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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004593naa a2200445 4500
001oai:DiVA.org:du-30483
003SwePub
008190627s2019 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:141672597
024a https://urn.kb.se/resolve?urn=urn:nbn:se:du-304832 URI
024a https://doi.org/10.1016/j.annemergmed.2019.04.0122 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1416725972 URI
040 a (SwePub)dud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Berg, Lena Mu Karolinska Institutet,Karolinska institutet4 aut0 (Swepub:du)lebr
2451 0a Associations between crowding and ten-day mortality among patients allocated lower triage acuity levels without need of acute hospital care on departure from the emergency department
264 1b Elsevier BV,c 2019
338 a print2 rdacarrier
520 a STUDY OBJECTIVE: We describe the association between emergency department (ED) crowding and 10-day mortality for patients triaged to lower acuity levels at ED arrival and without need of acute hospital care on ED departure.METHODS: This was a registry study based on ED visits with all patients aged 18 years or older, with triage acuity levels 3 to 5, and without need of acute hospital care on ED departure during 2009 to 2016 (n=705,699). The sample was divided into patients surviving (n=705,076) or dying (n=623) within 10 days. Variables concerning patient characteristics and measures of ED crowding (mean length of stay and ED occupancy ratio) were extracted from the hospital's electronic health records. ED length of stay per ED visit was estimated by the average length of stay for all patients who presented to the ED during the same day and shift and with the same acuity level. The 10-day mortality after ED discharge was used as the outcome measure. Multivariable logistic regression analyses were conducted.RESULTS: The 10-day mortality rate was 0.09% (n=623). The event group had larger proportions of patients aged 80 years or older (51.4% versus 7.7%) and triaged with acuity level 3 (63.3% versus 35.6%), and greater comorbidity (age-combined Charlson comorbidity index median interquartile range 6 versus 0). We observed an increased 10-day mortality for patients with a mean ED length of stay greater than or equal to 8 hours versus less than 2 hours (adjusted odds ratio 5.86; 95% confidence interval [CI] 2.15 to 15.94) and for elevated ED occupancy ratio. Adjusted odds ratios for ED occupancy ratio quartiles 2, 3, and 4 versus quartile 1 were 1.48 (95% CI 1.14 to 1.92), 1.63 (95% CI 1.24 to 2.14), and 1.53 (95% CI 1.15 to 2.03), respectively.CONCLUSION: Patients assigned to lower triage acuity levels when arriving to the ED and without need of acute hospital care on departure from the ED had higher 10-day mortality when the mean ED length of stay exceeded 8 hours and when ED occupancy ratio increased.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskap0 (SwePub)3032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciences0 (SwePub)3032 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
650 7a NATURVETENSKAPx Matematikx Sannolikhetsteori och statistik0 (SwePub)101062 hsv//swe
650 7a NATURAL SCIENCESx Mathematicsx Probability Theory and Statistics0 (SwePub)101062 hsv//eng
653 a Hälsa och välfärd
653 a Health and Welfare
700a Ehrenberg, Annau Högskolan Dalarna,Omvårdnad4 aut0 (Swepub:du)aeh
700a Florin, Janu Högskolan Dalarna,Omvårdnad,Karolinska institutet4 aut0 (Swepub:du)jfl
700a Östergren, Janu Karolinska Institutet4 aut
700a Discacciati, Andreau Karolinska Institutet4 aut
700a Göransson, Katarina,d 1974-u Karolinska Institutet,Karolinska institutet, Stockholm4 aut0 (Swepub:du)kga
710a Karolinska Institutetb Karolinska institutet4 org
773t Annals of Emergency Medicined : Elsevier BVg 74:3, s. 345-356q 74:3<345-356x 0196-0644x 1097-6760
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:du-30483
8564 8u https://doi.org/10.1016/j.annemergmed.2019.04.012
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:141672597

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