Analysis of Influencing Factors on Excessive Length of Hospital Stay for Surgical Patients
Objectives This study aims to explore the influencing factors of surgical prolonged hospitalization.Methods The research subjects were patients who underwent surgery in a tertiary hospital from 2019 to 2023.Patients with hospitalization days greater than 30 were identified as long hospitalization medical records.Personal factors such as gender and age were used as matching variables,and propensity score matching was performed in a 1∶3 ratio.Descriptive statistical analysis,univariate analysis,and logistic regression models were used to analyze the factors affecting readmission.Results The proportion of surgical patients with excessive length of hospital stay showed a decreasing trend with a correlation coefficient of-0.41(P＜0.001)over the years.The results of logistic regression analysis showed that emergency department,transfer from other medical institutions,routine surgery,interventional surgery,sterile incision/poor healing,infected incision/good healing,infected incision/poor healing,presence of hospital infection,preoperative hospitalization for 7～13 days,preoperative hospitalization for more than 14 days,inconsistent admission and exit departments,and postoperative complications were risk factors for prolonged surgical hospitalization.Secondary surgery and tertiary surgery were protective factors for prolonged hospitalization during surgery.Conclusions The management of excessively long surgical hospital stays can be strengthened by completing preoperative examinations before hospitalization,strengthening perioperative management,exploring multidisciplinary MDT discussions,and strengthening supervision.
Surgical patientsExcessive length of hospitalizationPropensity score matchinginfluence factor
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