Factors that contribute to prolonged hospital stay after discharge among surgical patients in a tertiary hospital in North Central Nigeria
Factors contributing to prolonged hospital stay after discharge
DOI:
https://doi.org/10.61172/ndj.v32i1.259Keywords:
surgical patients, healthcare costAbstract
Background: Surgical practice has hospitalization of patients for surgery and treatment as an inherent part of it; after which the patients are found fit for discharge. There is however a group of patients who remain on bed even after they have been deemed fit for discharge. This study aimed to determine the number of days surgical patients classified as having prolonged stay remain in hospital after they were deemed fit for discharge and identify the reasons for this.
Methods: Surgical patients still on bed more than 48 hours after they were discharged who consented to participate in the study were recruited.
Results: A total of 341 patients were recruited. The mean duration of stay after discharge was 17.6± 13 days. The specialty with the highest number of patients was Neurosurgery. Lack of finance and absence of a caregiver were the causes (96.5% and 3.5% respectively). The top three suggestions by patients on how to reduce prolonged hospital stay were bill waiver for indigent patients, reduced cost of health care services and financial aid by philanthropists.
Conclusion: The mean number of days patient remained in hospital after discharge was 17.6 days. Financial reasons and absence of a caregiver are the major reasons for prolonged hospital stay. There is a need for a multi-sectoral approach to improve enrollment in the National Health Insurance Scheme and provide social support for patients in need of care post-discharge to reduce the adverse effects of prolonged hospital stay on the hospital and patients.
References
Collins TC, Daley J, Henderson WH, Khuri SF. Risk Factors for Prolonged Length of Stay After Major Elective Surgery . Ann surg 1999; 230: 251-259
Ruangkriengsin D, Phisalprapa P. Causes of prolonged hospitalization among general internal medicine patients of a tertiary care center. J Med Assoc Thai. 2014 ; 97 Suppl 3:S206-15.
Somotun OA, Osungbade KO, Akinyemi OO, Obembe TA, Adeniji FI. What factors influence the average length of stay among stroke patients in a Nigerian tertiary hospital? Pan Afr Med 2017;26:228. doi:10.11604/pamj.2017.26.228.12249
Talleshi Z, Hosseininejad SM, Khatir G, Bozorghi F, Heidari Gorji AM, Heidari Gorji MA. The effect of new emergency program on patient length of stay in a teaching hospital emergency department of Tehran. Niger Med J 2014; 55:134-138.
Ashir GM, Alhaji MA, Gofama MM, Ahamadu BU. Prolonged hospital stay in measles patients. Sahel Med J 2009; 12:http://dx.doi.org/10.4314/smj2.v12i1.58188
Glen S. Sample size in statistics (How to find it.): Excel, Cochran’s formula, General tips. Statisticshowto.com. Elementary statistics for the rest of us. 2022. Available at https://www.statisticshowto.com/probability-and-statistics/find-sample-size/. (Accessed 25th December 2022).
Khosravizadeh O, Vatankhah S, Bastani P, Kalhor R, Alirezaei S, Doosty F. Factors affecting length of stay in teaching hospitals of a middle-income country. Electron Physician. 2016;8(10):3042-3047.
Keegan AD. Hospital bed occupancy: more than queuing for a bed. Med J Aust. 2010;193(5):291-293.
Hassan M., Tuckman HP, Patrick RH, Kountz DS, Kohn JL. "Hospital length of stay and probability of acquiring infection", Int J Pharm Healthc Mark, 2010; (4) 4: 324-338.
Rosenfeld LS, Goldmann F, Kaprio LA. Reason for prolonged hospital stay: a study of need for hospital care. J. Chronic Dis, 1957; 6 (2): 141-152.
Awosusi A. Nigeria’s mandatory health insurance and the march towards universal health coverage. Lancet Glob, 2022; available at
DOI : https://doi.org/10.101016/S2214-109X(22)00369-2
Ly MS, Bassoum O, Faye A. Universal health insurance in Africa: a narrative review of the literature on institutional models. BMJ Global Health 2022; 7:e008219.
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Copyright (c) 2024 Benjamin Akhiwu, Helen Akhiwu, Josiah Miner NJEM 0, Basil Ojukwu , Ukachi Nwawuihe , Solomon Alu, Agida S Adoga, Akin L Ladeinde
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