Increase in patient mortality at 10 days associated with emergency department overcrowding.

The Medical Journal of Australia
Drew B Richardson

Abstract

To quantify any relationship between emergency department (ED) overcrowding and 10-day patient mortality. Retrospective stratified cohort analysis of three 48-week periods in a tertiary mixed ED in 2002-2004. Mean "occupancy" (a measure of overcrowding based on number of patients receiving treatment) was calculated for 8-hour shifts and for 12-week periods. The shifts of each type in the highest quartile of occupancy were classified as overcrowded. All presentations of patients (except those arriving by interstate ambulance) during "overcrowded" (OC) shifts and during an equivalent number of "not overcrowded" (NOC) shifts (same shift, weekday and period). In-hospital death of a patient recorded within 10 days of the most recent ED presentation. There were 34 377 OC and 32 231 NOC presentations (736 shifts each); the presenting patients were well matched for age and sex. Mean occupancy was 21.6 on OC shifts and 16.4 on NOC shifts. There were 144 deaths in the OC cohort and 101 in the NOC cohort (0.42% and 0.31%, respectively; P=0.025). The relative risk of death at 10 days was 1.34 (95% CI, 1.04-1.72). Subgroup analysis showed that, in the OC cohort, there were more presentations in more urgent triage categories, decreased treat...Continue Reading

References

Jan 29, 2003·Emergency Medicine·UNKNOWN Australasian College for Emergency Medicine
Jan 29, 2003·Emergency Medicine·UNKNOWN Australasian College for Emergency Medicine
Nov 12, 2003·The Medical Journal of Australia·Don LiewMarcus P Kennedy
Oct 7, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ula Hwang, John Concato
Apr 22, 2005·Emergency Medicine Journal : EMJ·D M FatovichP Sprivulis

❮ Previous
Next ❯

Citations

Jul 23, 2020·Critical Care Medicine·Nicholas M MohrSusanna Rudy
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Nicholas M MohrSusanna Rudy
Sep 23, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Yun WangNadine E Andrew
Apr 10, 2017·Australian Health Review : a Publication of the Australian Hospital Association·G Brent HamarElizabeth Y Rula
Oct 17, 2017·Australian Health Review : a Publication of the Australian Hospital Association·Ian ScottAnthony Bell
Nov 15, 2017·Australian Health Review : a Publication of the Australian Hospital Association·Lorraine WestacottJohn Burke
Nov 17, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Aditi U JoshiJudd E Hollander
Jan 15, 2020·Wiener klinische Wochenschrift·Gregor Lindner, Bertram K Woitok
Feb 7, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Robyn Clay-WilliamsJeffrey Braithwaite
Apr 29, 2020·Israel Journal of Health Policy Research·Roee GorodetzerTodd Zalut
May 15, 2020·Emergency Medicine Journal : EMJ·Kim HansenUNKNOWN IFEM Quality and Safety Special Interest Group
Jun 1, 2020·International Journal of Medical Informatics·Fabrice MowbrayAndrew Costa
Jun 3, 2020·Emergency Medicine Journal : EMJ·Jonathan QuinnGraham Ellis
Jun 4, 2020·Acta Paediatrica·Davide PataAntonio Chiaretti
Jun 6, 2020·Journal of Primary Care & Community Health·Julia EllbrantPia Karlsland Åkeson
May 14, 2016·Emergency Medicine Journal : EMJ·Alana HarperShanthi Ameratunga
May 14, 2016·The Medical Journal of Australia·Clair SullivanIan A Scott
Jun 21, 2020·Australasian Emergency Care·Vanessa Leonard-RobertsJulie Considine
Jun 23, 2020·Emergency Medicine International·Ar-Aishah Dadeh, Pitshaya Phunyanantakorn
Jun 10, 2016·Journal of Telemedicine and Telecare·Vaishal ToliaDavid Guss
Jun 18, 2016·World Journal of Emergency Medicine·Sean WilsonJoseph Miller
Jun 1, 2014·Turkish Journal of Emergency Medicine·Nese Colak OrayHakan Topacoglu
Jun 28, 2016·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Maryann Mazer-AmirshahiJesse M Pines
Aug 18, 2016·JBI Database of Systematic Reviews and Implementation Reports·Eduardo SantosJoão Apóstolo
Sep 8, 2016·Medicine·Vitalis Chukwudi NwagbaraMd Mia Aslam
Sep 20, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jillian K GorskiBrian W Patterson
Oct 12, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Rasmus Bo HasselbalchKasper Iversen
Oct 27, 2020·The Journal of Nursing Administration·Sheryl A EmmerlingJeremey McGarvey
Feb 6, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Maryann StreetJulie Considine
Apr 4, 2017·ANZ Journal of Surgery·Marilla DickfosRobert Franz
Apr 6, 2017·Emergency Medicine Australasia : EMA·Drew B RichardsonGregory J Hollis
Apr 12, 2017·JBI Database of Systematic Reviews and Implementation Reports·Luke Burgess, Kate Kynoch

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Ula Hwang, John Concato
© 2021 Meta ULC. All rights reserved