Length of Hospital Stay and Its Associated Factors among Surgical Patients in Hospital Serdang
https://doi.org/10.47836/mjmhs.19.5.9
- Author:
Siti Nursyafiqah Sulaiman
1
;
Zalina Abu Zaid
1
;
Barakatun Nisak Mohd Yusof
1
;
A’ishah Zafirah Abdul A’zim
1
Author Information
1. Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
- Publication Type:Journal Article
- Keywords:
Prolonged length of stay, Surgery, Dietitian, Malnutrition, Perioperative
- From:Malaysian Journal of Medicine and Health Sciences
2023;19(No.5):51-58
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Hospital length of stay (LOS) is one of the measurable indicators which can be used to evaluate hospital administration, operative performance, and quality of patient care. Prolonged LOS has been associated with
poor outcomes in patients and inefficient use of hospital resources. Due to the scarcity of findings in this field in
Malaysia, this study aims to identify the factors affecting LOS. Methods: A single health facility-based retrospective
cross-sectional study was conducted in Hospital Serdang. Data of patients admitted to the surgical ward from 2017 to
2021 were retrieved. Result: A total of 114 surgical patients’ data were analysed, of which most were adults (72.8%),
female (69.3%) and Malay (67.5%). The mean LOS was 5.90 ± 4.35 days. Pearson correlation revealed age (r =
0.309, p = 0.001) and preoperative albumin (r = -0.397, p <0.001) having a significant correlation with LOS. An independent samples T-test showed that males had significantly higher mean LOS than females (t = 2.653, p = 0.009).
Surprisingly, having been seen by dietitians and being supplemented by oral nutrition supplements (ONS) had longer stay compared to groups who were not seen by dietitians and given ONS respectively (t = 4.278, p<0.001), (t =
3.111, p = 0.002). Furthermore, those with a moderate and high risk of malnutrition spent approximately 3.27 days
longer hospitalized than low-risk patients (t = -2.868, p = 0.007). Conclusion: Factors that influence LOS are age,
gender, preoperative albumin, seen by a dietitian, risk of malnutrition and oral nutrition supplementation.
- Full text:11.2023my1611.pdf
