FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRAN
Aim. This study aimed to study the effect of patients’ and physician’s characteristics as a predictor of length of stay (LOS) in patients undergoing coronary bypass surgery.Material and methods. This was a retrospective study conducted at Tabriz Shaheed Madanee Cardiac Teaching Hospital in Iran in 2...
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«FIRMA «SILICEA» LLC
2014-01-01
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author | Reza Gholi Vahidi Rahim Khodayari Shabnam lezadi Kamal Gholipour |
author_facet | Reza Gholi Vahidi Rahim Khodayari Shabnam lezadi Kamal Gholipour |
author_sort | Reza Gholi Vahidi |
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description | Aim. This study aimed to study the effect of patients’ and physician’s characteristics as a predictor of length of stay (LOS) in patients undergoing coronary bypass surgery.Material and methods. This was a retrospective study conducted at Tabriz Shaheed Madanee Cardiac Teaching Hospital in Iran in 2010. The 349 patients who did undergo a bypass surgery during 2008–2010 were studied. Patients and physicians characteristic were collected from patients medical records using a researcher developed checklist. Independent Samples Test of ANOVA was conducted to compare LOS between categorical variables. Data was analyzed using the SPSS17 statistical package.Results. The mean age of the patients was 59.7 years. Overall average LOS was 15.58 (10.02) days. The findings of this study indicate that older patients stayed in the hospital for a significantly longer period than did younger patients. Patients’ stay at the hospital was statistically significant and longer than assessed expected length of stay estimated by physicians (P< 0.05). Patient admitted to the hospital through emergency department and patients with no hospitalization history stayed longer in the hospital (P≤0.01).).Early discharged patients and death cases also had a longer LOS (P ≤ 0.01).Patient whose attending physicians were working in private sector, in addition to Shaheed Madanee Hospital and had higher level of education stayed longer than those whose physicians worked only at Shaheed Madanee Hospital (P≤ 0.01).Conclusion. Institutional characteristics –physicians practice both in private sector and public teaching hospital, physicians’ level of education, discharge process guidelines, and admission protocols were most important factor in predicting LOS. The patient’s hospitalization history whether patient was hospitalized before or not, was also a predictor. |
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spelling | doaj-art-1c99c2b24b644861bada91bc3c9c78d52025-08-04T13:00:08Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202014-01-0101-ENG151810.15829/1560-4071-2014-1-ENG-15-18531FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRANReza Gholi Vahidi0Rahim Khodayari1Shabnam lezadi2Kamal Gholipour3Associate Professor of Health Services Management, Tabriz Health Service Management Research Center, Department of Health Service Management, Faculty of Health Service Management and Medical Informatics, Tabriz University of Medical Sciences, TabrizPhD candidate in Health policy, Faculty of Management and Medical Informatics. Science, Tehran University of Medical Sciences, TehranMSc of Health Services Management, Health Management and Economics Research Center, Iran University of Medical Sciences, TehranPhD candidate in Health Services Management, Iranian Center of Excellence for Health Management, Faculty of Management and Medical Informatics, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, IranAim. This study aimed to study the effect of patients’ and physician’s characteristics as a predictor of length of stay (LOS) in patients undergoing coronary bypass surgery.Material and methods. This was a retrospective study conducted at Tabriz Shaheed Madanee Cardiac Teaching Hospital in Iran in 2010. The 349 patients who did undergo a bypass surgery during 2008–2010 were studied. Patients and physicians characteristic were collected from patients medical records using a researcher developed checklist. Independent Samples Test of ANOVA was conducted to compare LOS between categorical variables. Data was analyzed using the SPSS17 statistical package.Results. The mean age of the patients was 59.7 years. Overall average LOS was 15.58 (10.02) days. The findings of this study indicate that older patients stayed in the hospital for a significantly longer period than did younger patients. Patients’ stay at the hospital was statistically significant and longer than assessed expected length of stay estimated by physicians (P< 0.05). Patient admitted to the hospital through emergency department and patients with no hospitalization history stayed longer in the hospital (P≤0.01).).Early discharged patients and death cases also had a longer LOS (P ≤ 0.01).Patient whose attending physicians were working in private sector, in addition to Shaheed Madanee Hospital and had higher level of education stayed longer than those whose physicians worked only at Shaheed Madanee Hospital (P≤ 0.01).Conclusion. Institutional characteristics –physicians practice both in private sector and public teaching hospital, physicians’ level of education, discharge process guidelines, and admission protocols were most important factor in predicting LOS. The patient’s hospitalization history whether patient was hospitalized before or not, was also a predictor.https://russjcardiol.elpub.ru/jour/article/view/584coronary arteries bypass surgerylength of stayteaching hospital |
spellingShingle | Reza Gholi Vahidi Rahim Khodayari Shabnam lezadi Kamal Gholipour FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRAN Российский кардиологический журнал coronary arteries bypass surgery length of stay teaching hospital |
title | FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRAN |
title_full | FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRAN |
title_fullStr | FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRAN |
title_full_unstemmed | FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRAN |
title_short | FACTOR INFLUENCING LENGTH OF STAY OF PATIENTS UNDERGOING BYPASS SURGERY AT SHAHEED MADANEE CARDIAC TEACHING HOSPITAL –TABRIZ — IRAN |
title_sort | factor influencing length of stay of patients undergoing bypass surgery at shaheed madanee cardiac teaching hospital tabriz iran |
topic | coronary arteries bypass surgery length of stay teaching hospital |
url | https://russjcardiol.elpub.ru/jour/article/view/584 |
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