Factors associated with failure of emergency wait-time targets for high acuity discharges and intensive care unit admissions

CJEM
Ivy ChengMichael J Schull

Abstract

Ontario established emergency department length-of-stay (EDLOS) targets but has difficulty achieving them. We sought to determine predictors of target time failure for discharged high acuity patients and intensive care unit (ICU) admissions. This was a retrospective, observational study of 2012 Sunnybrook Hospital emergency department data. The main outcome measure was failing to meet government EDLOS targets for high acuity discharges and ICU emergency admissions. The secondary outcome measures examined factors for low acuity discharges and all admissions, as well as a run chart for 2015 - 2016 ICU admissions. Multiple logistic regression models were created for admissions, ICU admissions, and low and high acuity discharges. Predictor variables were at the patient level from emergency department registries. For discharged high acuity patients, factors predicting EDLOS target failure were having physician initial assessment duration (PIAD)>2 hours (OR 5.63 [5.22-6.06]), consultation request (OR 10.23 [9.38-11.14]), magnetic resonance imaging (MRI) (OR 19.33 [12.94-28.87]), computed tomography (CT) (OR 4.24 [3.92-4.59]), and ultrasound (US) (OR 3.47 [3.13-3.83]). For ICU admissions, factors predicting EDLOS target failure were b...Continue Reading

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Citations

Apr 17, 2020·International Journal of Environmental Research and Public Health·Miguel Angel Ortíz-Barrios, Juan-José Alfaro-Saíz
Mar 16, 2021·The American Journal of Emergency Medicine·Mustafa Gökalp Ataman, Görkem Sarıyer
Aug 28, 2021·International Journal of Environmental Research and Public Health·Miguel Angel Ortíz-BarriosDaniela Stand-González

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