Factors associated with the length of hospital stay post an open appendectomy

Muhammad Sayuti; Anna Millizia; Muthmainnah; Muhammad Syahriza

doi:10.15562/bmj.v11i2.3654

Factors associated with the length of hospital stay post an open appendectomy

Muhammad Sayuti ,

Anna Millizia ,

Muthmainnah ,

Muhammad Syahriza ,

pdf |
DOI: https://doi.org/10.15562/bmj.v11i2.3654 |
Published: 2022-08-15

Abstract

Introduction: An appendectomy is the surgical removal of the inflamed vermiform appendix organ system. Patients who have had an appendectomy will be treated in hospital inpatient rooms for varying lengths of time, which is affected by several factors. This study aims to analyze the factors associated with the length of hospital stay post an appendectomy in Arun Lhokseumawe hospital, Aceh between 2019 and 2020. The factors analyzed are age, gender, type of appendicitis, duration of surgery, and comorbidity.

Method: A retrospective study with an analytical descriptive cross-sectional study design. The sampling technique used was purposive sampling with a total of 251 samples. All data analysis used SPSS 26.

Results: The characteristics of patients were as follow: age 17 – 25 years old (25.15), female (58.2%), acute appendicitis (57.8%), and no comorbidity (66.1%). The statistical analysis by Chi-square α =0.05 provides the factors associated with the length of hospital stay after an appendectomy, such as gender (p = 0.000), type of appendicitis (p = 0.000), and comorbidity (p = 0.000). Whereas age (p = 0.059) and the duration of surgery (p = 0.052) were not related to the length of hospital stay after an appendectomy.

Conclusion: There were significant relationships between the following factors, such as age, type of appendicitis, comorbidity, and the length of hospital stay after an appendectomy procedure in Arun Lhokseumawe hospital, Aceh.

