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Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana
BACKGROUND: Left without being seen (LWBS) proportions are commonly used as quality control indicators, but little data is available on LWBS proportions in the developing world. This study sought to determine the proportion and characteristics of patients who LWBS from the emergency department (ED)...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699376/ https://www.ncbi.nlm.nih.gov/pubmed/23786454 http://dx.doi.org/10.1186/1471-227X-13-10 |
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author | Parekh, Kendra P Russ, Stephan Amsalem, David A Rambaran, Navindranauth Wright, Seth W |
author_facet | Parekh, Kendra P Russ, Stephan Amsalem, David A Rambaran, Navindranauth Wright, Seth W |
author_sort | Parekh, Kendra P |
collection | PubMed |
description | BACKGROUND: Left without being seen (LWBS) proportions are commonly used as quality control indicators, but little data is available on LWBS proportions in the developing world. This study sought to determine the proportion and characteristics of patients who LWBS from the emergency department (ED) of the main public hospital in Georgetown, Guyana. METHODS: This is a retrospective cross-sectional analysis of an ED quality assurance database. Registration personnel collected demographic information on patients presenting to the ED over a 2-week period in July 2010. Both univariate and multivariate analysis were conducted to determine patient characteristics associated with LWBS. RESULTS: The LWBS proportion was 5.7%. In univariate analysis, patients 18 or older (OR 1.48, 95%CI 1.03-2.12), presenting during the 4PM-12AM shift (OR 2.15, 95%CI 1.53-3.01), with non-urgent triage classification (OR 1.88, 95%CI 1.76-4.66), with non-traumatic chief complaints (OR 1.70, 95%CI 1.14-2.55), or who were not transferred (OR 2.13, 95%CI 1.00-4.55) had significantly higher odds of LWBS. On multivariate analysis, only patients 18 or older (OR 1.54, 95%CI 1.02-2.33), presenting during the 4PM-12AM shift (OR 2.29, 95%CI 1.54-3.40), and with non-traumatic chief complaints (OR 2.39, 95%CI 1.43-4.02) were found to be significantly associated with LWBS. Sex, residence in the capital city, time to triage, transfer status, use of EMS, and triage classification were not statistically associated with LWBS. CONCLUSIONS: LWBS proportions are used as quality control indicators and this study determined the LWBS proportion at a public hospital in a developing country and some of the patient characteristics associated with LWBS. This can be helpful to develop strategies to decrease LWBS proportions and to assess progress over time. |
format | Online Article Text |
id | pubmed-3699376 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-36993762013-07-03 Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana Parekh, Kendra P Russ, Stephan Amsalem, David A Rambaran, Navindranauth Wright, Seth W BMC Emerg Med Research Article BACKGROUND: Left without being seen (LWBS) proportions are commonly used as quality control indicators, but little data is available on LWBS proportions in the developing world. This study sought to determine the proportion and characteristics of patients who LWBS from the emergency department (ED) of the main public hospital in Georgetown, Guyana. METHODS: This is a retrospective cross-sectional analysis of an ED quality assurance database. Registration personnel collected demographic information on patients presenting to the ED over a 2-week period in July 2010. Both univariate and multivariate analysis were conducted to determine patient characteristics associated with LWBS. RESULTS: The LWBS proportion was 5.7%. In univariate analysis, patients 18 or older (OR 1.48, 95%CI 1.03-2.12), presenting during the 4PM-12AM shift (OR 2.15, 95%CI 1.53-3.01), with non-urgent triage classification (OR 1.88, 95%CI 1.76-4.66), with non-traumatic chief complaints (OR 1.70, 95%CI 1.14-2.55), or who were not transferred (OR 2.13, 95%CI 1.00-4.55) had significantly higher odds of LWBS. On multivariate analysis, only patients 18 or older (OR 1.54, 95%CI 1.02-2.33), presenting during the 4PM-12AM shift (OR 2.29, 95%CI 1.54-3.40), and with non-traumatic chief complaints (OR 2.39, 95%CI 1.43-4.02) were found to be significantly associated with LWBS. Sex, residence in the capital city, time to triage, transfer status, use of EMS, and triage classification were not statistically associated with LWBS. CONCLUSIONS: LWBS proportions are used as quality control indicators and this study determined the LWBS proportion at a public hospital in a developing country and some of the patient characteristics associated with LWBS. This can be helpful to develop strategies to decrease LWBS proportions and to assess progress over time. BioMed Central 2013-06-21 /pmc/articles/PMC3699376/ /pubmed/23786454 http://dx.doi.org/10.1186/1471-227X-13-10 Text en Copyright © 2013 Parekh et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Parekh, Kendra P Russ, Stephan Amsalem, David A Rambaran, Navindranauth Wright, Seth W Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana |
title | Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana |
title_full | Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana |
title_fullStr | Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana |
title_full_unstemmed | Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana |
title_short | Who leaves the emergency department without being seen? A public hospital experience in Georgetown, Guyana |
title_sort | who leaves the emergency department without being seen? a public hospital experience in georgetown, guyana |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699376/ https://www.ncbi.nlm.nih.gov/pubmed/23786454 http://dx.doi.org/10.1186/1471-227X-13-10 |
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