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Table 4 Rate of each reasons explaining IHDs by different phases of hospitalization

From: Predictors and reasons for inappropriate hospitalization days for surgical patients in a tertiary hospital in Wuhan, China: a retrospective study

Reasons Whole hospitalization Pre-operation Post-operation
n (%)
Medical factors A9 Doctor’s conservative views of patient management 425 (39.40 %) 8 (1.65 %) 417 (71.65 %)
A2 Delays in inspection, prescription, appointment or report 233 (21.86 %) 211 (43.60 %) 22 (3.78 %)
A4 Delays in operation (including preoperative waiting, inadequate surgical preparation, etc.) 118 (11.07 %) 116 (23.97 %) 2 (0.34 %)
A7 Delays due to lack of operating rooms or tables which hinders the punctuality of the operation 96 (9.01 %) 94 (19.42 %) 2 (0.34 %)
A3 Delays in expert consultation 26 (2.44 %) 26 (5.37 %) /
A10 Waiting for bed arrangement when patients are transferred to hospital 17 (1.59 %) 14 (2.89 %) 3 (0.51 %)
A12 Patients were not able to determine treatment options or obtain informed consent 13 (1.2 %) 13 (2.68 %) /
A11 Over-examination or over-treatment in hospital 2 (0.19 %) / 2 (0.34 %)
A1 Shortages of medical staff in hospital 1 (0.09 %) 1 (0.21 %) /
Patient factors B1 Request by patient or family member for prolonged stay 135 (12.66 %) 3 (0.62 %) 132 (22.68 %)
B2 The patient refused to discharge or transfer 2 (0.19 %) / 2 (0.34 %)
Total    1066 (100 %) 484 (100 %) 582 (100 %)