Length of stay and associated factors among pediatric patients in the pediatric emergency unit of the Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia.

Autor: Zeleke TA; Department of Emergency Medicine and Critical Care, College of Health Sciences, Addis Ababa University, P.O.BOX 1176, Addis Ababa City, Ethiopia., Nora WT; Department of Emergency Medicine and Critical Care, College of Health Sciences, Addis Ababa University, P.O.BOX 1176, Addis Ababa City, Ethiopia., Denberu MT; Department of Pediatrics, College of Health Sciences, Addis Ababa University, Addis Ababa City, Ethiopia., Adal O; Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, Bahir Dar University, P. O. Box 79, Bahir Dar City, Ethiopia. adalousman5@gmail.com., Demisse LB; Department of Emergency Medicine and Critical Care, College of Health Sciences, Addis Ababa University, P.O.BOX 1176, Addis Ababa City, Ethiopia. lemlem.beza@aau.edu.et.
Jazyk: angličtina
Zdroj: BMC emergency medicine [BMC Emerg Med] 2024 Sep 19; Vol. 24 (1), pp. 170. Date of Electronic Publication: 2024 Sep 19.
DOI: 10.1186/s12873-024-01089-5
Abstrakt: Background: Length of stay in the emergency department is used as a quality indicator to gauge the overall efficiency of emergency care. The performance measure was used to evaluate the quality of care provided in the emergency department.
Objective: To assess the length of stay and associated factors among pediatric patients admitted to the pediatric emergency unit of Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia.
Methods: An institution-based prospective cross-sectional study design was employed. A systematic random sampling technique was used to select the study participants. Data were collected via semi-structured, interviewer-administered questionnaires and chart reviews. Analysis was performed via the Statistical Package for Social Science software version 27. Binary logistic regression analysis was conducted to identify variables associated with the length of stay. The study was conducted in the Pediatric Emergency Unit of Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia, from March 15 to April 15, 2023.
Results: A total of 268 patients participated in the study, with a response rate of 97.81%. The majority of the participants were male (157, 58.6%), with a median age of 3 years. The study revealed that 180 participants (67.2%) experienced a prolonged length of stay. The variables significantly associated with prolonged length of stay included residency (AOR = 2.04, CI: 1.03, 4.025), triage category (AOR = 3.25, CI: 1.08, 5.974), number of investigations (AOR = 2.381, CI: 1.038, 5.462), and waiting for imaging (AOR = 4.230, CI: 1.638, 10.93).
Conclusion: Many pediatric patients stayed in the emergency room for more than 24 h because of factors such as residency, triage category, number of investigations, and the need for imaging. To address this, we recommend streamlining triage processes, increasing imaging resources, providing additional staff training, developing integrated care pathways, and advocating for policy changes to increase emergency room efficiency and improve patient outcomes.
(© 2024. The Author(s).)
Databáze: MEDLINE
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