Predictors of Prolonged Length of Stay and Adverse Events among Older Adults with Behavioral Health−Related Emergency Department Visits: A Systematic Medical Record Review

2016 ◽  
Vol 50 (1) ◽  
pp. 143-152 ◽  
Author(s):  
Suzanne Michelle Rhodes ◽  
Asad E. Patanwala ◽  
Julia Katherine Cremer ◽  
Erica Siovhan Marshburn ◽  
Michael Herman ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Length Of Stay ◽  
Adverse Events ◽  
Behavioral Health ◽  
Medical Record ◽  
Emergency Department Visits ◽  
Prolonged Length ◽  
Health Related ◽  
Record Review

Predicting Hospital Admission and Prolonged Length of Stay in Older Adults in the Emergency Department: The PRO-AGE Scoring System

2020 ◽  
Vol 76 (3) ◽  
pp. 255-265 ◽  
Author(s):  
Pedro K. Curiati ◽  
Luiz A. Gil-Junior ◽  
Christian V. Morinaga ◽  
Fernando Ganem ◽  
Jose A.E. Curiati ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Length Of Stay ◽  
Hospital Admission ◽  
Scoring System ◽  
Prolonged Length

scholarly journals A retrospective analysis of personality disorder presentations in a Canadian university-affiliated hospital's emergency department

BJPsych Open ◽  
2016 ◽  
Vol 2 (6) ◽  
pp. 394-399 ◽  
Author(s):  
Sarah Penfold ◽  
Dianne Groll ◽  
Dane Mauer-Vakil ◽  
Jennifer Pikard ◽  
Megan Yang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Personality Disorders ◽  
Healthcare Services ◽  
Support Staff ◽  
Emergency Department Visits ◽  
Psychiatric Diagnoses ◽  
Retrospective Data Analysis ◽  
Health Related ◽  
Extensive Involvement

BackgroundIndividuals with personality disorders often have extensive involvement with healthcare services including frequent utilisation of emergency departments.AimsThe aim of this study was to identify factors associated with emergency department presentations by individuals with personality disorders.MethodA 12-month retrospective data analysis of all mental-health-related emergency department visits was performed. Age, gender, time and season of presentation, length of stay, mode of arrival and discharge arrangements for individuals with personality disorders were compared to individuals with other psychiatric diagnoses.ResultsThere were 336 visits by individuals with personality disorders and 5290 visits by individuals with other psychiatric diagnoses.Individuals with personality disorders were significantly more likely to be female, young adults, brought in by police, arrive in the evening, discharged home and have a longer median length of stay.ConclusionKnowing what factors are associated with emergency department presentations by individuals with personality disorders can help ensure that appropriately trained support staff are available.

scholarly journals Predictive factors for prolonged hospitalisation in acute pyelonephritis patients admitted to the emergency medicine ward

2021 ◽  
pp. 102490792110009
Author(s):  
Howard Tat Chun Chan ◽  
Ling Yan Leung ◽  
Alex Kwok Keung Law ◽  
Chi Hung Cheng ◽  
Colin A Graham
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Length Of Stay ◽  
Acute Pyelonephritis ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Prolonged Length ◽  
Reactive Protein ◽  
Prolonged Hospital ◽  
Emergency Medicine Ward

Background: Acute pyelonephritis is a bacterial infection of the upper urinary tract. Patients can be admitted to a variety of wards for treatment. However, at the Prince of Wales Hospital in Hong Kong, they are managed initially in the emergency medicine ward. The aim of the study is to identify the risk factors that are associated with a prolonged hospital length of stay. Methods: This was a retrospective cohort study conducted in Prince of Wales Hospital. The study recruited patients who were admitted to the emergency medicine ward between 1 January 2014 and 31 December 2017. These patients presented with clinical features of pyelonephritis, received antibiotic treatment and had a discharge diagnosis of pyelonephritis. The length of stay was measured and any length of stay over 72 h was considered to be prolonged. Results: There were 271 patients admitted to the emergency medicine ward, and 118 (44%) had a prolonged hospital length of stay. Univariate and multivariate analyses showed that the only statistically significant predictor of prolonged length of stay was a raised C-reactive protein (odds ratio 1.01; 95% confidence 1.01–1.02; p < 0.0001). Out of 271 patients, 261 received antibiotics in the emergency department. All 10 patients (8.5%) who did not receive antibiotics in emergency department had a prolonged length of stay (p = 0.0002). Conclusion: In this series of acute pyelonephritis treated in the emergency medicine ward, raised C-reactive protein levels were predictive for prolonged length of stay. Patients who did not receive antibiotics in the emergency department prior to emergency medicine ward admission had prolonged length of stay.

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