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Factors Associated With Length of Hospital Stay Following Liver Transplant Surgery Publisher Pubmed



Amiri M1 ; Toosi MN2 ; Moazzami B2 ; Jafarian A2 ; Shahsavari H1 ; Javaherian M2 ; Dashti H2 ; Fakhar N2 ; Karimi M3 ; Khani F4
Authors
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Authors Affiliations
  1. 1. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Epidemiology and Biostatics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: Experimental and Clinical Transplantation Published:2020


Abstract

Objectives: Length of stay is considered an important surrogate for transplant survival rate and resource utilization. Therefore, in the present study, our aim was to determine factors affecting length of hospital stay. Materials and Methods: We retrospectively analyzed records of patients who underwent liver transplant at the Tehran University of Medical Sciences Liver Transplantation Center from March 2014 to March 2016. Results: For our final analyses, there were 161 adult recipients, including 106 males (65.8%) and 55 females (34.1%). Univariate analyses showed that body mass index, Model for End-Stage Liver Disease score, duration of surgery, number of administered packed red blood cells and fibrinogen during surgery, reoperation, retransplant, bacterial infection, pleural effusion, ascites, renal failure that required dialysis, and wound infection were risk factors for length of hospital stay. After multivariate linear regression analysis, only body mass index (β = 0.016; P = .028), Model for End-Stage Liver Disease score (β = 0.017; P = .002), surgical duration (β = 0.002; P = .001), reoperation (β = 0.016; P < .001), presence of pleural effusion (β = 0.212; P = .042), and management of bacterial infection (β = 0.21; P = .03) and psychiatric problems after liver transplant (β = 0.213; P = .025) were independent risk factors for length of hospital stay. Conclusions: The present study showed that multiple preoperative, intraoperative, and postoperative vari-ables could have an impact on length of hospitalization. Therefore, methods for assessing these factors could improve patient outcomes and resource savings in liver transplant centers. © Baskent University 2020 Printed in Turkey. All Rights Reserved.
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