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Zalina Abu Zaid

Universiti Putra Malaysa, Malaysia

Title: Factors associated with length of stay among surgical patients in public hospital Malaysia

Abstract

Introduction: Hospital length of stay (LOS) is one of the measurable indicators which can be used to evaluate hospital administration, operative performance, and quality of patient care. Prolonged LOS have been associated with poor outcomes in patients and inefficient use of hospital resources. Due to scarcity of findings on this field in Malaysia, this study aims to identify the factors affecting LOS. Materials and Methods: A single health facility-based retrospective cross-sectional study was conducted in Hospital Serdang. Data of patients who were admitted in surgical ward from 2017 to 2021 were retrieved. Result: A total of 114 surgical patients’ data were analysed of which mostly were adults (72.8%), female (69.3%) and Malay (67.5%). The mean LOS was 5.90 ± 4.35 days.  Pearson correlation revealed age (r = 0.309, p = 0.001) and preoperative albumin (r = -0.397, p <0.001) having significant correlation with LOS. An independent samples T-test showed that male had significantly higher mean LOS compared to female (t = 2.653, p = 0.009). Those who had moderate and high risk of malnutrition spent approximately 3.27 days longer hospitalization compared to low-risk patients (t = -2.868, p = 0.007). Conclusion: Factors that influence LOS are age, gender, preoperative albumin, and risk of malnutrition. 
 

Biography

Zalina Abu Zaid is a senior lecturer and dietitian in Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia. She graduated her PhD in Flinders University, South Australia. She has a vast experience in dietetics, clinical nutrition, community nutrition (non-communicable disease, obesity and malnutrition), cancer, and surgical. Her publications and research interests addressed nutritional status (malnutrition), risk factors of developing cancer i.e. colorectal cancer, head and neck cancer, breast cancer and nutritional management of cancer and surgical patient. These contributed towards understanding the risk factors esp. modifiable factors (diet and lifestyle factors) in developing cancer, as well as the nutrition intervention to prevent and manage the cancer.  Her publication h-index is 7. She is a member of Malaysian Dietitians’ Association.