Relationships between Selected Factors and Length of Hospital Stay of Older Patients Undergoing Orthopedic Surgery

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dc.contributor.authorAmornta Archapitaken_US
dc.contributor.authorSuparb Aree-Ueen_US
dc.contributor.authorPorntip Malathumen_US
dc.date.accessioned2011-02-22T06:07:53Z
dc.date.available2011-02-22T06:07:53Z
dc.date.created2010-07-09en_US
dc.date.issued2010-07-09en_US
dc.description.abstractAbstract: The length of a patient’s hospital stay has been used as an indicator ofthe quality of care. Prolonged hospitalization has an impact on patients, theirrelatives, and hospitals. The purpose of this descriptive study was to investigate therelationship between selected factors (i.e. serum albumin level, functional ability atadmission, pain reduction, acute confusional state, number of complications, andnumber of co-morbidity) and the length of hospital stay for older patientsundergoing orthopedic surgery. Purposive sampling was used to recruit a sample of99 patients, aged 60 years and older, who were admitted to hospital for orthopedicsurgery of the spine, hip, and knee during a period from January to May 2008.Data collection procedures were conducted after approval by the Ethics Committeeof Rajavithi Hospital. The data were analyzed using descriptive statistics, andSpearman rank order correlation. Findings indicated that the length of the hospitalstay ranged from 7 to 81 days with a mean of 21.16 days. Serum albumin leveland functional ability at admission had a significant negative correlation with thelength of hospital stay in older patients undergoing orthopedic surgery, while acuteconfusional state and the number of complications were significantly, positivelycorrelated with the length of hospital stay. In conclusion, promotion of nutritionalstatus, maintenance of functional ability at admission, and prevention of complicationand acute confusional state had a correlation with the shortening of the length ofhospital stay in older patients undergoing orthopedic surgery. Findings of this studymay be used as basic information for enabling older patients who have undergoneorthopedic surgery to recover from the sickness and return home faster.Keywords:  Functional ability, Complications, Acute confusional state, Length ofhospital stay, Older patients, Orthopedic surgeryen_US
dc.identifier.citationRamathibodi Nursing Journal; vol. 15 No.2 May-August 2009en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/131778
dc.language.isoen_USen_US
dc.publisherDepartment of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol Universityen_US
dc.rightsFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailanden_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/RNJ/issue/archiveen_US
dc.source.urihttps://thailand.digitaljournals.org/index.php/RNJ/article/view/4317en_US
dc.titleRelationships between Selected Factors and Length of Hospital Stay of Older Patients Undergoing Orthopedic Surgeryen_US
dc.typeArticlesen_US
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