Factors predicting the length of hospital stay among patients with open-heart surgery, basic information for use in the planning of care for postoperative heart patients to have higher quality and efficiency. This study was descriptive research with a retrospective methodology aimed at studying the factors predicting length of hospital stay in open-heart surgery patients. The sample was composed of 214 open-heart surgery patients who were purposively sampled based on set inclusion criteria. Data were collected from medical records in 2015 – 2016. Data were analyzed with descriptive statistics, Pearson’s Product Moment Correlation and multiple linear regression.
According to the findings, the variables correlated with length of hospital stay in open-heart surgery patients with statistical significance were age, diabetes mellitus, coronary artery bypass surgery, urgency of surgery and cardiopulmonary bypass time. The factors capable of predicting length of hospital stay in open-heart surgery patients were urgency of surgery (beta = .22), cardiopulmonary bypass time (beta = .19) and age (beta = .16). All of the factors were able to co-predict fluctuations in length of hospital stay among open-heart surgery patients at 15 percent (R2 = 0.15, F = 5.04, p < .001). Therefore, elderly open-heart surgery patients who went into surgery urgently and had long cardiopulmonary bypass time should have special care models or close monitoring of symptoms to help reduce length of hospital stay in this group of patients.
Keywords: Factors Predicting, Length of Hospital Stay, Patients with Open-Heart Surgery
Almashrafi, A., Elmontsri, M., & Aylin, P. (2016). Systematic review of factors influencing length of stay in ICU after adult cardiac surgery. BMC Health Services Research, 16(1), 318.
Azarfarin, R., Ashouri, N., Totonchi, Z., Bakhshandeh, H., & Yaghoubi, A. (2014). Factors influencing prolonged ICU stay after open heart surgery. Research in Cardiovascular Medicine, 3(4), 1-5.
Bohplian, S. (2014). Low Cardiac Output Syndrome in Cardiac Surgery Patient: Challenging Cardiovascular Nurses. Journal of The Royal Thai Army Nurses, 15(2), 135-140.
Buttapim, S., Wanitkun, N., Sindhu, S., & Kasemsarn, C. (2018). Predictive factors of patients’ quality of life three months after post coronary artery bypass graft surgery. Thai Journal of Cardio-Thoracic Nursing, 29(2), 128-141.
Eltheni, R., Giakoumidakis, K., Brokalaki, H., Galanis, P., Nenekidis, I., & Fildissis, G. (2012). Predictors of prolonged stay in the intensive care unit following cardiac surgery. ISRN Nursing, 2012, 1-9.
Fukfon, K., Wasee, P., Duangnakhorn, M., & Akarawanasakun, B. (2018). The Development of Case Management System for Patients Undergoing an Open-Heart Surgery Chiangrai Prachanukroh Hospital. Journal of Nursing, Public Health, and Education,19(1), 27-39.
Hengcharoensuwan, P., Utriyaprasit, K., Sindhu, S., & Laksanabunsong, P. (2010). Factors associated with postoperative length of hospital stay in coronary artery bypass graft patients. Journal of Nursing Science, 28(1), 58-66.
Kijjanon, K., & Get-kong, S. (2009). Factors Influencing Length of Stay in Open Heart Surgery Patients. Thai Journal of Cardio-Thoracic, 20(1), 33-45.
Kijjanon, K., & Deebabanklong, S. (2013). A comparison of Length of Hospital Stay and Complications in Patients with On-Pump and off pump Coronary artery bapass Surgery. Ramathibodi Nursing Journal, 17(3), 358-370.
Ng, S. Y., Sanagou, M., Wolfe, R., Cochrane, A., Smith, J. A., & Reid, C. M. (2014). Prediction of acute kidney injury within 30 days of cardiac surgery. The Journal of Thoracic and Cardiovascular Surgery, 147(6), 1875-1883.
Osnabrugge, R. L., Speir, A. M., Head, S. J., Jones, P. G., Ailawadi, G., & Fonner, C. E., ... & Rich, J. B. (2014). Prediction of costs and length of stay in coronary artery bypass grafting. The Annals of Thoracic Surgery, 98(4), 1286-1293.
Poungsombut, J., Sindhu, S., Thosingha, O., & Laksanabunsong, P. (2012). Factors related to Complications in Postoperative open-heart surgery patients during critical period. The Journal of Faculty of Burapha University, 20(1), 22-32.
Ranucci, M., Baryshnikova, E., Castelvecchio, S., & Pelissero, G. (2013). Major bleeding, transfusions, and anemia: the deadly triad of cardiac surgery. The Annals of Thoracic Surgery, 96(2), 478-485.
Sirisatheanrooch, T., Chittithavorn, V., & Maneewat, K. (2012). Quality of life in the long- term of patients undergoing open heart surgery: A case study at Songklanagarind Hospital. Thai Journal of Cardio-Thoracic Nursing, 23(1), 31-43.
Suwanakitch, P., Suwanlumpha, S., Krongphaiklang, N., Samer, W., Kaemahanin, W., & Sayasatit, J. (2019). Patients’ quality of life after open-heart surgery. Srinagarind Medical Journal, 34(2), 178-183.
The society of thoracic Surgeons of Thailand. (2017). Statistic of heart surgery in Thailand 2001-present. Retrieved from http://thaists.org/news_detail.php?news_id=212
Waiwaree, D., Sindhu, S., Utriyaprasit, K., & Slisatkorn, W. (2017). Factors predicting functional status in patients coronary artery bypass graft. Thai Journal of Cardio-Thoracic Nursing, 28(2), 126-139.
Widyastuti, Y., Stenseth, R., Berg, K. S., Pleym, H., Wahba, A., & Videm, V. (2012). Preoperative and intraoperative prediction of risk of cardiac dysfunction following open heart surgery. European Journal of Anaesthesiology (EJA), 29(3), 143-151.
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