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The emergency department length of stay: Is the time running out?


ABSTRACT:

Purpose

To examine the relationships between emergency department length of stay (EDLOS) with hospital length of stay (HLOS) and clinical outcome in hemodynamically stable trauma patients.

Methods

Prospective data collected for 2 years from consecutive trauma patients admitted to the trauma resuscitation bay. Only stable blunt trauma patients with appropriate trauma triage criteria requiring trauma team activation were included in the study. EDLOS was determined short if patient spent less than 2 h in the emergency department (ER) and long for more than 2 h.

Results

A total of 248 patients were enrolled in the study. The mean total EDLOS was 125 min (range 78-180). Injury severity score (ISS) were significantly higher in the long EDLOS group (17 ± 13 versus 11 ± 9, p < 0.001). However, when leveled according to ISS, there were no differences in mean in diagnostic workup, admission rate to intensive care unit (ICU) or HLOS between the short and long EDLOS groups.

Conclusion

EDLOS is not a significant parameter for HLOS in stable trauma patients.

SUBMITTER: Becker A 

PROVIDER: S-EPMC6543458 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Publications

The emergency department length of stay: Is the time running out?

Becker Alexander A   Segal Gil G   Berlin Yuri Y   Hershko Dan D  

Chinese journal of traumatology = Zhonghua chuang shang za zhi 20190315 3


<h4>Purpose</h4>To examine the relationships between emergency department length of stay (EDLOS) with hospital length of stay (HLOS) and clinical outcome in hemodynamically stable trauma patients.<h4>Methods</h4>Prospective data collected for 2 years from consecutive trauma patients admitted to the trauma resuscitation bay. Only stable blunt trauma patients with appropriate trauma triage criteria requiring trauma team activation were included in the study. EDLOS was determined short if patient s  ...[more]

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