Key result
Preoperative self-care disability, a history of noncompliance, and emotional disability predicted 8% of hospital length of stay after heart transplantation.
Why the study?
Do preoperative psychosocial variables predict hospital length of stay in patients undergoing heart transplantation?
Observational (n=307)
Yes
Do preoperative psychosocial variables predict hospital length of stay in patients undergoing heart transplantation?
Effect estimate: predicted 8% of LOS
Preoperative psychosocial factors, specifically self-care disability, noncompliance, and emotional disability, are predictors of hospital length of stay following heart transplantation.
May support preoperative psychosocial screening in transplant candidates; hypothesis-generating for targeted interventions to reduce length of stay.
The effect of psychosocial factors on hospital length of stay (LOS) after heart transplantation has not been reported. This study examines relationships between preoperative psychosocial variables and LOS and identifies preoperative psychosocial predictors of LOS after transplant. A nonrandom sample of 307 patients at two medical centers completed a self-administered booklet of psychosocial measures. A chart review was also conducted. Psychosocial problems included anxiety, stress, and inadequate coping; questionable understanding of heart failure and treatment; substance abuse; and noncompliance. Self-care disability, a history of noncompliance, and more emotional disability predicted 8% of LOS. This supports the inclusion of psychosocial issues and functional disability in post-heart transplant clinical pathways.
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Grady et al. (1999) conducted an observational in Heart transplantation (n=307). Preoperative psychosocial variables was evaluated on Hospital length of stay (LOS) after heart transplantation (predicted 8% of LOS). Preoperative self-care disability, a history of noncompliance, and emotional disability predicted 8% of hospital length of stay after heart transplantation.
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