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Reasons for delay in inpatient admission at an emergency department.
J Ayub Med Coll Abbottabad. 2008 Jan-Mar; 20(1):38-42.JA

Abstract

OBJECTIVE

This study highlighted the reasons which contributed to longer stay of patients in Emergency Department (ED) who were advised admission.

METHODOLOGY

This study was conducted from August 4 to 11, 2004G as a retrospective review of the ED cards of patients admitted to inpatients wards of Al-Noor Specialist Hospital, Makkah, Saudi Arabia. The demographic data, doctors & nurses notes with their timings were reviewed. The maximum consumed time by a reason was considered as the main reason of delay for that subject. The delayed patients were divided into Group A and B, delayed before and after admission was advised, respectively. Prolonged length of stay (Delay) in ED was defined as stay longer than 2 hours after patient's arrival in ED until they were received to wards.

RESULTS

Out of total 4876 visits during study period, 355 (7.3%) patients were admitted, and 238 (67%) were delayed. Age group 13-30 years was common in delayed 78 (32.8%) and not delayed 56 (47.9%) subjects. The mean length of stay of delayed subjects was 256 minutes. Group A 146 (61.4%) had more subjects than group B 92 (38.6%) (p < 0.001). Fifty eight (39.7%) patients stayed between 2-3hours in Group A vs. B 23 (25%) (OR 2, 95% CI 1.1-3.5). Common reason of delay in Group A was multiple consultations with further investigations 70 (48%) (p < 0.001) while file making process was common 40 (43.5%) in group B (p < 0.001).

CONCLUSIONS

Out of admitted patients 67% were delayed mainly due to late advised admission with major reason of delay were multiple consultations.

Authors+Show Affiliations

Al-Noor Specialist Hospital, Makkah, Kingdom of Saudi Arabia.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19024183

Citation

Tashkandy, Mohammad A., et al. "Reasons for Delay in Inpatient Admission at an Emergency Department." Journal of Ayub Medical College, Abbottabad : JAMC, vol. 20, no. 1, 2008, pp. 38-42.
Tashkandy MA, Gazzaz ZJ, Farooq MU, et al. Reasons for delay in inpatient admission at an emergency department. J Ayub Med Coll Abbottabad. 2008;20(1):38-42.
Tashkandy, M. A., Gazzaz, Z. J., Farooq, M. U., & Dhafar, K. O. (2008). Reasons for delay in inpatient admission at an emergency department. Journal of Ayub Medical College, Abbottabad : JAMC, 20(1), 38-42.
Tashkandy MA, et al. Reasons for Delay in Inpatient Admission at an Emergency Department. J Ayub Med Coll Abbottabad. 2008 Jan-Mar;20(1):38-42. PubMed PMID: 19024183.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reasons for delay in inpatient admission at an emergency department. AU - Tashkandy,Mohammad A, AU - Gazzaz,Zohair Jamil, AU - Farooq,Mian Usman, AU - Dhafar,Khalid O, PY - 2008/11/26/pubmed PY - 2009/1/8/medline PY - 2008/11/26/entrez SP - 38 EP - 42 JF - Journal of Ayub Medical College, Abbottabad : JAMC JO - J Ayub Med Coll Abbottabad VL - 20 IS - 1 N2 - OBJECTIVE: This study highlighted the reasons which contributed to longer stay of patients in Emergency Department (ED) who were advised admission. METHODOLOGY: This study was conducted from August 4 to 11, 2004G as a retrospective review of the ED cards of patients admitted to inpatients wards of Al-Noor Specialist Hospital, Makkah, Saudi Arabia. The demographic data, doctors & nurses notes with their timings were reviewed. The maximum consumed time by a reason was considered as the main reason of delay for that subject. The delayed patients were divided into Group A and B, delayed before and after admission was advised, respectively. Prolonged length of stay (Delay) in ED was defined as stay longer than 2 hours after patient's arrival in ED until they were received to wards. RESULTS: Out of total 4876 visits during study period, 355 (7.3%) patients were admitted, and 238 (67%) were delayed. Age group 13-30 years was common in delayed 78 (32.8%) and not delayed 56 (47.9%) subjects. The mean length of stay of delayed subjects was 256 minutes. Group A 146 (61.4%) had more subjects than group B 92 (38.6%) (p < 0.001). Fifty eight (39.7%) patients stayed between 2-3hours in Group A vs. B 23 (25%) (OR 2, 95% CI 1.1-3.5). Common reason of delay in Group A was multiple consultations with further investigations 70 (48%) (p < 0.001) while file making process was common 40 (43.5%) in group B (p < 0.001). CONCLUSIONS: Out of admitted patients 67% were delayed mainly due to late advised admission with major reason of delay were multiple consultations. SN - 1025-9589 UR - https://www.unboundmedicine.com/medline/citation/19024183/Reasons_for_delay_in_inpatient_admission_at_an_emergency_department_ DB - PRIME DP - Unbound Medicine ER -