Analysis on the Distribution Characteristics and Influencing Factors of 1717 Patients with Prolonged Length of Stay in Surgical Department of a Certain Grade A Tertiary Hospital
Objective:Analyze the distribution characteristics and influencing factors of patients with Prolonged Length of Stay in surgical departments,and explore measures to reduce excessive length of hospital stay.Methods:Retrieve the homepage information of all discharged patients from the surgical department of a certain hospital from January 2021 to June 2022.The 1717 Patients with Pro-longed Length of Stay were selected for the descriptive analysis.The Logistic regression model was used to analyze the influencing fac-tors of patients with prolonged length of stay.Results:The average length of hospital stay for discharged patients from the surgical de-partment of a certain hospital is 7.78 days,of which the average length of hospital stay for patients with Prolonged Length of Stay is 44.41 days.The majority of patients with prolonged hospital stay are over 50 years old,with a higher proportion being male patients,those from outside the city,and those undergoing fourth-level surgery.The discharge departments mainly focus on general surgery de-partment,orthopedics department,cardiothoracic surgery department,neurosurgery department,and burn plastic surgery department.The main types of diseases are tumors,circulatory system diseases,poisoning injuries and certain other consequences of external causes,musculoskeletal and connective tissue diseases,and digestive system diseases.Multivariate logistic regression results showed that payment methods(fully self fundedand other),age,gender(male),transfer,admission routes(emergency and other),surgery(Lev-el 4),difficult or critical cases,and discharge methods(death)were influencing factors for prolonged hospital stay,which may increase the risk of prolonged hospitalization.Conclusion:The excessive length of hospital stay in the surgical department is influenced by vari-ous factors.It is necessary to strengthen medical quality management,optimize diagnosis and treatment processes,and reasonably re-duce the average length of hospital stay in order to better utilize medical resources.
Extra-long Hospital StayDistribution CharacteristicsInfluencing FactorsSurgical Department
万方数据
维普
