Pakistan Journal of Medical Sciences

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ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 25

October - December 2009 (Part-I)

Number  5


 

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Evaluation of the appropriateness of hospital stay
in gynecological wards in Tabriz Teaching Hospitals

Ouladsahebmadarek E1, Seidhejazie M2, Rashidi M3,
Sahhaf F4, Fardiazar Z5

ABSTRACT

Objective: The increasing demand for health care services together with the increasing cost of providing them supports the need for a reconsideration of the existing structures. This study evaluated the appropriateness of hospital stay in gynecological wards.

Methodology: This is a descriptive-analytic study which was conducted in 2006-2007 by using modified appropriateness evaluation protocol.

Results: The average duration of hospital stay for 402 patients was 55.18±45.03 hours. The length of hospital stay was inappropriate in 61.2%.The main reasons for unnecessary stay before surgery included: no prior outpatient preparation of patients for operation, inadequate diagnostic procedures and the problems resulting from urgent admission (OR=2.91, CI=1. 53-5.28, OR=1.56, CI=1.10-2.99 and OR=1.01, CI=0.08-2.58 respectively).The most important factors for inappropriate stay after surgery included: patient’s home-hospital distance and delayed physician’s order for discharge (OR=4.18, CI=2.57-13.20 and OR=2.06, CI=1.02-4.43).

Conclusions: Inappropriate hospital stay was 61.2%, and it could be decreased to 28.10% by using appropriate approaches.

KEY WORDS: Evaluation, Hospital, Length of Stay.

Pak J Med Sci    October - December 2009 (Part-I)    Vol. 25 No. 5    852-856

How to cite this article:

Ouladsahebmadarek E, Seidhejazie M, Rashidi M, Sahhaf F, Fardiazar Z. Evaluation of the appropriateness of hospital stay in gynecological wards in Tabriz Teaching Hospitals. Pak J Med Sci 2009;25(5):852-856.


1. Ouladsahebmadarek E,
2. Seidhejazie M.,
Prof. of Anesthesiology, Koodakan Hospital,
3. Rashidi M,
Associate Prof. of Pharmacology,
4. Sahhaf F,
5. Fardiazar Z,
1,4-5: Associate Professor of Obstetrics & Gynecology,
Alzahra Hospital,
1-5: Tabriz University of Medical Sciences,
Tabriz, Iran.

Correspondence

Ouladsahebmadarek E,
Associate Professor of Obstetrics & Gynecology,
Alzahra Hospital,
Tabriz University of Medical Sciences,
Tabriz, Iran.
Email: elmadarek33@yahoo.com

* Received for Publication: February 13th, 2009

* Accepted: August 29th, 2009
 



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