LENGTH OF STAY ANALYSIS OF THE EMERGENCY DEPARTMENT RED ZONE PATIENTS IN ŞIŞLI HAMIDIYE ETFAL TRAINING AND RESEARCH HOSPITAL
XIV.Ulusal Acil Tıp Kongresi, 5th Intercontinental Emergency Medicine Congress, 5th International Critical Care and Emergency Medicine Congress 19 - 22 Nisan 2018 ANTALYA, Antalya, Türkiye, 19 - 22 Nisan 2018, ss.246, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Antalya
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.246
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
INTRODUCTION AND AIM: Emergency deparments (ERs) are medical facilities that offer service continually for the patients who need emergent medical care. The red zone patients are those
that have acute or potentially life and/ or extremity threatening situations, complaints, vital disorders, diseases or injuries which require emergent evaluation and/or treatment to prevent
probable mortality and morbidity. This study was conducted at the red zone of an emergency department in a research and training hospital. We aimed to determine the variations in the
lengths of stay of the patients at the emergency department due to different parameters and to determine the factors that affect patients’ lengths of stay.
MATERIALS-METHOD: All emergency department patients that were followed up in the red zone were included in this study. Patients’ demographic data, chief complaints on admission, vital
findings; performed procedures and examinations; patients’ diagnoses and the elapsed times for the diagnoses; patients’ lengths of stay; and the causes of prolonged waiting times were
recorded and statistically analysed.
FINDINGS: The times elapsed for the diagnosis were between 6 minutes to 18 hours in this study (mean; 1.62±1.79 hours). Patients’ lenghts of stay were between 6 minutes to 58 hours
(mean length of stay was 5.51±5.73 hours). The waiting times for the cases which required consultation(s) were statistically longer than the cases which did not require any consultations
(mean waiting times were 7.17 hours and 3.40 hours, respectively). The patients that were waiting for an available intensive care unit bed constituted 12.8% of all patients and their waiting
times were between 0.8 – 18.5 hours (mean, 5,50±4.37).
CONCLUSION: The delay in the transfer of an emergency department patient to an inpatient bed is one of the most important causes of the prolonged waiting times in the red zone. To prevent
these delays in ED-to-inpatient transfers, hospital administrators should manage their bed capacities to a level that is compatible with the annual patient admission numbers. Increasing the
number of geriatric wards may facilitate the inpatient transfers of the patients over 60-years old from ED and shorten the lengths of stay of that age group.
Keywords: emergency, crowded, length of stay