Association of Emergency Department Length of Stay and Hospital Mortality in Patients Under Investigation for COVID-19.

IF 1.5 Q3 EMERGENCY MEDICINE Open Access Emergency Medicine Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI:10.2147/OAEM.S457942
Ar-Aishah Dadeh, Itsada Chaisuwaseth, Wainik Sookmee
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Abstract

Objective: We aimed to determine the association between hospital mortality of patients under investigation (PUI) for COVID-19 and emergency department length of stay (EDLOS).

Patients and methods: A retrospective study was conducted from April 3, 2020 to April 2, 2022. Adult PUI who presented with both clinical and epidemiological risk factors for COVID-19 disease and underwent sample collection with nasal swab for reverse transcription polymerase chain reaction were included in the study. The factors associated with EDLOS and hospital mortality were investigated using univariate logistic regression and multivariate logistic regression analyses.

Results: A total of 961 PUI were enrolled that included 836 (87%) non-COVID-19 patients. The median (interquartile range [IQR]) EDLOS durations for 7-day and 30-day mortality of all PUI were 3.1 hours (2.1,4.3, P = 0.231) and 3.2 hours (2.1,4.3, P = 0.653). Multivariate logistic regression analysis revealed that the significant factors associated with EDLOS longer than 4 hours were consultation of three departments (adjusted odds ratio (aOR) 27.3, 95% CI 2.42-309.71, P = 0.007), emergency severity index (ESI) level 3 (aOR 2.31, 95% CI 1.37-3.9), investigations >2 (aOR 2.62, 95% CI 1.62-4.25), nebulization (aOR 2.34, 95% CI 1.39-3.96), administration of intravenous fluid (aOR 2.62, 95% CI 1.59-4.33), performing ≥1 procedure (aOR 3.35, 95% CI 1.51-7.43), and discharged patients (aOR 2.13, 95% CI 1.02-4.48).

Conclusion: The significant factors associated with prolonged EDLOS in PUI included consultation of three departments, ESI level 3, investigations >2, ED treatment, ED procedures, and discharged patients. The median times of EDLOS and hospital LOS were 3.2 hours and 5.7 days. The EDLOS had no significant association with short-term mortality.

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接受 COVID-19 调查的患者在急诊科的住院时间与住院死亡率之间的关系。
目的:我们旨在确定 COVID-19 调查患者的住院死亡率与急诊科住院时间(EDLOS)之间的关系:我们旨在确定 COVID-19 调查对象(PUI)的住院死亡率与急诊科住院时间(EDLOS)之间的关联:我们在 2020 年 4 月 3 日至 2022 年 4 月 2 日期间进行了一项回顾性研究。研究纳入了具有 COVID-19 疾病的临床和流行病学风险因素并接受了鼻拭子样本采集以进行反转录聚合酶链反应的成年 PUI 患者。采用单变量逻辑回归和多变量逻辑回归分析研究了与 EDLOS 和住院死亡率相关的因素:共有 961 名 PUI 患者入选,其中包括 836 名(87%)非 COVID-19 患者。所有 PUI 7 天和 30 天死亡率的 EDLOS 持续时间中位数(四分位数间距 [IQR])分别为 3.1 小时(2.1,4.3,P = 0.231)和 3.2 小时(2.1,4.3,P = 0.653)。多变量逻辑回归分析显示,与 EDLOS 超过 4 小时相关的重要因素有:三个科室会诊(调整赔率比 (aOR) 27.3,95% CI 2.42-309.71,P = 0.007)、急诊严重程度指数 (ESI) 3 级(aOR 2.31,95% CI 1.37-3.9)、检查项目>2(aOR 2.62,95% CI 1.62-4.25)、雾化吸入(aOR 2.34,95% CI 1.39-3.96)、静脉输液(aOR 2.62,95% CI 1.59-4.33)、实施≥1个手术(aOR 3.35,95% CI 1.51-7.43)、出院患者(aOR 2.13,95% CI 1.02-4.48):与 PUI EDLOS 时间延长相关的重要因素包括:三个科室会诊、ESI 3 级、检查项目>2、急诊室治疗、急诊室手术和出院患者。EDLOS 和住院时间的中位数分别为 3.2 小时和 5.7 天。EDLOS 与短期死亡率无明显关联。
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来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
期刊最新文献
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