References

Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and Treatment of Acute Appendicitis: 2020 Update of the WSES Jerusalem Guidelines. World J Emerg Surg. 2020;15(1).
Anggraini W. Evaluation of Antibiotics Use in Post-Surgical Acute Appendicitis Patients at The Pasuruan Regency General Hospital in 2018 (The Study Was Conducted at Inpatient Installation of Pasuruan Regency General Hospital). Pharm J Indones. 2020;6(1):15–20.
Sjamsuhidajat R. et al. Buku Ajar Ilmu Bedah. 3rd ed. Jakarta: EGC; 2012.
Craig S. Appendicitis: Practice Essentials, Background, Anatomy. MedScape. 2018.
Yulfanita AE. Faktor-Faktor yang Berhubungan Dengan Lama Hari Rawat Pasien Post Appendectomy di Rumah Sakit Umum Daerah H.A Sulthan Dg. Radja Bulukumba. J Heal Sci. 2013;2(7):144–99.
Hosizah; Maryati Y. Sistem Informasi Kesehatan II Statistik Pelayanan Kesehatan kemenkes RI. 2018;
Lubis IK. Analisis Length Of Stay ( Los ) Berdasarkan Faktor Prediktor pada Pasien DM Tipe II di RS PKU Muhammadiyah Yogyakarta. J Kesehat Vokasional. 2017;2(2):161–6.
Guanche Garcell H, Valle Gamboa ME, Guelmes Dominguez AA, Hernández Hernandez E, Bode Sado A, Alfonso Alfonso RN. Effect of a quality improvement intervention to reduce the length of stay in appendicitis. Journal of Healthcare Quality Research. pubmed; 2019.
Putri GAADK. Faktor-Faktor yang Berhubungan dengan Lama Perawatan Penderita Post Apendektomi di Bagian Bedah RSUD Undata dan RSU Anutapura Palu Tahun 2018. Univ Alkhairat Palu. 2018;
Han ES, goleman, daniel; boyatzis, Richard; Mckee A. Buku ajar bedah sabiston bagian 2. Vol. 53, Journal of Chemical Information and Modeling. 2019. 1689–1699 p.
Sabiston DC. Buku Ajar Bedah Sabiston bagian 1. Jakarta: EGC;
Sjamsuhidajat R. Buku Ajar Ilmu Bedah Sistem Organ dan Tindak Bedahnya. 4th ed. Vol. 3, EGC. Jakarta; 2017. 1689–1699 p.
Thomas GA, Lahunduitan I, Tangkilisan A. Angka Kejadian Apendisitis Di Rsup Prof. Dr. R. D. Kandou Manado Periode Oktober 2012 – September 2015. e-CliniC. 2016;4(1).
Hartawan GNBRM. Karakteristik Kasus Apendisitis di Rumah Sakit Umum Pusat Sanglah Denpasar Bali tahun 2018. 2020;9(10):6–10.
Ulfa EH. Karakteristik Apendisitis pada Pasien di Rumah Sakit Umum Haji Medan pada Januari 2017-Desember 2019. Vol. 5, SELL Journal. 2020. 55 p.
Zhang P, Zhang Q, Zhao H, Li Y. Factors affecting the length of hospital stay after laparoscopic appendectomy: A single center study. Ebsco. 2020;15(12 December):1–10.
Hardono H, Marthalena Y, Yusuf JA. Obesitas, anemia dan mobilitas dini mempengaruhi penyembuhan luka post-op apendiktomi. Wellness Heal Mag. 2020;2(1):177–86.
Nasution RA. Perbandingan Efektivitas Operasi Apendektomi Laparoskopi dan Apendektomi Terbuka sebagai Tatalaksana Operasi pada Pasien Apendisitis : Telaah Sistematis dan Meta Analisis. 2021;
Maharani SA, Erianto M, Alfarisi R, Willy J. Faktor-Faktor yang Mempengaruhi Lama Hari Rawat Inap Pasien Post Apendiktomi di RSUD Dr. H. Abdul Moeloek Kota Bandar Lampung Tahun 2018. Hum Care J. 2020;5(2):577.
Hall G. Buku Ajar Fisiologi Kedokteran. Twelfth. Elsevier; 2011.
Horng HC, Chang WH, Yeh CC, Huang BS, Chang CP, Chen YJ, et al. Estrogen effects on wound healing. Int J Mol Sci. 2017;18(11):1–14.
Robbin KC; Buku Ajar Robbin vol 2. 7th ed. Vol. 53, Journal of Chemical Information and Modeling. EGC; 2019. 1689–1699 p.
Ningrum TP, Mediani HS, P CIH. Faktor-faktor yang Berhubungan dengan Kejadian Wound Dehiscence pada Pasien Post Laparatomi. Fak Keperawatan Univ Padjadjaran. 2017;5.
Refolinda SA, Eriantono M, Alfarisi R, Willy J. Perbedaan Lamanya Rawat Inap Pasien Post Appendektomi Pada Appendiksitis Akut dan Appendiksitis Perforasi. Arter J Ilmu Kesehat. 2020;1(4):276–83.
Cheng H, Chen BPH, Soleas IM, Ferko NC, Cameron CG, Hinoul P. Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review. Surg Infect (Larchmt). 2017;18(6):722–35.
Siam B, Al-Kurd A, Simanovsky N, Awesat H, Cohn Y, Helou B, et al. Comparison of appendectomy outcomes between senior general surgeons and general surgery residents. JAMA Surg. 2017;152(7):679–85.
Yeh, Chun chieh, Hsieh Chin Hsun LTS. Diabetes Mellitus and Cerebrpvascular Disease as Independent Determinants for Increased Hospital Costs and Length of Stay in Open Appendectomy in Comparison with Laparoscopic Appendectomy. Ebsco. 2012;(The American Surgeon):329–35.
Sivrikoz E, Karamanos E, Beale E, Teixeira P, Inaba K, Demetriades D. The effect of diabetes on outcomes following emergency appendectomy in patients without comorbidities: A propensity score-matched analysis of National Surgical Quality Improvement Program database. Am J Surg. 2015;209(1):206–11.

[1] Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and Treatment of Acute Appendicitis: 2020 Update of the WSES Jerusalem Guidelines. World J Emerg Surg. 2020;15(1).

[2] Anggraini W. Evaluation of Antibiotics Use in Post-Surgical Acute Appendicitis Patients at The Pasuruan Regency General Hospital in 2018 (The Study Was Conducted at Inpatient Installation of Pasuruan Regency General Hospital). Pharm J Indones. 2020;6(1):15–20.

[3] Sjamsuhidajat R. et al. Buku Ajar Ilmu Bedah. 3rd ed. Jakarta: EGC; 2012.

[4] Craig S. Appendicitis: Practice Essentials, Background, Anatomy. MedScape. 2018.

[5] Yulfanita AE. Faktor-Faktor yang Berhubungan Dengan Lama Hari Rawat Pasien Post Appendectomy di Rumah Sakit Umum Daerah H.A Sulthan Dg. Radja Bulukumba. J Heal Sci. 2013;2(7):144–99.

[6] Hosizah; Maryati Y. Sistem Informasi Kesehatan II Statistik Pelayanan Kesehatan kemenkes RI. 2018;

[7] Lubis IK. Analisis Length Of Stay ( Los ) Berdasarkan Faktor Prediktor pada Pasien DM Tipe II di RS PKU Muhammadiyah Yogyakarta. J Kesehat Vokasional. 2017;2(2):161–6.

[8] Guanche Garcell H, Valle Gamboa ME, Guelmes Dominguez AA, Hernández Hernandez E, Bode Sado A, Alfonso Alfonso RN. Effect of a quality improvement intervention to reduce the length of stay in appendicitis. Journal of Healthcare Quality Research. pubmed; 2019.

