Journals / Medicine Science / 2020 / Cilt: 9 - Sayı: 1

Volume of intensive care unit patients in the emergency department: clinical experience in a training and research hospital

Pages
49–53
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When time to ICU admission from the ED was assessed, it was found that the shortest time recorded for admission from the ED to the burns unit was 48 minutes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:There is an increasing tendency for critically ill patients to present to emergency departments (EDs).
📊
Key Findings & Data:This retrospective study was conducted by reviewing data from 4904 patients (aged >18 years) who presented to the ED for whom the decision was made for hospitalization in the ICU between January 1st, 2016, and December 31st, 2017.
💡
Conclusion & Impact:When time to ICU admission from the ED was assessed, it was found that the shortest time recorded for admission from the ED to the burns unit was 48 minutes.
🔬Design:Review & Systematic Survey
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Özet

There is an increasing tendency for critically ill patients to present to emergency departments (EDs). In this study, it was aimed to assess patients who presented to the ED and admitted to the intensive care unit (ICU) and to identify waiting times in the ED. This retrospective study was conducted by reviewing data from 4904 patients (aged >18 years) who presented to the ED for whom the decision was made for hospitalization in the ICU between January 1st, 2016, and December 31st, 2017. Waiting time in the ED, demographic data, and length of ICU stay were reviewed for 3572 patients who were admitted to ICUs from the ED. The total number of patients who presented to the ED between January 1st, 2016, and December 31st, 2017 was 200,603. Among these patients, the ICU admission rate was 2.4%. Of 4904 patients who presented to the ED and the decision was made for ICU admission, 1332 patients were transferred to other facilities. When these patients were excluded, the ICU admission rate was found as 1.8% in our facility. When time to ICU admission from the ED was assessed, it was found that the shortest time recorded for admission from the ED to the burns unit was 48 minutes. The second shortest waiting time (148 min) was seen in patients admitted to the coronary intensive care unit. The mean waiting time of ICU patients in the ED was 282 min. The increase in the patients who have been decided to hospitalization in the ICU in the ED remains an important problem that should be managed in the ED crowd. Long waiting times for ICU patients in the ED make the already existing crowd more complicated

🔖

Cite This Article

GUZEL, M., CİNDORUK, Ş., DEMİR, M. T., YORGUN, M., OZGEN, E., YAVUZ, E., YUCEL, M., BAYDİN, A. (2020). Volume of intensive care unit patients in the emergency department: clinical experience in a training and research hospital. Medicine Science, Cilt: 9 - Sayı: 1, 49–53. https://ajindex.com/articles/276836

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Arendts G, Howard K. The interface between residential aged care and the emergency de-partment: a systematic review. Age Ageing. 2010;39:306-12
  2. Abir M, Goldstick JE, Malsberger R, et al. Evaluating the impact of emergency department crowding on disposition patterns and outcomes of discharged pati-ents. Int J Emerg Med. 2019;12:4
  3. Cowan RM, Trzeciak S. Clinical review: Emergency department overcrowding and the po-tential impact on the critically ill. Crit Care. 2005;9:291-5
  4. Karaca MA, Erbil B, Özmen MM. Waiting in the Emergency Room: Patient and Attendant Satisfaction and Perception. Eur J Surg Sci. 2011;1:1-4
  5. Herring AA, Ginde AA, Fahimi J, et al. Increasing critical care admissions from U.S. emer-gency departments, 2001-2009. Crit Care Med. 2013;41:1197-204
  6. Zhang Z, Bokhari F, Guo Y, et al. Prolonged length of stay in the emergency department and increased risk of hospital mortality in patients with sepsis requiring ICU admission. Emerg Med J. 2019;36:82-7
  7. Angotti LB, Richards JB, Fisher DF, et al. Duration of Mechanical Ventilation in the Emer-gency Department. West J Emerg Med. 2017;18:972-9
  8. Sprung CL, Baras M, Iapichino G, et al. The Eldicus prospective, observational study of tri-age decision making in European intensive care units: part I- European Intensive Care Ad-mission Triage Scores. Crit Care Med. 2012;40:125-31
  9. Shum HP, Chan KC, Lau CW, et al. Triage decisions and outcomes for patients with Tria-ge Priority 3 on the Society of Critical Care Medicine scale. Crit Care Resusc. 2010;12:42-9
  10. Chalfin DB, Trzeciak S, Likourezos A, et al. Delay- ED study group. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007;35:1477-83
  11. Duke G, Green J, Briedis J. Survival of critically ill medical patients is time-critical. Crit Ca-re Resusc. 2004;6:261-7
  12. Cardoso LT, Grion CM, Matsuo T, et al. Impact of delayed admission to intensive care units on mortality of critically ill patients: a cohort study. Crit Care. 2011;15:R28
  13. Sprung CL, Artigas A, Kesecioglu J, et al. The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: intensive care benefit for the elderly. Crit Care Med. 2012;40:132-8
  14. Chang AM, Lin A, Fu R, et al. Associations of Emergency Department Length of Stay With Publicly Reported Quality-of-care Measures. Acad Emerg Med. 2017;24:246-50
  15. Nguyen HB, River