Length of hospital stay and its associated factors among surgical patients in Hospital Serdang
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 t...
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| Format: | Article |
| Language: | English |
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Universiti Putra Malaysia
2023
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| Online Access: | http://psasir.upm.edu.my/id/eprint/109223/ http://psasir.upm.edu.my/id/eprint/109223/1/2023091810450708_MJMHS_1249.pdf |
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| author | Sulaiman, Siti Nursyafiqah Abu Zaid, Zalina Mohd Yusof, Barakatun Nisak Abdul A’zim, A’ishah Zafirah |
| author_facet | Sulaiman, Siti Nursyafiqah Abu Zaid, Zalina Mohd Yusof, Barakatun Nisak Abdul A’zim, A’ishah Zafirah |
| author_sort | Sulaiman, Siti Nursyafiqah |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T14:02:45Z |
| format | Article |
| id | upm-109223 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:02:45Z |
| publishDate | 2023 |
| publisher | Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1092232024-08-27T04:17:59Z http://psasir.upm.edu.my/id/eprint/109223/ Length of hospital stay and its associated factors among surgical patients in Hospital Serdang Sulaiman, Siti Nursyafiqah Abu Zaid, Zalina Mohd Yusof, Barakatun Nisak Abdul A’zim, A’ishah Zafirah 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. Universiti Putra Malaysia 2023-09 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/109223/1/2023091810450708_MJMHS_1249.pdf Sulaiman, Siti Nursyafiqah and Abu Zaid, Zalina and Mohd Yusof, Barakatun Nisak and Abdul A’zim, A’ishah Zafirah (2023) Length of hospital stay and its associated factors among surgical patients in Hospital Serdang. Malaysian Journal of Medicine and Health Sciences, 19 (5). pp. 51-58. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2023091810450708_MJMHS_1249.pdf 10.47836/mjmhs.19.5.9 |
| spellingShingle | Sulaiman, Siti Nursyafiqah Abu Zaid, Zalina Mohd Yusof, Barakatun Nisak Abdul A’zim, A’ishah Zafirah Length of hospital stay and its associated factors among surgical patients in Hospital Serdang |
| title | Length of hospital stay and its associated factors among surgical patients in Hospital Serdang |
| title_full | Length of hospital stay and its associated factors among surgical patients in Hospital Serdang |
| title_fullStr | Length of hospital stay and its associated factors among surgical patients in Hospital Serdang |
| title_full_unstemmed | Length of hospital stay and its associated factors among surgical patients in Hospital Serdang |
| title_short | Length of hospital stay and its associated factors among surgical patients in Hospital Serdang |
| title_sort | length of hospital stay and its associated factors among surgical patients in hospital serdang |
| url | http://psasir.upm.edu.my/id/eprint/109223/ http://psasir.upm.edu.my/id/eprint/109223/ http://psasir.upm.edu.my/id/eprint/109223/ http://psasir.upm.edu.my/id/eprint/109223/1/2023091810450708_MJMHS_1249.pdf |