Factors associated with the length of stay in emergency departments in Southern-Ethiopia

被引:20
作者
Alemu, Getahun H. Meskel [1 ]
Negari, Keneni Gutema [2 ]
Rodamo, Kaleb Mayisso [2 ]
Hirigo, Agete Tadewos [3 ]
机构
[1] Hawassa Univ, Comprehens Specialized Hosp, Coll Med & Hlth Sci, POB 1560, Hawassa, Ethiopia
[2] Hawassa Univ, Sch Publ Hlth, Coll Med & Hlth Sci, Hawassa, Ethiopia
[3] Hawassa Univ, Sch Med Lab Sci, Coll Med & Hlth Sci, Hawassa, Ethiopia
关键词
Emergency department; Length of stay; Hawassa; South-Ethiopia;
D O I
10.1186/s13104-019-4271-7
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
ObjectivesThis cross-sectional study was conducted on 399 patients at Hawassa University Comprehensive Specialized Hospital from February 15 to March 30/2018 to assess the length of stay (LOS) and its associated factors in emergency departments (EDs).ResultAbout 91.5% patients were stayed in the EDs for greater than 24h in different reasons. Inadequacy of beds in inpatient wards, overcrowding, absence of different laboratory test profiles and delay in radiological services were showed a significant differences in LOS greater than 24h when compared to LOS24h in EDs (p<0.05 for all). In addition, admission beds [adjusted odds ratio: 8.7 (95% CI 3.2-23.2)]; overcrowding [adjusted odds ratio: 3.6 (95% CI 1.6-8.3)]; laboratory test profiles [adjusted odds ratio: 5.1 (95% CI 1.9-14.1)], and radiology services [adjusted odds ratio: 3.7 (95% CI 1.5-9.2)] were significantly and positively associated with LOS greater than 24hin EDs. Further, a significant proportion of patients were stayed for unnecessary extended length of time in EDs due to different factors. Therefore, the commitment of organization is crucial to provide sufficient number of admission beds, to scale-up laboratory test profiles and to decrease radiology service turn-around time in order to improve LOS in EDs.
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页数:5
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