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The Length of Hospital Stay of Patients with Venous Thromboembolism: A Cross-Sectional Study from Jordan

Haneen Amawi1, Rasha M Arabyat1, Sayer Al-Azzam2

  • 1Department of Pharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy, Yarmouk University, Irbid 22110, Jordan.

Medicina (Kaunas, Lithuania)
|April 28, 2023
PubMed

Insights

Venous thromboembolism (VTE) patients in Jordan often have long hospital stays, with nearly half hospitalized for 7 days or more. Hypertension was a key factor linked to longer lengths of stay (LOS).

Area of Science:

  • Cardiology
  • Public Health
  • Pharmacology

Background:

  • Venous thromboembolism (VTE) is a significant global health concern, contributing to mortality and disability.
  • Effective anticoagulation therapy is crucial for managing VTE and optimizing patient outcomes, including hospital length of stay (LOS).
  • Understanding VTE patient demographics and treatment patterns in specific regions, like Jordan, is essential for improving care.

Purpose of the Study:

  • To determine the length of hospital stay (LOS) among patients diagnosed with acute venous thromboembolism (VTE).
  • To identify predictors associated with prolonged hospital stays in VTE patients.
  • To inform treatment strategies and healthcare resource allocation for VTE management in Jordan.

Main Methods:

  • A cohort of 317 hospitalized patients with confirmed VTE diagnoses was recruited.
  • Data collection involved reviewing electronic medical records, patient charts, and conducting patient surveys.
  • Hospital LOS was categorized (1-3 days, 4-6 days, ≥7 days), and an ordered logistic regression model was employed to identify significant predictors.

Main Results:

  • The study included 317 VTE patients; 52.4% were male, and 35.3% were aged 50-69.
  • Deep vein thrombosis (DVT) was the most common diagnosis (84.2%), with 64.6% of cases being first-time admissions.
  • Hypertension (59%) and obesity (66.3%) were prevalent comorbidities. Almost half (45%) of patients had an LOS of ≥7 days.
  • Hypertension was identified as a significant predictor of longer hospital LOS.

Conclusions:

  • A substantial proportion of VTE patients in Jordan experience prolonged hospitalizations, highlighting a need for optimized treatment protocols.
  • Therapies like direct oral anticoagulants (DOACs) or non-vitamin K antagonist oral anticoagulants (NOACs) may help reduce hospital LOS.
  • Effective management of comorbidities, particularly hypertension, is critical for improving VTE patient outcomes and reducing healthcare burdens.

Keywords:
healthcare usehospitalizationinpatient managementlength of stayvenous thromboembolism

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