Page 101 - Petelin, Ana, and Šarabon, Nejc. 2018. Eds. Zdravje starostnikov / Health of the Elderly. Znanstvena monografija / Proceedings. Koper: University of Primorska Press
P. 101
actors influencing hospital length of stay
in non-acute care setting

Vida Oražem1, Danica Rotar Pavlič2, Melita Peršolja2

1 University Medical Centre Ljubljana, Zaloška cesta 2, SI-1000 Ljubljana, Slovenia
2 University of Primorska, Faculty of Health Sciences, Polje 42, SI-6310 Izola, Slovenia

Abstract

Introduction: Aging population results in increased need for non-acute
hospital care. Inaccessible treatment is aimed primarily for the elderly,
who no longer need diagnostic procedures, but rather the improvement
of self-care. Health care is one of the priorities of non-acute treatment.
The purpose of the study was to determine factors influencing the length
of stay at non-acute care hospital department.
Methods: Based on routinely collected data from the Care Department
of University Medical Centre Ljubljana in 2016, a retrospective cross-
sectional study was carried out. The aims of the study were to detect
the relation of hospitalization length of stay with patients’ demographic
characteristics, care needs, family participation, and medical diagnosis
at discharge. Data on all 431 patients were collected. The average
age of the patients was 80 years; most of them were women (70.5 %).
Hospitalization for 102 patients (32.6 %) completed after four weeks, and
for 115 (26.6 %) after five weeks.
Results: Hospitalization was longer in patients below 65 years of age (p =
0.02), in patients with greater number of discharge nursing diagnoses (p
= 0.044), in patients with low involvement of relatives (p = 0.024), and in
patients after hip fracture or stroke (p < 0.001).
Discussion and conclusions: Significant association between the number
of discharge nursing diagnoses and the length of hospitalization
confirms that nursing care contributes to patients’ progress and quality
of life.
Key words: hospital length of stay, elderly, non-acute care

doi: https://doi.org/10.26493/978-961-7055-18-4.101-108
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