Cargando…

Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital

BACKGROUND: The transfer time for critically ill patients from the emergency department (ED) to the Intensive care unit (ICU) must be minimal; however, some factors prolong the transfer time, which may delay intensive care treatment and adversely affect the patient’s outcome. PURPOSE: To identify fa...

Descripción completa

Detalles Bibliográficos
Autores principales: Teklie, Helen, Engida, Hywet, Melaku, Birhanu, Workina, Abdata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547562/
https://www.ncbi.nlm.nih.gov/pubmed/34702169
http://dx.doi.org/10.1186/s12873-021-00518-z
_version_ 1784590402720890880
author Teklie, Helen
Engida, Hywet
Melaku, Birhanu
Workina, Abdata
author_facet Teklie, Helen
Engida, Hywet
Melaku, Birhanu
Workina, Abdata
author_sort Teklie, Helen
collection PubMed
description BACKGROUND: The transfer time for critically ill patients from the emergency department (ED) to the Intensive care unit (ICU) must be minimal; however, some factors prolong the transfer time, which may delay intensive care treatment and adversely affect the patient’s outcome. PURPOSE: To identify factors affecting intensive care unit admission of critically ill patients from the emergency department. PATIENTS AND METHODS: A cross-sectional study design was conducted from January 13 to April 12, 2020, at the emergency department of Tikur Anbesa Specialized Hospital. All critically ill patients who need intensive care unit admission during the study period were included in the study. A pretested structured questionnaire was adapted from similar studies. The data were collected by chart review and observation. Then checked data were entered into Epi-data version 4.1 and cleaned data was exported to SPSS Version 25 for analysis. Descriptive statistics, bivariate and multivariate logistic regression were used to analyze the data. RESULT: From the total of 102 critically ill patients who need ICU admission 84.3% of them had prolonged lengths of ED stay. The median length of ED stay was 13.5 h with an IQR of 7–25.5 h. The most common reasons for delayed ICU admission were shortage of ICU beds 56 (65.1%) and delays in radiological examination results 13(15.1%). On multivariate logistic regression p < 0.05 male gender (AOR = 0.175, 95% CI: (0.044, 0.693)) and shortage of ICU bed (AOR = 0.022, 95% CI: (0.002, 0.201)) were found to have a significant association with delayed intensive care unit admission. CONCLUSION: there was a delay in ICU admission of critically ill patients from the ED. Shortage of ICU bed and delay in radiological investigation results were the reasons for the prolonged ED stay. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12873-021-00518-z.
format Online
Article
Text
id pubmed-8547562
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-85475622021-10-27 Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital Teklie, Helen Engida, Hywet Melaku, Birhanu Workina, Abdata BMC Emerg Med Research BACKGROUND: The transfer time for critically ill patients from the emergency department (ED) to the Intensive care unit (ICU) must be minimal; however, some factors prolong the transfer time, which may delay intensive care treatment and adversely affect the patient’s outcome. PURPOSE: To identify factors affecting intensive care unit admission of critically ill patients from the emergency department. PATIENTS AND METHODS: A cross-sectional study design was conducted from January 13 to April 12, 2020, at the emergency department of Tikur Anbesa Specialized Hospital. All critically ill patients who need intensive care unit admission during the study period were included in the study. A pretested structured questionnaire was adapted from similar studies. The data were collected by chart review and observation. Then checked data were entered into Epi-data version 4.1 and cleaned data was exported to SPSS Version 25 for analysis. Descriptive statistics, bivariate and multivariate logistic regression were used to analyze the data. RESULT: From the total of 102 critically ill patients who need ICU admission 84.3% of them had prolonged lengths of ED stay. The median length of ED stay was 13.5 h with an IQR of 7–25.5 h. The most common reasons for delayed ICU admission were shortage of ICU beds 56 (65.1%) and delays in radiological examination results 13(15.1%). On multivariate logistic regression p < 0.05 male gender (AOR = 0.175, 95% CI: (0.044, 0.693)) and shortage of ICU bed (AOR = 0.022, 95% CI: (0.002, 0.201)) were found to have a significant association with delayed intensive care unit admission. CONCLUSION: there was a delay in ICU admission of critically ill patients from the ED. Shortage of ICU bed and delay in radiological investigation results were the reasons for the prolonged ED stay. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12873-021-00518-z. BioMed Central 2021-10-26 /pmc/articles/PMC8547562/ /pubmed/34702169 http://dx.doi.org/10.1186/s12873-021-00518-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Teklie, Helen
Engida, Hywet
Melaku, Birhanu
Workina, Abdata
Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital
title Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital
title_full Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital
title_fullStr Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital
title_full_unstemmed Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital
title_short Factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency Department in Tikur Anbessa Specialized Hospital
title_sort factors contributing to delay intensive care unit admission of critically ill patients from the adult emergency department in tikur anbessa specialized hospital
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547562/
https://www.ncbi.nlm.nih.gov/pubmed/34702169
http://dx.doi.org/10.1186/s12873-021-00518-z
work_keys_str_mv AT tekliehelen factorscontributingtodelayintensivecareunitadmissionofcriticallyillpatientsfromtheadultemergencydepartmentintikuranbessaspecializedhospital
AT engidahywet factorscontributingtodelayintensivecareunitadmissionofcriticallyillpatientsfromtheadultemergencydepartmentintikuranbessaspecializedhospital
AT melakubirhanu factorscontributingtodelayintensivecareunitadmissionofcriticallyillpatientsfromtheadultemergencydepartmentintikuranbessaspecializedhospital
AT workinaabdata factorscontributingtodelayintensivecareunitadmissionofcriticallyillpatientsfromtheadultemergencydepartmentintikuranbessaspecializedhospital