{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T15:28:17Z","timestamp":1793201297759,"version":"4.5.0"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIAL AND METHODS:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Regression analysis indicated a positive correlation between higher education levels and discharge readiness (B = 6.232,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002), while lower satisfaction (B = -39.921,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001), caregiver presence (B = -42.24,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.019), and comorbidities (B = -16.81,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.029) reduced readiness. Correlation analysis revealed a positive relationship between education and discharge readiness (Rho = 0.253,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001) and negative relationship with caregiver presence (Rho = \u22120.177,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.025), specific admissions (Rho = \u22120.204,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010), and longer stays (Rho = \u22120.197,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_1584_24","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T18:01:22Z","timestamp":1759168882000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Discharge readiness and its predictors in post craniotomy patients: A single\u2010centre study at a tertiary care hospital in Northern India"],"prefix":"10.4103","volume":"14","author":[{"given":"Nimarta","family":"Rana","sequence":"first","affiliation":[{"name":"Medical Surgical Nursing Department, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nipin","family":"Kalal","sequence":"additional","affiliation":[{"name":"Medical Surgical Nursing Department, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh K.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Medical Surgical Nursing Department, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suryanarayanan","family":"Bhaskar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Medical Surgical Nursing Department, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9]]},"reference":[{"key":"R1-20251022","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/CNQ.0b013e318283d0f3","article-title":"Acuity-adaptable patient room improves length of stay and cost of patients undergoing renal transplant: A pilot study","volume":"36","author":"Bonuel","year":"2013","journal-title":"Crit Care Nurs Q"},{"key":"R2-20251022","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.jss.2015.02.024","article-title":"Same day discharge after laparoscopic cholecystectomy in children","volume":"195","author":"Dalton","year":"2015","journal-title":"J Surg Res"},{"key":"R3-20251022","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1001\/jamasurg.2013.4658","article-title":"The use of magnetic resonance imaging in the diagnosis of suspected appendicitis in pregnancy: Shortened length of stay without increase in hospital charges","volume":"149","author":"Fonseca","year":"2014","journal-title":"JAMA Surg"},{"key":"R4-20251022","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.jpedsurg.2015.10.037","article-title":"Paravertebral regional blocks decrease length of stay following surgery for pectus excavatum in children","volume":"51","author":"Loftus","year":"2016","journal-title":"J Pediatr Surg"},{"key":"R5-20251022","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1016\/j.urolonc.2011.10.007","article-title":"Discharge patterns after radical prostatectomy in the United States of America","volume":"31","author":"Trinh","year":"2013","journal-title":"Urol Oncol"},{"key":"R6-20251022","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1177\/1457496914526872","article-title":"Reduction mammaplasty as an outpatient procedure: A retrospective analysis of outcome and success rate","volume":"104","author":"Carpelan","year":"2015","journal-title":"Scand J Surg"},{"key":"R7-20251022","doi-asserted-by":"crossref","first-page":"947","DOI":"10.5336\/nurses.2021-81438","article-title":"Nursing care satisfaction and readiness for hospital discharge states of patients hospitalized in internal medicine clinics: Descriptive cross-sectional research example","volume":"13","author":"Bah\u00e7ecio\u011flu","year":"2021","journal-title":"Turkiye Klinikleri J Nurs Sci"},{"key":"R8-20251022","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/S0003-3944(00)00258-3","article-title":"Place de la chirurgie ambulatoire en chirurgie s\u00e9nologique. 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