Evidence map›Paper›PMID 37156576›Full record

ArticleBMJ open2023

Using routine healthcare data to determine the factors associated with hospital length of stay for hypertensive inpatients in Ghana, 2012-2017.

Maxwell Afetor, Emmanuel Harris, Joyce B Der, Clement T Narh

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
–field-weighted citation impact, top 89% of its field
1 · What the graph read from it

What it found

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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

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0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Maxwell AfetorDepartment of Mathematics and Actuarial Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana afetormaxy1957@gmail.com.ORCID 0000-0002-1740-8630
Emmanuel HarrisDepartment of Mathematics and Actuarial Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Joyce B DerDepartment of Epidemiology and Biostatistics, University of Health and Allied Sciences, Ho, Ghana.
Clement T NarhDepartment of Epidemiology and Biostatistics, University of Health and Allied Sciences, Ho, Ghana.
Kwame Nkrumah University of Science and Technology · GHUniversity of Health and Allied Sciences · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHospitalisation for hypertension continues to rise in Ghana. It has been revealed that in Ghana, patients hospitalised for hypertension spend between 1 and 91 days on admission. This study therefore sought to estimate the hospital length of stay (LoS) of hypertensive patients and individual or health-related factors that may influence the hospitalisation duration in Ghana.

methodsWe employed a retrospective study design that used routinely collected health data on hospitalised hypertensive patients in Ghana from the District Health Information Management System database between 2012 and 2017 to model LoS using survival analysis. The cumulative incidence function for discharge stratified by sex was computed. To investigate the factors that influence hospitalisation duration, multivariable Cox regression was used.

resultsOut of a total of 106 372 hypertension admissions, about 72 581 (68.2%) were women. The mean age of the patients was 55.3 (SD=17.5) years. Overall, the median LoS was 3 days with almost 90% of all patients being discharged by the 10th day of admission. Patients admitted in Volta region (HR: 0.89, p<0.001) and Eastern region (HR: 0.96, p=0.002) experienced late discharge as compared with patients admitted in Greater Accra. It was revealed that women (HR: 1.09, p<0.001) were discharged earlier than men. However, having a surgical procedure (HR: 1.07, p<0.001) and having comorbidities such as diabetes (HR: 0.76, p<0.001) and cardiovascular diseases other than hypertension (HR: 0.77, p<0.001) increased the LoS of patients.

conclusionThis study provides the first comprehensive assessment of factors influencing hospitalisation duration of admissions due to hypertension in Ghana. Female sex, all regions except Volta region and Eastern region, experienced early discharge. However, patients with a surgical intervention and comorbidity experienced late discharge.

Indexed as

HypertensionInpatientsDelivery of Health CareFemaleGhanaHospitalsHumansLength of StayMaleMiddle AgedRetrospective StudiesHealth informaticsHypertensionPUBLIC HEALTH

Identifiers

PMID37156576
PMCPMC10173975
OpenAlexW4375955536

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LicenceCC BY-NC
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