دورية أكاديمية
أعرض في EDS

Factors Affecting Length of Stays in the Emergency Department of a Teaching Hospital: A Retrospective Study From Najran, Saudi Arabia.

التفاصيل البيبلوغرافية
العنوان: Factors Affecting Length of Stays in the Emergency Department of a Teaching Hospital: A Retrospective Study From Najran, Saudi Arabia.
المؤلفون: Badheeb AM; Oncology, King Khalid Hospital-Oncology Center, Najran, SAU., Almutairi MA; Internal Medicine, King Khalid Hospital, Najran, SAU., Almakrami AH; Endocrinology, King Khalid Hospital, Najran, SAU., Aman AA; Internal Medicine/Endocrine and Diabetes, King Khalid Hospital, Najran, SAU., Al-Swedan AD; Infectious Disease, King Khalid Hospital, Najran, SAU., Alrajjal K; Internal Medicine, King Khalid Hospital, Najran, SAU., Seada IA; Cardiothoracic Surgery, King Khalid Hospital, Najran, SAU., Abu Bakar A; Ophthalmology, King Khalid Hospital, Najran, SAU., Alkarak S; General Surgery, King Khalid Hospital, Najran, SAU., Ahmed F; Urology, Ibb University, Ibb, YEM., Babiker A; Quality and Patient Safety, King Khalid Hospital, Najran, SAU., Susheer S; Quality and Patient Safety, King Khalid Hospital, Najran, SAU., Badheeb M; Internal Medicine, Yale New Haven Health, Bridgeport Hospital, Bridgeport, USA., Almutairi M; Internal Medicine, King Khalid Hospital, Najran, SAU., Obied HY; Surgery, Najran University, Najran, SAU.; Cardiac Surgery, King Khalid Hospital, Najran, SAU.
المصدر: Cureus [Cureus] 2024 Jul 16; Vol. 16 (7), pp. e64684. Date of Electronic Publication: 2024 Jul 16 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background:  Reducing the frequency of emergency department (ED) patient visits for treatment, particularly in urgent instances, is a global healthcare objective. Additionally, a more extended stay in the ED can harm a patient's prognosis during later hospitalization. This study aims to investigate the factors affecting the length of stay in the ED in a teaching hospital.
Methods: A retrospective chart review study was done between January 1, 2021, and February 31, 2021, involving 122 adult patients who had delayed ED visits to King Khalid Hospital in Najran, Saudi Arabia. Data on the patient's characteristics, visit time, and the causes for the delay based on the Canadian Triage and Acuity Scale (CTAS) were gathered and analyzed. Factors associated with more than six hours of delay were investigated in a univariate analysis.
Result: The mean age was 52.3 ±13.5 years, and 42 (34.4%) were more than 65 years of age. More than half of the study population were female (n=66; 54.1%). Most delays occurred among CTAS 4 and 5 cases (47.5%), and 22 (18.0%) occurred during holidays. The mean delay time was 6.1 ±1.8 hours. The leading delay causes were multiple consultations with further investigations (37.7%) and conflict between the teams (36.1%). In univariate analysis, ED visiting at holiday time (OR: 0.14; 95% CI: 0.04-0.40, p <0.001) and CTAS 4 and 5 (OR: 2.22; 95% CI: 0.95-5.30, p = 0.003) significantly had more delay. Factors associated with delay in univariate analysis were multiple consultations with further investigations (OR: 2.82; 95% CI: 1.32-6.26, p = 0.013), various assessments in different ED areas with a late arrival of the specialist (OR: 0.43; 95% CI: 0.20-0.91, p = 0.042), and conflict between the teams (OR: 2.50; 95% CI: 1.17-5.54, p = 0.031).
Conclusion: In this study, multiple assessments in different ED areas and conflict between the teams were the main factors that caused delays in ED. Implementing a timeframe monitoring system for consultations while emphasizing accelerated decision-making and disposition for patients and understanding teamwork collaboration may reduce patients' length of stay in the ED. Implementing these strategies and evaluating their impact on the length of stay in the ED requires further investigation.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Ethics Research Committees of King Khalid Hospital issued approval H-I1-N-089. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Badheeb et al.)
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فهرسة مساهمة: Keywords: canadian triage and acuity scale delayed admission; emergency department; length of stay; najran; saudi arabia
تواريخ الأحداث: Date Created: 20240816 Latest Revision: 20240817
رمز التحديث: 20240817
مُعرف محوري في PubMed: PMC11326857
DOI: 10.7759/cureus.64684
PMID: 39149637
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.64684