Independent determinants of prolonged emergency department length of stay in a tertiary care centre: a prospective cohort study

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Daniël van der VeenBas de Groot

Abstract

Emergency department (ED) overcrowding is a potential threat for patient safety. We searched for independent determinants of prolonged ED length of stay (LOS) with the aim to identify factors which can be targeted to reduce ED LOS, which may help in preventing overcrowding. This prospective cohort study included consecutive ED patients in a Dutch tertiary care centre. Multivariable logistic regression analysis was used to identify independent determinants of ED LOS > 4 h, including patient characteristics (demographics, referral type, acuity, (number of) presenting complaints and comorbidity), treating specialty, diagnostic testing, consultations, number of patients in the ED and disposition. Furthermore, we quantified the absolute time delays (measured in real-time) associated with the most important independent determinants of prolonged ED LOS. In 1434 included patients independent determinants of prolonged ED LOS were number and type of presenting complaints, specialty, laboratory/radiology testing and consultations, and ICU admission. Modifiable determinants with the largest impact were blood testing; Adjusted odds ratio (AOR (95%-CI)); 3.45 (1.95-6.11), urine testing; 1.79 (1.21-2.63), radiology imaging; 3.02 (2.13-4.30), ...Continue Reading

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Citations

Mar 29, 2019·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Julie ConsidineMargaret Fry
Nov 8, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Julia A DroseJames P Borgstede
Apr 17, 2020·International Journal of Environmental Research and Public Health·Miguel Angel Ortíz-Barrios, Juan-José Alfaro-Saíz
Mar 22, 2020·The American Journal of Emergency Medicine·Seung Baik HanAreum Durey
May 22, 2021·International Journal of Medical Informatics·Anne De HondBas De Groot
Jul 27, 2021·International Journal of Medical Informatics·Michael Anis Mihdi AfnanChangavy Kajamuhan
Jul 8, 2021·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Francesco MacriJeffrey R Brubacher
Aug 19, 2021·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Wouter RavenBas de Groot

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