IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0334355.html

Determinants of hospital length of stay in ischemic stroke patients: A retrospective cohort study at Indonesian national stroke center

Author

Listed:
  • Mursyid Bustami
  • Sri Idaiani
  • Nadira Deanda Putri
  • Ari Winasti Satyagraha
  • Novaria Sari Dewi Panjaitan
  • Anna Mardiana Ritonga
  • Anyelir Nielya Mutiara Putri
  • Shofiya Rohmah Asyahida
  • Mei Sarah Nurkhalizah
  • Diva Azizah Nitisara
  • Beny Rilianto
  • Nugroho Harry Susanto
  • Yuli Felistia
  • Anwar Santoso

Abstract

Background: Stroke is a major cause of death and disability, with prolonged hospitalization driving up healthcare costs. This study investigated factors influencing length of stay (LOS) in ischemic stroke patients at a leading Indonesian stroke center. Methods: A retrospective cohort study was conducted on 2,804 ischemic stroke patients admitted in 2020. Univariable and multivariable zero truncated negative binomial regression analyses were performed using R Statistical Software (v4.5.1) to identify factors significantly associated with LOS. Results: The study population had a mean age of 61.3 years (SD ± 11.4), with a predominance of male patients (63.5%). The average length of LOS was 5.1 days (SD ± 3.4). Several factors were significantly associated with LOS, including ward class (hospital ward class II: 0.91 IRR, 95% CI:0.86–0.97; VIP class: 0.87 IRR, 95%CI:0.79–0.96), payment method (private/co-share: 1.13 IRR, 95%CI:1.03–1.25; out-of-pocket: 1.19 IRR, 95%CI:1.09–1.30), and stroke severity (moderate: 1.16 IRR, 95%CI:1.11–1.21; severe: 1.56 IRR, 95%CI:1.44–1.69). Additionally, elevated blood pressure (0.85 IRR, 95%CI:0.73–0.98), stage 1 hypertension (0.90 IRR, 95%CI:0.82–0.99), diabetes mellitus (1.09 IRR, 95%CI:1.04–1.15), dyslipidemia (0.95 IRR, 95%CI:0.90–0.999), all at admission, and cardiovascular disease (CVD) history (1.24 IRR, 95%CI:1.19–1.29), hospital complications (1.99 IRR, 95%CI:1.87–2.12), and therapeutic interventions (1.38 IRR, 95%CI:1.29–1.48) were also significantly linked to LOS. A subgroup analysis showed that CVD history, hospital complications, and therapeutic interventions during hospitalization were significantly linked to the LOS across all levels of stroke severity. Conclusion: CVD history, hospital complications, and therapeutic interventions significantly influenced LOS across stroke severities. Early intervention, complication prevention, and equitable care are essential to shorten hospitalization, reduce costs, and improve outcomes in Indonesian stroke patients.

Suggested Citation

  • Mursyid Bustami & Sri Idaiani & Nadira Deanda Putri & Ari Winasti Satyagraha & Novaria Sari Dewi Panjaitan & Anna Mardiana Ritonga & Anyelir Nielya Mutiara Putri & Shofiya Rohmah Asyahida & Mei Sarah , 2025. "Determinants of hospital length of stay in ischemic stroke patients: A retrospective cohort study at Indonesian national stroke center," PLOS ONE, Public Library of Science, vol. 20(11), pages 1-13, November.
    • Handle: RePEc:plo:pone00:0334355
    DOI: 10.1371/journal.pone.0334355
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0334355
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0334355&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0334355?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. , Husnaeni, 2023. "Konflik agraria di Indonesia 1dari 10," OSF Preprints c6y5u, Center for Open Science.
    2. Junaedi - & Muhammad Umar Burhan & Ghozali Maskie & Multifiah -, 2023. "An Economic Analysis of Meat Demand in Indonesia," International Journal of Economics and Finance, Canadian Center of Science and Education, vol. 15(10), pages 1-13, October.
    3. repec:osf:osfxxx:c6y5u_v1 is not listed on IDEAS
    4. Thinni Nurul Rochmah & Indana Tri Rahmawati & Maznah Dahlui & Wasis Budiarto & Nabilah Bilqis, 2021. "Economic Burden of Stroke Disease: A Systematic Review," IJERPH, MDPI, vol. 18(14), pages 1-16, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hongtao Cheng & Xiaozhen Xu & Yonglan Tang & Xin Yang & Yitong Ling & Shanyuan Tan & Zichen Wang & Wai-kit Ming & Jun Lyu, 2024. "Delirium Mediated the Association Between a History of Falls and Short-Term Mortality Risk in Critically Ill Ischemic Stroke Patients," Clinical Nursing Research, , vol. 33(7), pages 545-559, September.
    2. Summaiya Zareen Shaikh & Anant Patil & Mohammad Usman Ali & Ajit Dabholkar & Gianluca Rossetto, 2022. "Comment on Rochmah et al. Economic Burden of Stroke Disease: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18 , 7552," IJERPH, MDPI, vol. 19(7), pages 1-3, March.
    3. Amirah Azzeri & Mohd Noor Afiq Ramlee & Mohd Iqbal Mohd Noor & Mohd Hafiz Jaafar & Thinni Nurul Rochmah & Maznah Dahlui, 2022. "Economic Burden of SARS-CoV-2 Patients with Multi-Morbidity: A Systematic Review Protocol," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
    4. Thinni Nurul Rochmah & Indana Tri Rahmawati & Maznah Dahlui & Wasis Budiarto & Nabilah Bilqis, 2022. "Reply to Shaikh et al. Comment on “Rochmah et al. Economic Burden of Stroke Disease: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18 , 7552”," IJERPH, MDPI, vol. 19(7), pages 1-3, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0334355. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.