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Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission

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 c...

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Autores principales: Tolestam Heyman, Ellen, Engström, Martin, Baigi, Amir, Dahlén Holmqvist, Lina, Lingman, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8048858/
https://www.ncbi.nlm.nih.gov/pubmed/33037715
http://dx.doi.org/10.1002/hpm.3086
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author Tolestam Heyman, Ellen
Engström, Martin
Baigi, Amir
Dahlén Holmqvist, Lina
Lingman, Markus
author_facet Tolestam Heyman, Ellen
Engström, Martin
Baigi, Amir
Dahlén Holmqvist, Lina
Lingman, Markus
author_sort Tolestam Heyman, Ellen
collection PubMed
description 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.
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spelling pubmed-80488582021-04-20 Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission Tolestam Heyman, Ellen Engström, Martin Baigi, Amir Dahlén Holmqvist, Lina Lingman, Markus Int J Health Plann Manage Research Articles 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. John Wiley and Sons Inc. 2020-10-09 2021-03 /pmc/articles/PMC8048858/ /pubmed/33037715 http://dx.doi.org/10.1002/hpm.3086 Text en © 2020 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Tolestam Heyman, Ellen
Engström, Martin
Baigi, Amir
Dahlén Holmqvist, Lina
Lingman, Markus
Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
title Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
title_full Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
title_fullStr Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
title_full_unstemmed Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
title_short Likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
title_sort likelihood of admission to hospital from the emergency department is not universally associated with hospital bed occupancy at the time of admission
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8048858/
https://www.ncbi.nlm.nih.gov/pubmed/33037715
http://dx.doi.org/10.1002/hpm.3086
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