Factors associated with emergency department length of stay of internal medicine patients
Open Access
- 28 June 2021
- journal article
- research article
- Published by PAGEPress Publications in Emergency Care Journal
- Vol. 17 (2)
- https://doi.org/10.4081/ecj.2021.9570
Abstract
Emergency Department (ED) Length Of Stay (ED-LOS) is associated with quality of care, patient safety and treatment outcome. The aim of this study is to identify factors associated with ED-LOS of internal medicine patients and provide recommendations to shorten ED-LOS. A retrospective cohort study was conducted in a single center in the Netherlands. Anonymised data of 7,380 ED attendances from January 2016 to January 2018 were analyzed. Data included time of ED arrival and departure, sex, age, source of referral, triage category, first or consecutive visit and number of radiological examinations. Univariate analyses were used. Mean ED-LOS was 220 minutes. Factors which significantly prolonged ED-LOS were older age, source of referral, triage category, need for admission, first visit, number of radiological examinations, presentation in winter or spring and time of arrival (day and evening). Several patient and circumstantial factors are associated with ED-LOS. To shorten ED-LOS, we recommend to anticipate need for admission for older patients who arrive by ambulance and to create time slots in the radiology program and to restructure the morning report.Keywords
This publication has 19 references indexed in Scilit:
- Emergency department crowding in The Netherlands: managers’ experiencesInternational Journal of Emergency Medicine, 2013
- Predictive factors for longer length of stay in an emergency department: a prospective multicentre study evaluating the impact of age, patient's clinical acuity and complexity, and care pathwaysEmergency Medicine Journal, 2013
- The Association Between Length of Emergency Department Boarding and MortalityAcademic Emergency Medicine, 2011
- Crowding Delays Treatment and Lengthens Emergency Department Length of Stay, Even Among High-Acuity PatientsAnnals of Emergency Medicine, 2009
- Systematic Review of Emergency Department Crowding: Causes, Effects, and SolutionsAnnals of Emergency Medicine, 2008
- Factors associated with longer ED lengths of stayThe American Journal of Emergency Medicine, 2007
- The Opportunity Loss of Boarding Admitted Patients in the Emergency DepartmentAcademic Emergency Medicine, 2007
- Waiting and interaction times for patients in a developing country accident and emergency departmentEmergency Medicine Journal, 2006
- Patient satisfaction in emergency medicineEmergency Medicine Journal, 2004
- Total time in English accident and emergency departments is related to bed occupancyEmergency Medicine Journal, 2004