Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
| Autor: | Ellen Tolestam Heyman, Martin Engström, Markus Lingman, Lina Holmqvist, Amir Baigi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis emergency department Occupancy Hospital bed Logistic regression 03 medical and health sciences emergency medicine Humans Medicine Research Articles Bed Occupancy Retrospective Studies business.industry 030503 health policy & services Health Policy Univariate Retrospective cohort study Emergency department Odds ratio Length of Stay Hospitals Hospitalization admission rate hospital bed occupancy Emergency medicine Emergency Service Hospital 0305 other medical science business Research Article disposition decision |
| Zdroj: | The International Journal of Health Planning and Management |
| ISSN: | 1099-1751 0749-6753 |
| Popis: | Background: The decision to admit into the hospital from the emergency department (ED) is considered to be important and challenging. The aim was to assess whether previously published results suggesting an association between hospital bed occupancy and likelihood of hospital admission from the ED can be reproduced in a different study population. Methods: A retrospective cohort study of attendances at two Swedish EDs in 2015 was performed. Admission to hospital was assessed in relation to hospital bed occupancy together with other clinically relevant variables. Hospital bed occupancy was categorized and univariate and multivariate logistic regression were performed. Results: In total 89,503 patient attendances were included in the final analysis. Of those, 29.1% resulted in admission within 24 h. The mean hospital bed occupancy by the hour of the two hospitals was 87.1% (SD 7.6). In both the univariate and multivariate analysis, odds ratio for admission within 24 h from the ED did not decrease significantly with an increasing hospital bed occupancy. Conclusions: A negative association between admission to hospital and occupancy level, as reported elsewhere, was not replicated. This suggests that the previously shown association might not be universal but may vary across sites due to setting specific circumstances. (Less) |
| Databáze: | OpenAIRE |
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