Keywords
Elective surgery
Hospital management
Preoperative fasting
Length of stay
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Abstract
Objective: To analyze factors associated with prolonged hospitalization in patients undergoing elective surgeries at a high-complexity hospital in Piauí, Brazil. Methods: This was an observational, cross-sectional, and analytical study including 286 adult surgical patients hospitalized between July and December 2023. Sociodemographic, clinical, and surgical variables were analyzed. LOS was the primary outcome. Statistical analysis used nonparametric tests (p<0.05). Results: Length of stay was significantly longer among patients classified as ASA III, those undergoing major surgeries, and those admitted to the ICU. Longer pre- and postoperative fasting times and the use of intravenous hydration were also associated with prolonged hospital stays, even among lower-risk patients. Conclusion: Prolonged hospitalization was related to both classic severity factors and potentially modifiable care-related aspects. These findings reinforce the importance of adopting evidence-based perioperative protocols to optimize surgical care.
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