Abstract 243: Length Of Hospital Stay Is Lessened In Patients That Present With Chest Pain When Admitted To The Cardiology Service Compared To Other Services Within Our Teaching Hospital
| Autor: | Garry G Lachhar, Elnaz Mahbub, Andrew Grees, Anita Kim, Kathryn Saxby, Meghan Beard, Jeffrey Blair, Andrew Melek, John Seligson, Rahat Gul, Michael McCarthy, John P Reilly |
|---|---|
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 15 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.15.suppl_1.243 |
| Popis: | Length of stay (LOS) in the hospital for patients presenting with chest pain can be influenced by several factors. In patients evaluated for acute coronary syndrome (ACS), admission to a cardiology service may allow patients to have a shorter LOS, while admission to a non-specialty service has been shown to potentially cause worse outcomes. In this analysis, we evaluate whether specialized care decreases LOS in patients who present with chest pain. A retrospective review of 389 patients who presented to Stony Brook Southampton Hospital in 2020 and 2021 with chest pain and underwent ACS evaluation was conducted. The two strategies involved admissions to the cardiology service or to other hospital services. We analyzed 95 cardiology admissions, 56.8% of which ruled in for ACS, and 294 admissions to other hospital services, 58.2% of which ruled in for ACS. LOS was defined as hours between triage and submission of discharge instructions. A two-sample t-test was performed to find correlations between admission service and length of hospital stay. A two-sample t-test assuming unequal variance was conducted to compare LOS in hours between patients admitted to the cardiology and non-cardiology services. There was a significant difference in LOS for the cardiology service (M = 48, SD = 55) and non-cardiology service (M = 134, SD = 214) conditions; t = 6.30, p < 0.001. These results suggest that LOS is lessened when chest pain patients are admitted to the cardiology service. The variance was elevated (2985, 45849), possibly due to patients who stayed longer for other needs, but mean LOS and SD remained decreased when excluding patients that stayed longer than one week, and when including all patients in the analysis. When admitting a patient, there are many ways to optimize LOS. Admission of patients who present with chest pain to a specialty cardiology service may allow patients to have a more efficient LOS and should be further investigated and considered in the future. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|