Length of Hospital Stay and its Related Factors in Iran: A Systematic Review and Meta-Analysis

IF 1.4 4区医学 Q3 Medicine Iranian Journal of Public Health Pub Date : 2023-09-09 DOI:10.18502/ijph.v52i9.13570

Mohammad Khammarnia, Fatemeh Bagherbarahouei, Alireza Ansari-Moghaddam

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Abstract

Background: One of the effective indicators used to determine the efficiency and optimal use of hospital resources is the length of stay (LOS). Then, we aimed to determine LOS and its related factors in Iran. Methods: A systematic literature review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the online databases; Medline, EMBASE, Scopus, PubMed, SID, MagIran, and Medlib from 1995 to 2022 using a combination of medical subject. STATA version 11 used for data analysis. Results: Overall, 75 (cross-sectional, cohort, and case-control) reports were identified. The average length of stay in Iranian hospitals was 6.7 (95% CI: 5.32 -7.74) d. There was a significant relationship between the length of stay in the hospital and different wards of hospital (P=0.001). The average of men’ LOS was longer than women were [6.9 (95% CI: 5.32 -7.74) vs. 3.9 (95% CI: 1.67-9.41)]. Moreover, the average LOS before and after the Health Transformation Plan (HTP) in Iran has changed, so that it has increased from 5.8 (95% CI: 4.39 -7.86) to 7.1 (95% CI: 5.59 -9.25) d after HTP (P=0.30). Conclusion: The average length of stay of patients in Iranian hospitals is more than the expected index of the Ministry of Health and Medical Education and is in the unfavorable range (> four days). Moreover, considering the direct effect of the type of departments on LOS; therefore, hospital managers should pay more attention to hospital processes using new process-oriented and customer-oriented management approaches.

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伊朗住院时间长短及其相关因素:系统回顾与meta分析

背景:住院时间(LOS)是衡量医院资源效率和优化利用的有效指标之一。然后，我们旨在确定伊朗的LOS及其相关因素。方法:根据PRISMA (Preferred Reporting Items for systematic Reviews and meta - analysis)指南使用在线数据库进行系统文献综述;Medline, EMBASE, Scopus, PubMed, SID, MagIran和Medlib从1995年到2022年使用医学主题的组合。用于数据分析的STATA版本11 . 结果:总共有75份(横断面、队列和病例对照)报告被确定。伊朗医院的平均住院时间为6.7天(95% CI: 5.32 -7.74)。住院时间与医院不同病房之间存在显著关系(P=0.001)。男性的平均LOS比女性长[6.9 (95% CI: 5.32 -7.74)比3.9 (95% CI: 1.67-9.41)]。此外，伊朗实施卫生转型计划(HTP)前后的平均LOS发生了变化，从HTP后的5.8 d (95% CI: 4.39 -7.86)增加到7.1 d (95% CI: 5.59 -9.25) (P=0.30)。结论:伊朗医院患者的平均住院时间超过了卫生和医学教育部的预期指标，处于不利范围(>四天)。此外，考虑到部门类型对LOS的直接影响;因此，医院管理者应更多地关注医院流程，采用新的以流程为导向和以客户为导向的管理方法。

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来源期刊

Iranian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.20

自引率

7.10%

发文量

审稿时长

2 months

期刊介绍： Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.