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Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study

BACKGROUND: Length of stay (LOS) in the emergency department (ED) should be measured and evaluated comprehensively as an important indicator of hospital emergency service. In this study, we aimed to analyze clinical characteristics of critically ill patients admitted to the ED and identify the facto...

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Autores principales: Yang, Zhiwei, Song, Kun, Lin, Hang, Li, Changluo, Ding, Ning
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336256/
https://www.ncbi.nlm.nih.gov/pubmed/34333509
http://dx.doi.org/10.12659/MSM.931286
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author Yang, Zhiwei
Song, Kun
Lin, Hang
Li, Changluo
Ding, Ning
author_facet Yang, Zhiwei
Song, Kun
Lin, Hang
Li, Changluo
Ding, Ning
author_sort Yang, Zhiwei
collection PubMed
description BACKGROUND: Length of stay (LOS) in the emergency department (ED) should be measured and evaluated comprehensively as an important indicator of hospital emergency service. In this study, we aimed to analyze clinical characteristics of critically ill patients admitted to the ED and identify the factors associated with LOS. MATERIAL/METHODS: All patients with level 1 and level 2 of the Emergency Severity Index who were admitted to the ED from January 2018 to December 2019 were included in this retrospective study. The patients were divided into 2 groups: LOS ≥4 h and LOS <4 h. Variables were comprehensively analyzed and compared between the 2 groups. RESULTS: A total of 19 616 patients, including 7269 patients in the LOS ≥4 h group and 12 347 patients in the LOS <4 group, were included. Advanced age, admission in winter and during the night shift, and diseases excluding nervous system diseases, cardiovascular diseases, and trauma were associated with higher risk of LOS. Nervous system diseases, cardiovascular diseases, trauma, and procedures including tracheal intubation, surgery, percutaneous coronary intervention, and thrombolysis were associated with lower risk of LOS. CONCLUSIONS: Prolonged LOS in the ED was associated with increased age and admission in winter and during the night shift, while shortened LOS was associated with nervous system diseases, cardiovascular diseases, and trauma, as well as with procedures including tracheal intubation, surgery, percutaneous coronary intervention, and thrombolysis. Our findings can serve as a guide for ED physicians to individually evaluate patient condition and allocate medical resources more effectively.
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spelling pubmed-83362562021-08-20 Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study Yang, Zhiwei Song, Kun Lin, Hang Li, Changluo Ding, Ning Med Sci Monit Clinical Research BACKGROUND: Length of stay (LOS) in the emergency department (ED) should be measured and evaluated comprehensively as an important indicator of hospital emergency service. In this study, we aimed to analyze clinical characteristics of critically ill patients admitted to the ED and identify the factors associated with LOS. MATERIAL/METHODS: All patients with level 1 and level 2 of the Emergency Severity Index who were admitted to the ED from January 2018 to December 2019 were included in this retrospective study. The patients were divided into 2 groups: LOS ≥4 h and LOS <4 h. Variables were comprehensively analyzed and compared between the 2 groups. RESULTS: A total of 19 616 patients, including 7269 patients in the LOS ≥4 h group and 12 347 patients in the LOS <4 group, were included. Advanced age, admission in winter and during the night shift, and diseases excluding nervous system diseases, cardiovascular diseases, and trauma were associated with higher risk of LOS. Nervous system diseases, cardiovascular diseases, trauma, and procedures including tracheal intubation, surgery, percutaneous coronary intervention, and thrombolysis were associated with lower risk of LOS. CONCLUSIONS: Prolonged LOS in the ED was associated with increased age and admission in winter and during the night shift, while shortened LOS was associated with nervous system diseases, cardiovascular diseases, and trauma, as well as with procedures including tracheal intubation, surgery, percutaneous coronary intervention, and thrombolysis. Our findings can serve as a guide for ED physicians to individually evaluate patient condition and allocate medical resources more effectively. International Scientific Literature, Inc. 2021-08-01 /pmc/articles/PMC8336256/ /pubmed/34333509 http://dx.doi.org/10.12659/MSM.931286 Text en © Med Sci Monit, 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Yang, Zhiwei
Song, Kun
Lin, Hang
Li, Changluo
Ding, Ning
Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study
title Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study
title_full Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study
title_fullStr Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study
title_full_unstemmed Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study
title_short Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study
title_sort factors associated with emergency department length of stay in critically ill patients: a single-center retrospective study
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336256/
https://www.ncbi.nlm.nih.gov/pubmed/34333509
http://dx.doi.org/10.12659/MSM.931286
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