Discharge readiness and its predictors in post craniotomy patients: A single-centre study at a tertiary care hospital in Northern India

Abstract

BACKGROUND: Post-craniotomy care presents unique challenges, often requiring careful monitoring and extensive support to facilitate a smooth transition from surgery to discharge. While same-day discharge following routine surgeries has become common, cranial surgeries typically require longer inpatient stays due to concerns about postoperative complications. This study evaluates post-craniotomy discharge readiness and its predictors, focusing on physical ability, emotional well-being, and support systems. MATERIAL AND METHODS: A single-center study at a tertiary care hospital recruited 160 post-craniotomy patients from January 2022 to December 2023. The Readiness for Hospital Discharge Scale (RHDS) was utilized to assess discharge readiness under various domains, including personal status, knowledge, coping ability, and expected support. Statistical analysis included Pearson correlation and stepwise regression analysis. RESULTS: Regression analysis indicated a positive correlation between higher education levels and discharge readiness (B = 6.232, P = 0.002), while lower satisfaction (B = -39.921, P = 0.001), caregiver presence (B = -42.24, P = 0.019), and comorbidities (B = -16.81, P = 0.029) reduced readiness. Correlation analysis revealed a positive relationship between education and discharge readiness (Rho = 0.253, P = 0.001) and negative relationship with caregiver presence (Rho = -0.177, P = 0.025), specific admissions (Rho = -0.204, P = 0.010), and longer stays (Rho = -0.197, P = 0.013). CONCLUSION: Higher education levels positively impact readiness, potentially indicating a greater understanding of postoperative care requirements. Conversely, lower satisfaction levels, caregiver presence, and comorbidities are associated with decreased readiness. Overall, understanding these predictors can aid healthcare professionals in optimizing discharge planning and support systems for promoting smoother transitions and improved outcomes following surgery.