Wilson, R. orcid.org/0000-0003-4709-7260, Margelyte, R. orcid.org/0000-0002-7914-8037, Redaniel, M.T. orcid.org/0000-0002-0668-0874 et al. (9 more authors) (2024) Risk factors for prolonged length of hospital stay following elective hip replacement surgery: a retrospective longitudinal observational study. BMJ Open, 14 (8). e078108. ISSN 2044-6055
Abstract
Objectives
Our aim was to identify which patients are likely to stay in hospital longer following total hip replacement surgery.
Design
Longitudinal, observational study used routinely collected data.
Setting
Data were collected from an NHS Trust in South-West England between 2016 and 2019.
Participants
2352 hip replacement patients had complete data and were included in analysis.
Primary and secondary outcome measures
Three measures of length of stay were used: a count measure of number of days spent in hospital, a binary measure of ≤7 days/>7 days in hospital and a binary measure of remaining in hospital when medically fit for discharge.
Results
The mean length of stay was 5.4 days following surgery, with 18% in hospital for more than 7 days, and 11% staying in hospital when medically fit for discharge. Longer hospital stay was associated with older age (OR=1.06, 95% CI 1.05 to 1.08), being female (OR=1.42, 95% CI 1.12 to 1.81) and more comorbidities (OR=3.52, 95% CI 1.45 to 8.55) and shorter length of stay with not having had a recent hospital admission (OR=0.44, 95% CI 0.32 to 0.60). Results were similar for remaining in hospital when medically fit for discharge, with the addition of an association with highest socioeconomic deprivation (OR=2.08, 95% CI 1.37 to 3.16).
Conclusions
Older, female patients with more comorbidities and from more socioeconomically deprived areas are likely to remain in hospital for longer following surgery. This study produced regression models demonstrating consistent results across three measures of prolonged hospital stay following hip replacement surgery. These findings could be used to inform surgery planning and when supporting patient discharge following surgery.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
Keywords: | Health Services and Systems; Health Sciences; Patient Safety; Organisation and delivery of services; Humans; Arthroplasty, Replacement, Hip; Length of Stay; Female; Male; Aged; Longitudinal Studies; Retrospective Studies; Risk Factors; Middle Aged; Elective Surgical Procedures; England; Patient Discharge; Aged, 80 and over; Age Factors; Comorbidity |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 03 Sep 2024 10:13 |
Last Modified: | 03 Sep 2024 10:13 |
Status: | Published |
Publisher: | BMJ |
Refereed: | Yes |
Identification Number: | 10.1136/bmjopen-2023-078108 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:216661 |