تاثیر طول مدت اقامت در بخش اورژانس بر پیامد بیمارستانی بیماران بدحال: یک مطالعه توصیفی-تحلیلی

2021 
Introduction: Emergency department is one of the most important departments in a hospital, the performance of which has a great impact on the functionality of other departments and patient satisfaction. The aim of this study was to determine the effect of the emergency department length of stay (EDLOS) of critically ill patients on their hospital outcome. Methods: In a descriptive-analytical study, 450 critically ill patients who referred to the emergency department of Sina and Imam Reza (AS) Hospitals affiliated to Tabriz University of Medical Sciences in the period between November 2019-September 2020 were enrolled. The EDLOS was registered based on the time taken to leave the emergency department. The patients were followed until their final discharge from hospital and their final outcome was recorded. Data were collected and analyzed using SPSS version 17. The final outcome of the patients was compared based on their EDLOS. Results: In this study, 450 critically ill patients were included. The median of their EDLOS was 3 hours and their median duration of hospitalization was 6 days. Among the studied patients, 100 patients (22.22%) died. There was no statistically significant relationship between patients' mortality and EDLOS (P˂0.05). Conclusion: Based on the results, there was no statistically significant relationship between EDLOS and hospital outcome of critically ill patients. Therefore, it can be concluded that either the time of discharge from the emergency department has been appropriate or the treatment measures required by critically ill patients have been provided in the emergency department with the same quality as special wards.
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