POSTOPERATİF YATIŞ SÜRESİNİN BELİRLEYİCİLERİ

Öz

Bu çalışmada iki kamu hastanesindeki cerrahi hastaların postoperatif yatış süresini etkileyen hastaya, operasyona ve cerraha ait faktörlerin belirlenmesi amaçlanmıştır. 1 Ocak 2017-31 Aralık 2018 tarihleri arasında 6 farklı cerrahi serviste yapılan 5023 cerrahi işleme ilişkin tıbbi kayıtlar retrospektif olarak incelenmiştir. Hastaların postoperatif yatış süresinin belirlenen bağımsız değişkenlere göre farklılık gösterip göstermediği t-testi ve tek yönlü varyans analizi ve postoperatif yatış süresini etkileyen faktörler ise doğrusal regresyon analizi ile test edilmiştir. Hastanelerde yapılan cerrahi işlemlere ilişkin ortalama postoperatif yatış süresi 3,1±3,6 gün olarak bulunmuştur. Hastanın yaşı, preoperatif yatış süresi ve operasyon süresinin artması, cerrahi teknik kullanılmaması, 1. kuşak sefalosporin kullanımı, genel anestezi uygulanması, risk indeksinin 1 ve 2 olması, A3 ve B grubu ve acil bir işlem olması, cerrahi antibiyotik profilaksi süresinin ve seçiminin uygunsuz olması, cerrahın çalışma süresinin 10 yıldan az olması gibi faktörlerin postoperatif yatış süresini artıran bir etkiye sahip olduğu bulunmuştur (p<0,05).

Anahtar Kelimeler

• Yatış süresi
• cerrahi işlemler
• postoperatif
• cerrahi
• hastalar

DETERMINANTS OF POSTOPERATIVE LENGHT OF STAY

Öz

In this study, it was aimed to determine the factors related to the patient, the operation and the surgeon that affect the postoperative length of stay of surgical patients in two public hospitals. Medical records of 5023 surgical procedures performed in 6 different surgical services between January 1, 2017 and December 31, 2018 were reviewed retrospectively. Whether the postoperative lenght of stay of the patients differed according to the determined independent variables was tested with the t-test and one-way analysis of variance, and the factors affecting the postoperative lenght of stay were tested with linear regression analysis. The mean postoperative lenght of stay for surgical procedures performed in hospitals was found to be 3.1±3.6 days. Age of the patient, increase in preoperative hospitalization and operation time, not using surgical technique, use of 1st generation cephalosporin, administration of general anesthesia, risk index 1 and 2, A3 and B group and an emergency procedure, inappropriate duration and choice of surgical antibiotic prophylaxis It was found that factors such as the surgeon's working time less than 10 years had an effect on increasing the postoperative lenght of stay (p<0.05).

Anahtar Kelimeler

• Lenght of stay
• surgical procedures
• postoperative
• surgery
• patients

Kaynakça

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