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Length of hospital stay among oral and maxillofacial patients: a retrospective study

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Tan Fo Yew, Selvaraju Kalpana, Audimulam Harshinie, Yong Zhi Chuan, Adnan Tassha Hilda, Balasundram Sathesh,
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 ( Tan Fo Yew ) - Hospital Sultanah Nora Ismail Department of Oral and Maxillofacial Surgery
 ( Selvaraju Kalpana ) - Hospital Sultanah Nora Ismail Department of Oral and Maxillofacial Surgery
 ( Audimulam Harshinie ) - Hospital Sultanah Nora Ismail Department of Oral and Maxillofacial Surgery
 ( Yong Zhi Chuan ) - Hospital Sultanah Nora Ismail Department of Oral and Maxillofacial Surgery
 ( Adnan Tassha Hilda ) - Shah Alam National Institutes of Health Sector for Biostatistics & Data Repository
 ( Balasundram Sathesh ) - Hospital Sultanah Nora Ismail Department of Oral and Maxillofacial Surgery

Abstract


Objectives: Many conditions of the oral and maxillofacial region require hospitalization and in-patient care. The average length of stay (LOS) of these patients varies and is usually affected by multiple confounding variables. However, even with an increasing number of hospital admissions, published evidence on the factors that affect the LOS of oral and maxillofacial patients is lacking. Therefore, this study assessed the LOS of in-patients at the oral and maxillofacial surgery department of a government-funded, multi-specialty hospital in Malaysia, based on their reasons for admission and other factors.

Materials and Methods: Our samples were collected retrospectively over a 5-year period and included patients with maxillofacial infections, posttrauma stabilization, facial bone fracture surgery, benign and malignant lesion surgery, dentoalveolar surgery, and other maxillofacial surgeries as reasons for admission. Factors potentially affecting LOS were also recorded, and their significance was determined using multiple logistic regression analyses. A P-value of less than 0.05 was considered to be statistically significant.

Results: A total of 1,380 patients were included in this study. Most (84.5%) of our in-patients were of Malay ethnicity, and males outnumbered females in our sample by 502 subjects. The median LOS of our in-patients was 3 days. Sex, ethnicity, age, reason for admission, and American Society of Anesthesiology (ASA) classification were factors that significantly affected LOS.

Conclusion: The median LOS reported in this study was 3 days. LOS was significantly affected by sex, ethnicity, age, reason of admission and ASA classification.

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Length of stay; Maxillofacial infections; Maxillofacial injuries; Maxillofacial surgery

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