with high cost and burden on family of the patients. 20 National health insurance helps lower the cost of health burden of patients/family, and subsequently increases the patients' quality of life.…”

Section: Discussionmentioning

confidence: 99%

Drug Use Evaluation on Type 2 Diabetes Mellitus and Diabetic Nephropathy Inpatients in One of Hospitals in Tasikmalaya

Nisa¹,

Priatna²,

Sukmawan³

2018

ijcp

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Type 2 Diabetes mellitus (T2DM) is a degenerative disease and approximately 50% of patients with diabetes mellitus (DM) of more than 20 years’ duration also have diabetic nephropathy (DN). T2DM accounts for significant morbidity and mortality, however appropriate treatment can reduce the events. The objective of the study was to evaluate of drug use in inpatient T2DM and DN. This was a cross-sectional study with concurrent data retrieval on T2DM and DN inpatients in the period of March–June 2017 in one of hospitals in Taskimalaya, Indonesia. Forty-six patients were included in the study, of which 25 patients had T2DM and 21 had DN. The result of this study showed that appropriateness of drug selection reached 100% and 85.6% in T2DM and DN inpatients, respectively. Inappropriateness of drugs selection includes selection of ketorolac, ranitidine, folic acid, amlodipine and potassium containing drugs. Doses accuracy of T2DM patients reached 100% and of DN inpatients reached 92.1%. The inaccuracy of doses was due to the lack of dose adjustment to estimated glomerulus filtration rate (eGFR) level in each patient. Drugs interaction analysis showed a potential drug interaction on DN and T2DM which devided into major (13.8%; 7.2%), moderate (64.1%; 58%) and minor (22,1%; 34.8%). Based on the result, it is found an inappropriate drug selection and an inaccuracy of dose in DN patients, and a high percentage of drugs interaction on moderate classification in both diseases. It is necessary to optimize the role of pharmacist as a part of the healthcare team in the patient’s room to apply medication therapy management.Keywords: Drugs use evaluation, type 2 diabetes mellitus, diabetic nephropathyEvaluasi Penggunaan Obat pada Pasien Rawat Inap Diabetes Melitus Tipe 2 dan Nefropati Diabetik di Salah Satu Rumah Sakit di TasikmalayaAbstrakDiabetes melitus tipe 2 (DMT2) merupakan penyakit degeneratif dan sekitar 50% dari pasien yang telah menderita penyakit diabetes melitus (DM) selama lebih dari 20 tahun juga menderita penyakit nefropati diabetik (ND). Penyakit DMT2 dan nefropati diabetik mengakibatkan tingginya angka morbiditas dan mortalitas. Akan tetapi, penatalaksanaan terapi yang tepat dapat menurunkan kejadian tersebut. Tujuan penelitian ini adalah untuk melakukan evaluasi penggunaan obat pada pasien rawat inap dengan penyakit DMT2 dan ND. Penelitian ini menggunakan metode cross-sectional dengan pengambilan data secara konkuren terhadap pasien rawat inap DMT2 dan ND pada periode Maret–Juni tahun 2017 di salah satu rumah sakit di Tasikmalaya, Indonesia. Empat puluh enam pasien diikutsertakan, dengan 25 pasien menderita penyakit DMT2 dan 21 pasien menderita ND. Dari hasil penelitian ini, diperoleh ketepatan penggunaan obat pada penderita DMT2 mencapai 100% sedangkan pada penderita ND mencapai 85,6%. Ketidaktepatan pemilihan obat meliputi pemilihan ketorolac, ranitidine, asam folat, amlodipine dan kalium klorida. Ketepatan dosis pada penderita DMT2 mencapai 100%, sedangkan pada penderita ND mencapai 92,1%. Ketidaktepatan dosis disebabkan oleh tidak adanya penyesuaian dosis dengan nilai estimated glomerulus filtration rate (eGFR) terhadap pasien. Selain itu, ditemukan potensi interaksi obat pada penderita ND dan DMT2 yang diklasifikasikan ke dalam kategori mayor (13,8%; 7,2%), moderat (64,1%; 58%), dan minor (22,1%; 34,8%), secara berturut-turut. Berdasarkan hasil penelitian, ditemukan ketidaktepatan pemilihan obat dan ketidaktepatan dosis pada pasien ND serta tingginya persentase potensi interaksi obat, terutama kategori moderat, pada kedua penyakit. Diperlukan optimalisasi peran apoteker sebagai bagian dari tim di ruangan pasien rawat inap untuk melakukan penerapan pemantauan terapi obat.Kata kunci: Diabetes melitus tipe 2, evaluasi penggunaan obat, nefropati diabetik

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Factors affecting length of stay in teaching hospitals of a middle-income country

Cited by 50 publications

References 21 publications

Nutritional status significantly affects hospital length of stay among surgical patients in public hospitals of Northern Ethiopia: single cohort study

Nutritional status significantly affects hospital length of stay among surgical patients in public hospitals of Northern Ethiopia: single cohort study

Factors affecting the length of stay after total hip replacement; a retrospective analysis

Drug Use Evaluation on Type 2 Diabetes Mellitus and Diabetic Nephropathy Inpatients in One of Hospitals in Tasikmalaya

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