A Study of Select Determinants For Hospital Stay Among Surgical Patients in a Tertiary Care Hospital
Average length of stay is the time interval between date of admission and date of discharge. It is important to
keep length of stay in best possible minimum to improve the efficiency of the systems and enhancing patient satisfaction
without compromising quality of care.
The aim of the research was to study the select determinants of hospital stay among surgical patients in a tertiary care
hospital. Retrospective record analysis was carried out, Data concerning inpatient admission, date of surgery, duration of
stay, date of discharge, operation theatre utilization and equipment utilization were collected from 1st
December 2015 to 29th
February 2016. The study sample consisted of all patients who underwent surgery in the month of December, January and
February, 1983 patients. Data analyzed through SPSS software. Semi-structured questionnaires used to identify factors
affecting length of stay and responses were analyzed using thematic analysis framework. Results were average length of stay
among male patients was 10.20 days (± SD 12.3) and female patient was 9.14 days (± SD 12.0). Among different
departments surgical oncology and plastic surgery patients had considerably longer length of stay 31.5 days (± SD 23.7) and
11 days (± SD 18.3) respectively. Comparison of average length of stay among cash and credit patients shows statistical
significant difference among ophthalmology, plastic surgery, urology and surgical oncology where p<0.005 and Correlation
between waiting period and average length of stay was highly significant among cash and credit patients where p value is
<0.001. OT utilization was optimum and equipment utilization was considerably fair. The study concluded that average
length of stay and waiting period for surgery among surgical oncology and plastic surgery patients is considerably longer.
The important factors identified for prolonged length of stay and waiting period for surgery are non-availability of OT (s),
non-availability of equipment, patient co -morbidities and delay in approval of insurance. The present study highlights that
there is a significant association between waiting period for surgery and average length of stay.
Keywords— Average length of stay, Cash patients, Credit patients, waiting period.