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All Journal Jurnal Ilmiah Pendidikan dan Pembelajaran Jurnal Keperawatan Priority Contagion: Scientific Periodical Journal of Public Health and Coastal Health Science Midwifery Jurnal Ekonomi Lembaga Layanan Pendidikan Tinggi Wilayah I Jurnal Pengabdian Masyarakat Waradin International Journal of Medicine and Health Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Sejahtera: Jurnal Inspirasi Mengabdi Untuk Negeri Jurnal Masyarakat Madani Indonesia IKHLAS: Jurnal Pengabdian Dosen dan Mahasiswa Jurnal Kabar Masyarakat Jurnal Abdimas Maduma Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Journal Medical Informatics Technology The International Science of Health Journal Journal of Technology Informatics and Engineering Vitamedica: Jurnal Rumpun Kesehatan Umum Journal Innovation In Education Journal of Innovative and Creativity International Journal of Community Engagement and Development Journal of Clinical Pharmacy and Pharmaceutical Science Horizon: Indonesian Journal of Multidisciplinary International Journal Of Public Health International Journal Of Health And Social Behavior International Journal of Health and Medicine Sevaka: Hasil Kegiatan Layanan Masyarakat Systematic Literature Review Journal Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Pengabdian Deli Sumatera Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI
Balqis Nurmauli Damanik
Universitas Bunda Thamrin
Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : journal medical informatics technology

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Determinants of Hospital Length of Stay Among Pulmonary Tuberculosis Inpatients at A Secondary General Hospital in Indonesia: A Comparative Analysis Balqis Nurmauli Damanik; Hely Hely
Journal Medical Informatics Technology Volume 4 No. 2, June 2026
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v4i2.150

Abstract

Tuberculosis (TB) remains a major public health challenge in Indonesia, which has the second-highest TB burden globally. Hospital length of stay (LOS) is an important indicator of inpatient care efficiency and influences reimbursement under the Indonesia Case-Based Groups (INA-CBGs) payment system. However, evidence regarding determinants of LOS in Indonesian secondary hospitals is still limited. This retrospective comparative study analyzed secondary medical-record data from a secondary general hospital in Medan, North Sumatra, collected between January and August 2025. Among 238 identified records, 215 patients with a primary diagnosis of pulmonary TB (ICD-10: A15.0–A16.9) met the inclusion criteria. LOS was calculated from admission and discharge dates. As LOS was not normally distributed (Shapiro–Wilk, p < 0.001), the Kruskal–Wallis and Mann–Whitney U tests with Dunn post-hoc correction were applied (α = 0.05). The median LOS was 3 days (IQR 2–4; range 0–13). Most patients were younger than 65 years (75.3%), while 51.2% had no documented comorbidity. Comorbidity burden was the only factor significantly associated with LOS (H = 18.74, p < 0.001; η² = 0.082). Patients with two or more comorbidities had significantly longer hospitalization than those without comorbidities (mean 4.18 vs. 2.82 days; p < 0.001) and those with one comorbidity (p = 0.013). No significant differences were found according to age group or insurance status. These findings indicate that comorbidity burden contributes to prolonged hospitalization among pulmonary TB inpatients and support integrating multimorbidity management into TB care. Larger multicenter prospective studies are needed to validate these findings.
Co-Authors Abdul Jabarsyah Abdul Jabarsyah, Abdul Achmad Huzairy Manurung Achyani, Ratno Alisarjuni Padang Alisarjuni Padang Amandha Asri Sirait Andi Zalukhu Annisa FebrianaSiregar Annisatun Munawarah Anwar, Syahferi Ardy Andreas Bernard Kase Arief Rahman Aceh Asbar Laga Asbar Laga, Asbar Asminanda, Cut Roza Asnita Yani Asnita Yani Athira Demitri Br. sianturi, Marta Imelda Bulkis Putri Nazira HSB Christo Christo Christo Christo Khu Christo Khu Cut Roza Asminanda Cut Roza Asminanda Cut Roza Asminanda Damanik, Derma Wani Darliah, Lilis Daulay, Dealita Khairani Daya, Melinda Dealita Khairani Daulay Dedi Ardinata Dedi Ardinata Dhea Amanda Putri Dhimas Wiharyanto Dian Islamia Muhtar Dori Rachmawani Dori Rachmawanti Dudut Tanjung Dwi Ulan Rahmawati Elpriska Elpriska Elvipson Sinaga Emmy Ramadhani Era Zana Nisa Fitri, Nurdina Gazali Salim Gerson Zalukhu Hafiz Muamar Hartati Hartati Hartati Hartati Haryono, M Gandri Haryono, M. Gandri Hely Hely Hely Hely Hely Hely, Hely Heni Irawati Heni Irawati Henny Purwanti Heri Prasetio Humaida Hanim Huwaina Af'idah Ilham Habibi Intan Fadilah Hasanah Irma Valentina Manurung Irma Valentina Manurung Irma Valentina Manurung Irwan Djumat Irwansyah Putra Ismayadi Ismayadi Ismayadi Izmi Arisa Putri Lubis Juwita Diah Indriyani Kase, Ardy Andreas Bernard Khairul Saleh Khairunnisa Situmorang Komari Ledi Isni Br. Pasaribu Lilis Darliah Linawati Togatorop Lutfi Henderlan Harahap m gandri haryono Marhamah Marhamah Marhamah Marhamah Marta Imelda Br Sianturi Marta Imelda Br Sianturi Marta Imelda Br Sianturi Melinda Daya Muhamad Roem Muhammad Akbar Syahbana Pane Muhammad Firdaus Muhammad Firdaus Muhammad Gandri Haryono Muhammad Luthfi Muhammad Qori Humadi Muhammad Roem Muhammad Roem Muhammad Yusfi Yusuf Muhtar, Dian Islamia Murni Noviani Murni Noviani Nasution Nani I. Rajaloa Nasution, Murni Noviani NILAWATI Nilawati Nilawati Nilawati Nilawati Nilawati Nurcholisah Fitra Nurdina Fitri Padang, Alisarjuni Prasetio, Heri Pulungan, Ruslan Zuhair Putri, Dhea Amanda Rachmawanti, Dori Rahmad Dian Rahmad Dian Rahmadania, Sabrina Nourramzy Rahmawati, Dwi Ulan Ratno Achyani Ratu Mutiara Siregar Resti Amelia Saputri Rizky Andriani Bakara Roem, Muhamad Romdoni, Taufiq Ahmad Ruslan Zuhair Pulungan Ruslan Zuhair Pulungan Ruslan Zuhair Pulungan Sabrina Nourramzy Rahmadania Saputri, Resti Amelia Saragih, Julwansa Selamat Tuahta Sipayung Sianturi, Marta Imelda Br Sinurat, Buenita Siregar, Annisa Febriana Siska Siska Siti Khadijah Solihin Solihin Solihin Suci Wulandari Suci Wulandari Surya Utama Syahferi Anwar Syamsidar Gaffar Taqwa, Amrullah Tasya Aurelia Taufiq Ahmad Romdoni Taufiq Ahmad Romdoni Theresia Sarywaty Situmorang Theresia Sarywaty Situmorang Theresia Theresia Theresia Theresia Tifani Hadi Tri wahyuni Tuty Alawiyah Tuty Alawiyah Valentina, Irma Victor Trismanjaya Hulu Vinna Pratiwi Agustyn Welong Seftian Surya Widya Jerni Gulo Yoseph Steven Tambunan Yunia, Eva Anita Yushra Yushra Yusuf Hanafiah Yusuf, Muhammad Yusfi Zalukhu, Gerson