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

作     者：Alexander Becker Gil Segal Yuri Berlin Dan Hershko Becker Alexander;Segal Gil;Berlin Yuri;Hershko Dan

作者机构：Department of Surgery AEmek Medical CenterAfula 18101Israel 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2019年第22卷第3期

页      面：125-128页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 10[医学] 

主　　题：Emergency department length of stay Trauma patients Hospital length of stay 

摘      要：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 teamactivationwere included in the study. EDLOSwas 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 e180). 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.