The unique contribution of the nursing intervention pain management on length of stay in older patients undergoing hip procedures.
The purpose of this study was to examine the unique contribution of the nursing intervention pain management on length of stay (LOS) for 568 older patients hospitalized for hip procedures. Propensity-score-adjusted analysis was used to determine the effect of pain management on LOS. The LOS for hospitalizations that received pain management was 0.78 day longer than that for hospitalizations that did not receive pain management. Other variables that were predictors of LOS included several context-of-care variables (e.g., time spent in the intensive care unit, registered nurse skill mix, etc.), number of medical procedures and unique medications, and several other nursing interventions.
Kerr
Peg
P
University of Iowa College of Nursing, Iowa City, Iowa 52242, USA. peggy-kerr@uiowa.edu
Shever
Leah
L
Titler
Marita G
MG
Qin
Rui
R
Kim
Taikyoung
T
Picone
Debra M
DM
D000368:Aged; D000698:Analgesia / Q000451:nursing; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000451:nursing; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D015146:Midwestern United States; D015999:Multivariate Analysis; D024802:Nurse's Role; D015401:Nursing Administration Research; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000451:nursing* / Q000517:prevention & control; D010347:Patient Care Planning / Q000458:organization & administration*; D057216:Propensity Score; D012044:Regression Analysis; D012720:Severity of Illness Index