Emergency department length of stay for ethanol intoxication encounters

The American Journal of Emergency Medicine
Lauren R KleinJon B Cole

Abstract

Emergency Department (ED) encounters for ethanol intoxication are becoming increasingly common. The purpose of this study was to explore factors associated with ED length of stay (LOS) for ethanol intoxication encounters. This was a multi-center, retrospective, observational study of patients presenting to the ED for ethanol intoxication. Data were abstracted from the electronic medical record. To explore factors associated with ED LOS, we created a mixed-effects generalized linear model. We identified 18,664 eligible patients from 6 different EDs during the study period (2012-2016). The median age was 37years, 69% were male, and the median ethanol concentration was 213mg/dL. Median LOS was 348min (range 43-1658). Using a mixed-effects generalized linear model, independent variables associated with a significant increase in ED LOS included use of parenteral sedation (beta=0.30, increase in LOS=34%), laboratory testing (beta=0.21, increase in LOS=23%), as well as the hour of arrival to the ED, such that patients arriving to the ED during evening hours (between 18:00 and midnight) had up to an 86% increase in LOS. Variables not significantly associated with an increase in LOS included age, gender, ethanol concentration, psychiatr...Continue Reading

Citations

Sep 6, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marc L MartelJon B Cole
Dec 20, 2020·The American Journal of Emergency Medicine·Brandon MarshallAndrew King
Nov 5, 2020·International Journal of Environmental Research and Public Health·Andrea PiccioniRaffaele La Russa
Aug 21, 2021·Acta Clinica Belgica·Steffi PankenSandra Verelst

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