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Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017

This study was to determine whether prolonged emergency department (ED) length of stay (LOS) is associated with increased risk of in-hospital cardiac arrest (IHCA). A retrospective cohort with a nationwide database of all adult patients who visited the EDs in South Korea between January 2016 and Dec...

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Autores principales: Kim, June-sung, Seo, Dong Woo, Kim, Youn-Jung, Jeong, Jinwoo, Kang, Hyunggoo, Han, Kap Su, Kim, Su Jin, Lee, Sung Woo, Ahn, Shin, Kim, Won Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408893/
https://www.ncbi.nlm.nih.gov/pubmed/32708363
http://dx.doi.org/10.3390/jcm9072284
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author Kim, June-sung
Seo, Dong Woo
Kim, Youn-Jung
Jeong, Jinwoo
Kang, Hyunggoo
Han, Kap Su
Kim, Su Jin
Lee, Sung Woo
Ahn, Shin
Kim, Won Young
author_facet Kim, June-sung
Seo, Dong Woo
Kim, Youn-Jung
Jeong, Jinwoo
Kang, Hyunggoo
Han, Kap Su
Kim, Su Jin
Lee, Sung Woo
Ahn, Shin
Kim, Won Young
author_sort Kim, June-sung
collection PubMed
description This study was to determine whether prolonged emergency department (ED) length of stay (LOS) is associated with increased risk of in-hospital cardiac arrest (IHCA). A retrospective cohort with a nationwide database of all adult patients who visited the EDs in South Korea between January 2016 and December 2017 was performed. A total of 18,217,034 patients visited an ED during the study period. The median ED LOS was 2.5 h. IHCA occurred in 9,180 patients (0.2%). IHCA was associated with longer ED LOS (4.2 vs. 2.5 h), and higher rates of intensive care unit (ICU) admission (58.6% vs. 4.7%) and in-hospital mortality (35.7% vs. 1.5%). The ED LOS correlated positively with the development of IHCA (Spearman ρ = 0.91; p < 0.01) and was an independent risk factor for IHCA (odds ratio (OR) 1.10; 95% confidence interval (CI), 1.10–1.10). The development of IHCA increased in a stepwise fashion across increasing quartiles of ED LOS, with ORs for the second, third, and fourth relative to the first being 3.35 (95% CI, 3.26–3.44), 3.974 (95% CI, 3.89–4.06), and 4.97 (95% CI, 4.89–5.05), respectively. ED LOS should be reduced to prevent adverse events in patients visiting the ED.
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spelling pubmed-74088932020-08-13 Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017 Kim, June-sung Seo, Dong Woo Kim, Youn-Jung Jeong, Jinwoo Kang, Hyunggoo Han, Kap Su Kim, Su Jin Lee, Sung Woo Ahn, Shin Kim, Won Young J Clin Med Article This study was to determine whether prolonged emergency department (ED) length of stay (LOS) is associated with increased risk of in-hospital cardiac arrest (IHCA). A retrospective cohort with a nationwide database of all adult patients who visited the EDs in South Korea between January 2016 and December 2017 was performed. A total of 18,217,034 patients visited an ED during the study period. The median ED LOS was 2.5 h. IHCA occurred in 9,180 patients (0.2%). IHCA was associated with longer ED LOS (4.2 vs. 2.5 h), and higher rates of intensive care unit (ICU) admission (58.6% vs. 4.7%) and in-hospital mortality (35.7% vs. 1.5%). The ED LOS correlated positively with the development of IHCA (Spearman ρ = 0.91; p < 0.01) and was an independent risk factor for IHCA (odds ratio (OR) 1.10; 95% confidence interval (CI), 1.10–1.10). The development of IHCA increased in a stepwise fashion across increasing quartiles of ED LOS, with ORs for the second, third, and fourth relative to the first being 3.35 (95% CI, 3.26–3.44), 3.974 (95% CI, 3.89–4.06), and 4.97 (95% CI, 4.89–5.05), respectively. ED LOS should be reduced to prevent adverse events in patients visiting the ED. MDPI 2020-07-18 /pmc/articles/PMC7408893/ /pubmed/32708363 http://dx.doi.org/10.3390/jcm9072284 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, June-sung
Seo, Dong Woo
Kim, Youn-Jung
Jeong, Jinwoo
Kang, Hyunggoo
Han, Kap Su
Kim, Su Jin
Lee, Sung Woo
Ahn, Shin
Kim, Won Young
Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017
title Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017
title_full Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017
title_fullStr Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017
title_full_unstemmed Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017
title_short Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016–2017
title_sort prolonged length of stay in the emergency department and increased risk of in-hospital cardiac arrest: a nationwide population-based study in south korea, 2016–2017
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408893/
https://www.ncbi.nlm.nih.gov/pubmed/32708363
http://dx.doi.org/10.3390/jcm9072284
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