Factors associated with the length of stay of patients discharged from emergency department in France

European Journal of Emergency Medicine

Volumn 22, Issue 2, 2015, Pages 92-98

  Capuano, Frederic ^a   Lot, Anne Sophie ^a   Sagnes Raffy, Christine ^b   Ferrua, Marie ^a   Brun Ney, Dominique ^c   Leleu, Henri ^a   Pateron, Dominique ^d   Debaty, Guillaume ^f   Giroud, Marc ^g   Minvielle, Etienne ^a   Riou, Bruno ^e  

^a EHESP SCHOOL OF PUBLIC HEALTH   (France)

^b Hôtel Dieu Saint Jacques   (France)

^c ASSISTANCE PUBLIQUE HÔPITAUX DE PARIS   (France)

^d HÔPITAL SAINT ANTOINE   (France)

^e PITIÉ SALPÊTRIÈRE HOSPITAL   (France)

^f GRENOBLE UNIVERSITY HOSPITAL   (France)

^g Service d'urologie   (France)

Author keywords

emergency department management; length of stay; performance; quality

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CHILD; CLINICAL CLASSIFICATION; EMERGENCY PATIENT; EMERGENCY WARD; FACTORIAL ANALYSIS; FEMALE; FRANCE; HEALTH CARE SURVEY; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INFANT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MULTILEVEL ANALYSIS; NEWBORN; PRIORITY JOURNAL; AGE; EMERGENCY HEALTH SERVICE; EMERGENCY TREATMENT; MIDDLE AGED; OUTCOME ASSESSMENT; PRESCHOOL CHILD; PROCEDURES; RISK ASSESSMENT; SEX DIFFERENCE; STATISTICS AND NUMERICAL DATA; UTILIZATION; YOUNG ADULT;

ADOLESCENT; ADULT; AGE FACTORS; AGED; CHILD; CHILD, PRESCHOOL; EMERGENCY SERVICE, HOSPITAL; EMERGENCY TREATMENT; FEMALE; FRANCE; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT DISCHARGE; PATIENT OUTCOME ASSESSMENT; RISK ASSESSMENT; SEX FACTORS; YOUNG ADULT;

EID: 84924247353     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/MEJ.0000000000000109     Document Type: Article

References (27)

1. Schuur JD, Venkatesh AK. The growing role of emergency departments in hospital admissions. N Engl J Med 2012; 367:391-393
2. National Health Quality Forum. National Quality Forum endorses measures to address care coordination and efficiency in hospital emergency departments. Available at: http://www.qualityforum.org/News-And-Ressources/Press-Release/2008/National-Quality-Forum8Endorses-Measures-to-Adress-Care-Coordination-And-Efficiency-in-Hospitals-Emergency-Department.aspx. [Accessed 1 January 2013
3. Guttmann A, Schull MJ, Vermeulen MJ, Stukel TA. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ 2011; 342:d2983
4. Sauvin G, Freund Y, Saïdi K, Riou B, Hausfater P. Unscheduled return visits to emergency department: consequences for triage. Acad Emerg Med 2013; 20:33-39
5. Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, et al. International perspectives on emergency crowding. Acad Emerg Med 2011; 18:1358-1370
6. Herring A, Wilper A, Himmelstein DU, Woodhandler S, Espinola JA, Brown DFM, et al. Increasing length of stay among adults visits to U.S. emergency departments, 2001-2005. Acad Emerg Med 2009; 16: 609-616
7. Weber EJ, Mason S, Carter A, Hew R. Emptying the corridors of shame: organized lessons from Englands 4-hour emergency throughtput target. Ann Emerg Med 2011; 57:79-88
8. Pines JM, Decker SL, Hu T. Exogenous predictors of national performance measures for emergency department crowding. Ann Emerg Med 2012; 60:293-298
9. Greenland S. Principles of multilevel modeling. Int J Epidemiol 2000; 29:158-167
10. Corriol C, Grenier C, Coudert C, Daucourt V, Minvielle E. The COMPAQH: research on quality indicators in hospitals. Rev Epidemiol Sante Pub 2008; 56 (Suppl):S52-S60
11. Fee C, Burstin H, Maselli JH, Hsia R. Association of emergency department length of stay with safety-net status. JAMA 2012; 307:476-482
12. Fourestié V, Roussignol E, Elkharrat D, Rauss A, Simon N. Clinical classification of emergency patients. Definition and reproducibility [in French]. Réan Urg 1994; 3:573-578
13. Freund Y, Vincent-Cassy C, Bloom B, Riou B, Ray P. the APHP Emergency Database Study Group. Association between age older than 75 years and exceeded target waiting times in the emergency department: a multicenter cross-sectional survey in the Paris metropolitan area, France. Ann Emerg Med 2013; 62:449-456
14. Schull MJ, Kiss A, Szalai JP. The effect of low-complexity patients on emergency department waiting times. Ann Emerg Med 2007; 49:257-264
15. Mason S, Weber EJ, Coster J, Freeman J, Locker T. Time patients spend in the emergency department: Englands 4-hour rule A case of hitting the target but missing the point?. Ann Emerg Med 2012; 59:341-349
16. Horwitz LI, Green J, Bradley EH. United States emergency department performance on wait time and length of visit. Ann Emerg Med 2010; 55:133-141
17. Jones P, Schimanski K. The four hour target to reduce Emergency Department waiting time: a systematic review of clinical outcomes. Emerg Med Australas 2010; 22:391-398
18. Mills AM, Shofer FS, Chen ES, Hollander JE, Pines JM. The association between emergency department crowding and analgesia administration in acute abdominal pain patients. Acad Emerg Med 2009; 16:603-608
19. Diercks DB, Roe MT, Chen AY, Peacock WF, Kirk JD, Pollack CV, et al. Prolonged emergency department stays of non-ST-segment elevation myocardial infarction patients are associated with worse adherence to the American College of Cardiology/American Heart Association guidelines for management and increased adverse events. Ann Emerg Med 2007; 50:489-496
20. Horwitz LI, Bradley EH. Percentage of US emergency department patients seen within the recommended triage time. Arch Intern Med 2009; 169:1857-1865
21. Ng D, Thomas S, Schmidt N. Applying the Lean, principles of the Toyota Production System to reduce wait times in the emergency department. CJEM 2010; 12:50-57
22. Belorgey N. Reduction of waiting time and length of stay in emergency department A reform process in a public service and its social effects [in French]. Actes Recherches Sci Soc 2011; 189:16-33
23. Mason S, Nicholi J, Locker T. Four hour emergency target. Targets still lead care in emergency departments. BMJ 2010; 341:c3579
24. McCarthy ML, Ding R, Pines JM, Zeger SL. Comparison of methods for measuring crowding and its effects on length of stay in the emergency department. Acad Emerg Med 2011; 18:1269-1277
25. Downing A, Wilson RC, Cooke MW. Which patients spend more than 4 hours in the Accident and Emergency Department. J Public Heath 2004; 26:172-176
26. Ekelund U, Kurland L, Eklund F, Torkki P, Letterstal A, Lindmarker P, et al. Patient throughput times and inflow patterns in Swedish emergency departments A basis for ANSWER, A National Swedish Emergency Registry. Scan J Trauma Resusc Emerg Med 2011; 19:37-46
27. Moore G, Gerdtz M, Manias E, Hepworth G, Dent A. Socio-demographic and clinical characteristics of re-presentation to an Australian inner-city department: implications for service delivery. BMC Public Health 2007; 7:320