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The impact of delays to admission from the emergency department on inpatient outcomes.
BMC Emerg Med. 2010 Jul 09; 10:16.BE

Abstract

BACKGROUND

We sought to determine the impact of delays to admission from the Emergency Department (ED) on inpatient length of stay (LOS), and IP cost.

METHODS

We conducted a retrospective analysis of 13,460 adult (>or= 18 yrs) ED visits between April 1 2006 and March 30 2007 at a tertiary care teaching hospital with two ED sites in which the mode of disposition was admission to ICU, surgery or inpatient wards. We defined ED Admission Delay as ED time to decision to admit > 12 hours. The primary outcomes were IP LOS, and total IP cost.

RESULTS

Approximately 11.6% (n = 1558) of admitted patients experienced admission delay. In multivariate analysis we found that admission delay was associated with 12.4% longer IP LOS (95% CI 6.6% - 18.5%) and 11.0% greater total IP cost (6.0% - 16.4%). We estimated the cumulative impact of delay on all delayed patients as an additional 2,183 inpatient days and an increase in IP cost of $2,109,173 at the study institution.

CONCLUSIONS

Delays to admission from the ED are associated with increased IP LOS and IP cost. Improving patient flow through the ED may reduce hospital costs and improve quality of care. There may be a business case for investments to reduce emergency department admission delays.

Authors+Show Affiliations

Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, Canada.No 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

20618934

Citation

Huang, Qing, et al. "The Impact of Delays to Admission From the Emergency Department On Inpatient Outcomes." BMC Emergency Medicine, vol. 10, 2010, p. 16.
Huang Q, Thind A, Dreyer JF, et al. The impact of delays to admission from the emergency department on inpatient outcomes. BMC Emerg Med. 2010;10:16.
Huang, Q., Thind, A., Dreyer, J. F., & Zaric, G. S. (2010). The impact of delays to admission from the emergency department on inpatient outcomes. BMC Emergency Medicine, 10, 16. https://doi.org/10.1186/1471-227X-10-16
Huang Q, et al. The Impact of Delays to Admission From the Emergency Department On Inpatient Outcomes. BMC Emerg Med. 2010 Jul 9;10:16. PubMed PMID: 20618934.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of delays to admission from the emergency department on inpatient outcomes. AU - Huang,Qing, AU - Thind,Amardeep, AU - Dreyer,Jonathan F, AU - Zaric,Gregory S, Y1 - 2010/07/09/ PY - 2010/01/31/received PY - 2010/07/09/accepted PY - 2010/7/13/entrez PY - 2010/7/14/pubmed PY - 2010/11/6/medline SP - 16 EP - 16 JF - BMC emergency medicine JO - BMC Emerg Med VL - 10 N2 - BACKGROUND: We sought to determine the impact of delays to admission from the Emergency Department (ED) on inpatient length of stay (LOS), and IP cost. METHODS: We conducted a retrospective analysis of 13,460 adult (>or= 18 yrs) ED visits between April 1 2006 and March 30 2007 at a tertiary care teaching hospital with two ED sites in which the mode of disposition was admission to ICU, surgery or inpatient wards. We defined ED Admission Delay as ED time to decision to admit > 12 hours. The primary outcomes were IP LOS, and total IP cost. RESULTS: Approximately 11.6% (n = 1558) of admitted patients experienced admission delay. In multivariate analysis we found that admission delay was associated with 12.4% longer IP LOS (95% CI 6.6% - 18.5%) and 11.0% greater total IP cost (6.0% - 16.4%). We estimated the cumulative impact of delay on all delayed patients as an additional 2,183 inpatient days and an increase in IP cost of $2,109,173 at the study institution. CONCLUSIONS: Delays to admission from the ED are associated with increased IP LOS and IP cost. Improving patient flow through the ED may reduce hospital costs and improve quality of care. There may be a business case for investments to reduce emergency department admission delays. SN - 1471-227X UR - https://www.unboundmedicine.com/medline/citation/20618934/The_impact_of_delays_to_admission_from_the_emergency_department_on_inpatient_outcomes_ L2 - https://bmcemergmed.biomedcentral.com/articles/10.1186/1471-227X-10-16 DB - PRIME DP - Unbound Medicine ER -