Does crowding influence emergency department treatment time and disposition?
| Autor: | Nathan R. Hoot, Yashwant Chathampally, David J. Robinson, Benjamin W. Voronin, Rosa Banuelos, Kimberly A. Chambers |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry logistic regression lcsh:Medical emergencies. Critical care. Intensive care. First aid Retrospective cohort study log‐linear models lcsh:RC86-88.9 Disposition Emergency department The Practice of Emergency Medicine Chest pain Logistic regression Crowding emergency departments Emergency Severity Index crowding Quartile length of stay efficiency Internal medicine medicine medicine.symptom business Original Research hospitalization |
| Zdroj: | Journal of the American College of Emergency Physicians Open Journal of the American College of Emergency Physicians Open, Vol 2, Iss 1, Pp n/a-n/a (2021) |
| ISSN: | 2688-1152 |
| Popis: | Objective The objective of this study was to determine whether crowding influences treatment times and disposition decisions for emergency department (ED) patients. Methods We conducted a retrospective cohort study at 2 hospitals from January 1, 2014, to July 1, 2014. Adult ED visits with dispositions of discharge, admission, or transfer were included. Treatment times were modeled by linear regression with log‐transformation; disposition decisions (admission or transfer vs discharge) were modeled by logistic regression. Both models adjusted for chief complaint, Emergency Severity Index (ESI), and 4 crowding metrics in quartiles: waiting count, treatment count, boarding count, and National Emergency Department Overcrowding Scale. Results We included 21,382 visits at site A (12.9% excluded) and 29,193 at site B (15.0% excluded). Respective quartiles of treatment count increased treatment times by 7.1%, 10.5%, and 13.3% at site A (P |
| Databáze: | OpenAIRE |
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