Do we need to enlarge emergency services or new emergency hospitals?
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Abstract
Objective: It was aimed to obtain a notion about the needed hospital bed capacity by analyzing the number of hospitalizations and referrals from the ER in this study.
Material and Method: This study is a retrospective, analytical cross-sectional research. Patients admitted to a tertiary hospital’s adult emergency service in 2018-2019, hospitalized, or referred to another hospital were analyzed.
Results: Of the patients, 28036 were hospitalized; furthermore, this number corresponded to 38.4 patients per day. Of these cases, 15303 (54.6%) were male, and the mean age was 57.89 (±19.5); 8438 cases (30.1%) were admitted to the intensive care unit. The department with the most hospitalizations was internal medicine with 6105 patients (21.78%) and cardiology, with 4822 hospitalized, the most intensive care patients; moreover, psychiatry had the most prolonged length of stay service average of 28 days. The number of patients required to be hospitalized from the emergency room was an average of 48.5 patients per day. The average hospital stay was seven days.
Conclusion: Mainly in regions with several emergency admissions, it can be considered to establish emergency hospitals that serve particularly emergency cases to engage the number of patients to be hospitalized from the emergency room.
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Article Details
Accepted 2021-05-06
Published 2021-05-15
References
“Emergency Department Visits,” Available on: https: //www.cdc.gov/nchs/fastats/emergency-department.htm (accessed Feb. 12, 2021). Jan. 25, 2021.
Alper M. “Top 100 Hospitals in Each Branch-2017 Number of Public Hospitals Examination, Hospitalization, Intensive Care, Surgery, Emergency Service and Births.” Türkiye Cumhuriyeti Sağlık Bakanlığı Kamu Hastaneleri Genel Müdürlüğü İstatistik, Analiz, Raporlama ve Stratejik Yönetim Dairesi Başkanlığı, Mar 2017, Accessed: Mar. 12, 2020. (Online). Available: https: //khgmistatistikdb.saglik.gov.tr/TR,43819/her-bransta-ilk-100-hastane-2017-yili-kamu-hastaneleri-muayene-yatis-yogun-bakim-ameliyat-acil-servis-ve-dogum-sayilari.html.
Rathlev NK, Chessare J, Olshaker J, et al. Time series analysis of variables associated with daily mean emergency department length of stay. Ann Emerg Med 2007; 49: 265-71.
Powell ES, Khare RK, Venkatesh AK, Van Roo BD, Adams JG, Reinhardt G. The relationship between inpatient discharge timing and emergency department boarding. J Emerg Med 2012; 42: 186-96.
McKenna P, Heslin SM, Viccellio P, Mallon WK, Hernandez C, Morley EJ. Emergency department and hospital crowding: causes, consequences, and cures. Clin Exp Emerg Med 2019; 6: 189-95.
Han JH, Zhou C, France DJ, Zhong S, Jones I, Storrow AB, Aronsky D. The effect of emergency department expansion on emergency department overcrowding. Acad Emerg Med 2007; 14: 338-43.
Sultanoğlu H , Gamsızkan Z , Cangür Ş . Acil Servise Bir Yılda Başvuran Hastalarda Mükerrer Başvuruların İncelenmesi ve Çözüm Önerileri. DÜ Sağlık Bil Enst Derg 2021; 11: 50-55.
Erkuran MK, Duran A, Ocak T, Citisli V, Kaya H. The impact of the duration of admission to the emergency room on the mortality of intensive care patients. Niger J Clin Pract 2014; 17: 320-3.
Groenland CNL, Termorshuizen F, Rietdijk WJR, et al. Emergency Department to ICU Time Is Associated With Hospital Mortality: A Registry Analysis of 14,788 Patients From Six University Hospitals in The Netherlands. Crit Care Med 2019; 47: 1564-71.
Simpson HK, Clancy M, Goldfrad C, Rowan K. Admissions to intensive care units from emergency departments: a descriptive study. Emerg Med J 2005; 22: 423-8.
Sun J, Girling AJ, Aldridge C, et al. Sicker patients account for the weekend mortality effect among adult emergency admissions to a large hospital trust. BMJ Qual Saf 2019; 28: 223-30