Evidence map›Paper›PMID 29304787›Full record

ArticleBMC health services research2018

Factors associated with prolonged length of stay for elective hepatobiliary and neurosurgery patients: a retrospective medical record review.

Siu Yin Lee, Soo-Hoon Lee, Jenny H H Tan, Howard S L Foo, Phillip H Phan, Alfred W C Kow, Sein Lwin, Penelope M Y Seah, Siti Zubaidah Mordiffi

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In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Siu Yin LeeNational University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Soo-Hoon LeeOld Dominion University, 1 Old Dominion University, Norfolk, VA, 23529, USA.
Jenny H H TanNgee Ann Polytechnic, 535 Clementi Road, Singapore, 599489, Singapore.
Howard S L FooWoodlands Health, 9 Maxwell Road, Singapore, 069112, Singapore.
Phillip H PhanJohns Hopkins University, 100 International Drive, Baltimore, MD, 21202, USA. pphan@jhu.edu.ORCID 0000-0002-1366-1604
Alfred W C KowNational University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Sein LwinNational University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Penelope M Y SeahNational University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Siti Zubaidah MordiffiNational University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with prolonged length of hospital stay (LOS) not only increase their risks of nosocomial infections but also deny other patients access to inpatient care. Hepatobiliary (HPB) malignancies have some of highest incidences in East and Southeast Asia and the management of patients undergoing HPB surgeries have yet to be standardized. With improved neurosurgery techniques for intracranial aneurysms and tumors, neurosurgeries (NS) can be expected to increase. Elective surgeries account for far more operations than emergencies surgeries. Thus, with potentially increased numbers of elective HPB and NS, this study seeks to explore perioperative factors associated with prolonged LOS for these patients to improve safety and quality of practice.

methodsA retrospective cross-sectional medical record review study from January 2014 to January 2015 was conducted at a 1250-bed tertiary academic hospital in Singapore. All elective HPB and NS patients over 18 years old were included in the study except day and emergency surgeries, resulting in 150 and 166 patients respectively. Prolonged LOS was defined as above median LOS based on the complexity of the surgical procedure. The predictor variables were preoperative, intraoperative, and postoperative factors. Student's t-test and stepwise logistic regression analyses were conducted to determine which factors were associated with prolonged LOS.

resultsFactors associated with prolonged LOS for the HPB sample were age and admission after 5 pm but for the NS sample, they were functional status, referral to occupational therapy, and the number of hospital-acquired infections.

conclusionOur findings indicate that preoperative factors had the greatest association with prolonged LOS for HPB and NS elective surgeries even after adjusting for surgical complexity, suggesting that patient safety and quality of care may be improved with better pre-surgery patient preparation and admission practices.

Indexed as

Biliary Tract Surgical ProceduresHepatectomyNeurosurgical ProceduresAdultAgedCross-Sectional StudiesElective Surgical ProceduresFemaleHumansIncidenceLength of StayMaleMedical RecordsMiddle AgedPreoperative CareQuality ImprovementAmbulatory servicesElective surgeryIntraoperativePostoperative carePreoperativeProlonged length of stay

Identifiers

PMID29304787
PMCPMC5755148

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.