Contemporary evaluation of adverse outcome risks associated with 'did not wait' emergency department presentations.

Autor: Bin Mohamed Ebrahim ME; Emergency Department, Westmead Hospital, Sydney, New South Wales, Australia.; Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia., Tang M; Emergency Department, Westmead Hospital, Sydney, New South Wales, Australia., Vukasovic M; Emergency Department, Westmead Hospital, Sydney, New South Wales, Australia., Coggins A; Emergency Department, Westmead Hospital, Sydney, New South Wales, Australia.; Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Emergency medicine Australasia : EMA [Emerg Med Australas] 2021 Oct; Vol. 33 (5), pp. 932-934. Date of Electronic Publication: 2021 Jun 29.
DOI: 10.1111/1742-6723.13820
Abstrakt: Objective: Did not wait (DNW) is a frequently cited ED key performance indicator. We conducted a network-based observational study of consecutive DNW presentations.
Methods: Prospective cohort study of Western Sydney Local Health District with a primary outcome measure of reported 30-day all-cause mortality and secondary outcomes of demographic characteristics and representation risk. For re-presenting patients who were subsequently admitted, a manual review of electronic records and incident report systems based on a priori plan assessed each case for the length of stay and adverse outcomes.
Results: During the study window, there were 1114 DNW presentations with 172 (15.4%) re-presentation within 72 h. The analysis of re-presented patients did not reveal adverse outcomes or prolonged length of stay. A review of available outcomes data revealed one DNW patient died within 30 days but had a previous palliative plan for terminal illness.
Conclusion: While a proportion of DNW patients re-presented within 72 h, an excess prevalence of poor outcomes were not observed.
(© 2021 Australasian College for Emergency Medicine.)
Databáze: MEDLINE
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