[9] Putri GAADK. Faktor-Faktor yang Berhubungan dengan Lama Perawatan Penderita Post Apendektomi di Bagian Bedah RSUD Undata dan RSU Anutapura Palu Tahun 2018. Univ Alkhairat Palu. 2018;

[10] Han ES, goleman, daniel; boyatzis, Richard; Mckee A. Buku ajar bedah sabiston bagian 2. Vol. 53, Journal of Chemical Information and Modeling. 2019. 1689–1699 p.

[11] Sabiston DC. Buku Ajar Bedah Sabiston bagian 1. Jakarta: EGC;

[12] Sjamsuhidajat R. Buku Ajar Ilmu Bedah Sistem Organ dan Tindak Bedahnya. 4th ed. Vol. 3, EGC. Jakarta; 2017. 1689–1699 p.

[13] Thomas GA, Lahunduitan I, Tangkilisan A. Angka Kejadian Apendisitis Di Rsup Prof. Dr. R. D. Kandou Manado Periode Oktober 2012 – September 2015. e-CliniC. 2016;4(1).

[14] Hartawan GNBRM. Karakteristik Kasus Apendisitis di Rumah Sakit Umum Pusat Sanglah Denpasar Bali tahun 2018. 2020;9(10):6–10.

[15] Ulfa EH. Karakteristik Apendisitis pada Pasien di Rumah Sakit Umum Haji Medan pada Januari 2017-Desember 2019. Vol. 5, SELL Journal. 2020. 55 p.

[16] Zhang P, Zhang Q, Zhao H, Li Y. Factors affecting the length of hospital stay after laparoscopic appendectomy: A single center study. Ebsco. 2020;15(12 December):1–10.

[17] Hardono H, Marthalena Y, Yusuf JA. Obesitas, anemia dan mobilitas dini mempengaruhi penyembuhan luka post-op apendiktomi. Wellness Heal Mag. 2020;2(1):177–86.

[18] Nasution RA. Perbandingan Efektivitas Operasi Apendektomi Laparoskopi dan Apendektomi Terbuka sebagai Tatalaksana Operasi pada Pasien Apendisitis : Telaah Sistematis dan Meta Analisis. 2021;

[19] Maharani SA, Erianto M, Alfarisi R, Willy J. Faktor-Faktor yang Mempengaruhi Lama Hari Rawat Inap Pasien Post Apendiktomi di RSUD Dr. H. Abdul Moeloek Kota Bandar Lampung Tahun 2018. Hum Care J. 2020;5(2):577.

[20] Hall G. Buku Ajar Fisiologi Kedokteran. Twelfth. Elsevier; 2011.

[21] Horng HC, Chang WH, Yeh CC, Huang BS, Chang CP, Chen YJ, et al. Estrogen effects on wound healing. Int J Mol Sci. 2017;18(11):1–14.

[22] Robbin KC; Buku Ajar Robbin vol 2. 7th ed. Vol. 53, Journal of Chemical Information and Modeling. EGC; 2019. 1689–1699 p.

[23] Ningrum TP, Mediani HS, P CIH. Faktor-faktor yang Berhubungan dengan Kejadian Wound Dehiscence pada Pasien Post Laparatomi. Fak Keperawatan Univ Padjadjaran. 2017;5.

[24] Refolinda SA, Eriantono M, Alfarisi R, Willy J. Perbedaan Lamanya Rawat Inap Pasien Post Appendektomi Pada Appendiksitis Akut dan Appendiksitis Perforasi. Arter J Ilmu Kesehat. 2020;1(4):276–83.

[25] Cheng H, Chen BPH, Soleas IM, Ferko NC, Cameron CG, Hinoul P. Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review. Surg Infect (Larchmt). 2017;18(6):722–35.

[26] Siam B, Al-Kurd A, Simanovsky N, Awesat H, Cohn Y, Helou B, et al. Comparison of appendectomy outcomes between senior general surgeons and general surgery residents. JAMA Surg. 2017;152(7):679–85.

[27] Yeh, Chun chieh, Hsieh Chin Hsun LTS. Diabetes Mellitus and Cerebrpvascular Disease as Independent Determinants for Increased Hospital Costs and Length of Stay in Open Appendectomy in Comparison with Laparoscopic Appendectomy. Ebsco. 2012;(The American Surgeon):329–35.

[28] Sivrikoz E, Karamanos E, Beale E, Teixeira P, Inaba K, Demetriades D. The effect of diabetes on outcomes following emergency appendectomy in patients without comorbidities: A propensity score-matched analysis of National Surgical Quality Improvement Program database. Am J Surg. 2015;209(1):206–11.

Factors associated with the length of hospital stay post an open appendectomy

Abstract

References

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