The effect of emergency department delays on 30-day mortality in Central Norway

被引：10

作者：

Asheim, Andreas ^{[1
,2
]}

Nilsen, Sara Marie ^{[1
]}

Carlsen, Fredrik ^{[3
]}

Naess-Pleym, Lars Eide ^{[4
,5
]}

Uleberg, Oddvar ^{[4
]}

Dale, Jostein ^{[4
]}

Bjornsen, Lars P. Bache-Wiig ^{[4
,6
]}

Bjorngaard, Johan Hakon ^{[7
,8
]}

机构：

[1] St Olavs Hosp HF, Ctr Hlth Care Improvement, Trondheim, Norway

[2] Norwegian Univ Sci & Technol, Dept Math Sci, Trondheim, Norway

[3] Norwegian Univ Sci & Technol, Dept Econ, Trondheim, Norway

[4] St Olavs Hosp HF, Dept Emergency Med & Prehosp Serv, Trondheim, Norway

[5] Norwegian Air Ambulance Fdn, Dept Res & Dev, Trondheim, Norway

[6] Norwegian Univ Sci & Technol, Dept Circulat & Med Imaging, Trondheim, Norway

[7] Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, Trondheim, Norway

[8] Nord Univ, Fac Nursing & Hlth Sci, Levanger, Norway

来源：

EUROPEAN JOURNAL OF EMERGENCY MEDICINE | 2019年 / 26卷 / 06期

关键词：

emergency care; quality of health care; mortality; ASSOCIATION; MANAGEMENT; OUTCOMES; LENGTH;

D O I：

10.1097/MEJ.0000000000000609

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To assess whether prolonged length of stay in the emergency department was associated with risk of death. Methods: We analysed data from 165,183 arrivals at St. Olav's University Hospital's emergency department from 2011 to 2018, using an instrumental variable method. As instruments for prolonged length of emergency department stay, we used indicators measured before arrival of the patient. These indicators were used to study the association between prolonged length of emergency department stay and risk of death, being discharged from the emergency department and length of hospitalisation for those who were hospitalised. Results: Mean length of stay in the emergency department was 2.9 hours, and 30-day risk of death was 3.4%. Per hour prolonged length of stay in the emergency department, the overall change in risk of death was close to zero, with a narrow 95% confidence interval of -0.5 to 0.7 percentage points. Prolonged emergency department stay was associated with a higher probability of being discharged from the emergency department without admission to the hospital. We found no substantial differences in length of hospitalisation for patients who were admitted. Conclusion: In this study, prolonged emergency department stay was not associated with increased risk of death. (C) 2019 The Author(s). Published by Wolters Kluwer Health, Inc.

引用

页码：446 / 452

页数：7

共 20 条

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[Anonymous], 2019, RETTS

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