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Introduction <p>Postoperative length of hospital stay is a widely recognized indicator of surgical care quality and hospital performance. Extended hospital stays increase the risk of hospital-acquired infections and limit bed availability for new patients. Despite its clinical relevance, there is limited evidence on the length of postoperative stay and its associated factors among adult surgical patients in Ethiopia. This study aimed to assess the duration of postoperative hospital stay and its associated factors among adult patients admitted to the surgical ward of Debre Markos Comprehensive Specialized Hospital, Ethiopia.</p> Methods <p>An institution-based cross-sectional study was conducted on 515 adult postoperative patients from October 30, 2024, to January 30, 2025, selected via a systematic random sampling method. Prolonged postoperative hospital stay was defined as ≥ 75th percentile of length of stay within each surgical procedure group. Data were collected through face-to-face interviews and chart reviews and analyzed using logistic regression, with <i>p</i> &lt; 0.05 considered statistically significant.</p> Results <p>This study found that 29.2% of patients experienced prolonged postoperative hospital stays (95% CI: 25.2–33.1), with a median length of stay of 5 days (IQR: 3–8). The median surgery duration was 80&#xa0;min (IQR: 45–115). Factors associated with prolonged postoperative stay were preoperative anemia (AOR: 3.81, 95% CI: 2.39–6.06), delayed ambulation (AOR: 2.57, 95% CI: 1.66–3.99), hospital-acquired pneumonia (AOR: 3.53, 95% CI: 1.75–7.11), and surgical site infection (AOR: 2.74, 95% CI: 1.38–5.43).</p> Conclusion <p>Almost one-third of the participants experienced an extended postoperative hospital stay. Key contributing factors were preoperative anemia, delayed ambulation, hospital-acquired pneumonia, and surgical site infections. Interventions such as enhanced infection control, early mobilization, and preoperative anemia screening and management are recommended to reduce length of stay.</p>

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Postoperative hospital stay and associated factors among adult surgical patients at a specialized hospital in Ethiopia

  • 期刊论文

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  • 发表日期：

    2025年12月29日

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  • Mihret Kefie,
  • Addisu Getie,
  • Abebe Dilie Afenigus,
  • Baye Tsegaye Amlak,
  • Mengistu Abebe Messelu,
  • Setarg Ayenew Birhanie,
  • Zinaw Beyene

摘要

Introduction

Postoperative length of hospital stay is a widely recognized indicator of surgical care quality and hospital performance. Extended hospital stays increase the risk of hospital-acquired infections and limit bed availability for new patients. Despite its clinical relevance, there is limited evidence on the length of postoperative stay and its associated factors among adult surgical patients in Ethiopia. This study aimed to assess the duration of postoperative hospital stay and its associated factors among adult patients admitted to the surgical ward of Debre Markos Comprehensive Specialized Hospital, Ethiopia.

Methods

An institution-based cross-sectional study was conducted on 515 adult postoperative patients from October 30, 2024, to January 30, 2025, selected via a systematic random sampling method. Prolonged postoperative hospital stay was defined as ≥ 75th percentile of length of stay within each surgical procedure group. Data were collected through face-to-face interviews and chart reviews and analyzed using logistic regression, with p < 0.05 considered statistically significant.

Results

This study found that 29.2% of patients experienced prolonged postoperative hospital stays (95% CI: 25.2–33.1), with a median length of stay of 5 days (IQR: 3–8). The median surgery duration was 80 min (IQR: 45–115). Factors associated with prolonged postoperative stay were preoperative anemia (AOR: 3.81, 95% CI: 2.39–6.06), delayed ambulation (AOR: 2.57, 95% CI: 1.66–3.99), hospital-acquired pneumonia (AOR: 3.53, 95% CI: 1.75–7.11), and surgical site infection (AOR: 2.74, 95% CI: 1.38–5.43).

Conclusion

Almost one-third of the participants experienced an extended postoperative hospital stay. Key contributing factors were preoperative anemia, delayed ambulation, hospital-acquired pneumonia, and surgical site infections. Interventions such as enhanced infection control, early mobilization, and preoperative anemia screening and management are recommended to reduce length of stay.