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Effect of emergency department fast track on emergency department length of stay: a case-control study.
Emerg Med J. 2008 Dec; 25(12):815-9.EM

Abstract

OBJECTIVE

To examine the effect of fast track on emergency department (ED) length of stay (LOS).

DESIGN AND SETTING

Pair-matched case-control design in a public teaching hospital in metropolitan Melbourne, Australia.

PARTICIPANTS

Patients treated by the ED fast track (cases) between 1 January and 31 March 2007 were compared with patients treated by the usual ED processes (controls) from 1 July to 15 November 2006 (n = 822 matched pairs).

INTERVENTION

ED fast track was established in November 2006 and focused on the management of patients with non-urgent complaints.

MAIN OUTCOME MEASURES

The primary outcome measure was ED LOS for fast-track patients. Secondary outcomes were waiting times and ED LOS for other ED patients.

RESULTS

Median ED LOS for non-admitted patients was 132 minutes (interquartile range (IQR) 83-205.25) for controls and 116 minutes (IQR 75.5-159.0) for cases (p<0.01). Fast-track patients had a significantly higher incidence of discharge within 2 h (53% vs 44%, p<0.01) and 4 h (92% vs 84%, p<0.01).

CONCLUSIONS

ED fast track decreased ED LOS for non-admitted patients without compromising waiting times and ED LOS for other ED patients.

Authors+Show Affiliations

Deakin University, Northern Health Clinical Partnership, Burwood, Victoria 3125, Australia. julie.considine@deakin.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19033498

Citation

Considine, J, et al. "Effect of Emergency Department Fast Track On Emergency Department Length of Stay: a Case-control Study." Emergency Medicine Journal : EMJ, vol. 25, no. 12, 2008, pp. 815-9.
Considine J, Kropman M, Kelly E, et al. Effect of emergency department fast track on emergency department length of stay: a case-control study. Emerg Med J. 2008;25(12):815-9.
Considine, J., Kropman, M., Kelly, E., & Winter, C. (2008). Effect of emergency department fast track on emergency department length of stay: a case-control study. Emergency Medicine Journal : EMJ, 25(12), 815-9. https://doi.org/10.1136/emj.2008.057919
Considine J, et al. Effect of Emergency Department Fast Track On Emergency Department Length of Stay: a Case-control Study. Emerg Med J. 2008;25(12):815-9. PubMed PMID: 19033498.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of emergency department fast track on emergency department length of stay: a case-control study. AU - Considine,J, AU - Kropman,M, AU - Kelly,E, AU - Winter,C, PY - 2008/11/27/pubmed PY - 2009/2/28/medline PY - 2008/11/27/entrez SP - 815 EP - 9 JF - Emergency medicine journal : EMJ JO - Emerg Med J VL - 25 IS - 12 N2 - OBJECTIVE: To examine the effect of fast track on emergency department (ED) length of stay (LOS). DESIGN AND SETTING: Pair-matched case-control design in a public teaching hospital in metropolitan Melbourne, Australia. PARTICIPANTS: Patients treated by the ED fast track (cases) between 1 January and 31 March 2007 were compared with patients treated by the usual ED processes (controls) from 1 July to 15 November 2006 (n = 822 matched pairs). INTERVENTION: ED fast track was established in November 2006 and focused on the management of patients with non-urgent complaints. MAIN OUTCOME MEASURES: The primary outcome measure was ED LOS for fast-track patients. Secondary outcomes were waiting times and ED LOS for other ED patients. RESULTS: Median ED LOS for non-admitted patients was 132 minutes (interquartile range (IQR) 83-205.25) for controls and 116 minutes (IQR 75.5-159.0) for cases (p<0.01). Fast-track patients had a significantly higher incidence of discharge within 2 h (53% vs 44%, p<0.01) and 4 h (92% vs 84%, p<0.01). CONCLUSIONS: ED fast track decreased ED LOS for non-admitted patients without compromising waiting times and ED LOS for other ED patients. SN - 1472-0213 UR - https://www.unboundmedicine.com/medline/citation/19033498/Effect_of_emergency_department_fast_track_on_emergency_department_length_of_stay:_a_case_control_study_ L2 - https://emj.bmj.com/lookup/pmidlookup?view=long&amp;pmid=19033498 DB - PRIME DP - Unbound Medicine ER -