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Publication
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| Research Title |
Length of hospital stay among cardiovascular patients with valve repair combined valve replacement, northeast Thailand |
| Date of Distribution |
17 January 2025 |
| Conference |
| Title of the Conference |
14th International Conference on Public Health among Greater Mekong Sub-Regional Countries |
| Organiser |
University of Health Sciences, Lao PDR |
| Conference Place |
Pullman Hotel |
| Province/State |
Luangprabang City, Lao PDR |
| Conference Date |
27 June 2024 |
| To |
29 June 2024 |
| Proceeding Paper |
| Volume |
VOL.4 Jan-April, 2025 |
| Issue |
ISSUE 08 |
| Page |
- |
| Editors/edition/publisher |
IJPHAP via |
| Abstract |
Background: Hospital administration affects patients' longer length of hospital stays, higher treatment costs, and decreased quality of life after surgery. Thus, the length of hospital stays and factors related to the length of hospital stay of heart valve surgery patients were important, and useful to improve the patient care process and increase the efficiency of medical.
Objective: This study aimed to investigate the length of hospital stay and factors associated with length of hospital stay among cardiovascular patients with valve repair combined valve replacement.
Methods: This study employed a cross-sectional analytical design, involving 272 individuals who underwent combined valve repair and replacement at the Queen Sirikit Heart Centre of the Northeast from October 1, 2017, to September 30, 2023. Data were analyzed using percentages and medians (min: max). Multiple logistic regression was also conducted to examine risk factors associated with extended hospital stays (> 14 days).
Results: The study showed that the length of hospital stays of patients undergoing open heart valve surgery was 14.07 ± 8 days. The risk factors related to a length of hospital stays longer than 14 days were found a history of smoking (adjusted odds ratio (adj. OR)= 1.82; 95% confidence interval (CI) = 1.01 to 3.27), albumin level in blood (< 3.5 g/dl) (adj. OR = 2.28; 95%CI = 1.16 to 4.48), functional class 4 (adj. OR = 21.32; 95%CI = 4.37 to 104.06), postoperative infection (adj. OR = 3.25; 95%CI = 1.23 to 8.59) and arrhythmias (adj. OR = 2.33; 95%CI = 1.01 to 5.38).
Conclusion: This result highlighted that these factors are important for post-surgery patients to stay in the hospital longer than standard. Therefore, hospitals should promote health information, including quitting smoking and consuming behavior, to patients to prepare before surgery. Hospitals must also design guidelines for patient care to prevent further complications.
Keywords: Length of hospital stay, Cardiovascular, Valve surgery
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| Author |
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| Peer Review Status |
มีผู้ประเมินอิสระ |
| Level of Conference |
นานาชาติ |
| Type of Proceeding |
Full paper |
| Type of Presentation |
Oral |
| Part of thesis |
true |
| ใช้สำหรับสำเร็จการศึกษา |
ไม่เป็น |
| Presentation awarding |
false |
| Attach file |
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| Citation |
0
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Journal Publication
ไทย