From: The impact of a multimodal intervention on emergency department crowding and patient flow
Pre-intervention period n = 31,891 | Intervention period n = 32,121 | Odds ratio (95% CI) | p valuea | |
---|---|---|---|---|
Median ageb in years (IQR*) | 45 (26–65) | 47 (27–66) | 1.00 (1.00–1.00) | < 0.001 |
Age in yearsb n (%) | ||||
17 years and younger | 4273 (13.4) | 4019 (12.5) | 0.92 (0.88–0.97) | 0.001 |
18–64 years | 19,493 (61.1) | 19,449 (60.5) | 0.98 (0.95–1.01) | 0.130 |
65–74 years | 3694 (11.6) | 3981 (12.4) | 1.08 (1.03–1.13) | 0.002 |
75 years and older | 4426 (13.9) | 4672 (14.5) | 1.06 (1.01–1.10) | 0.016 |
Self-referred | 11,278 (35.4) | 10,841 (33.8) | 0.93 (0.90–0.96) | < 0.001 |
Acuity levelc n (%) | ||||
Life-threatening | 427 (1.3) | 413 (1.3) | 0.96 (0.84–1.10) | 0.554 |
High urgent | 7546 (23.7) | 7351 (22.9) | 0.96 (0.92–0.99) | 0.020 |
Urgent | 14,339 (45.0) | 15,172 (47.2) | 1.10 (1.06–1.13) | < 0.001 |
Standard | 8663 (27.2) | 7841 (24.4) | 0.87 (0.84–0.90) | < 0.001 |
Non-urgent | 230 (0.7) | 214 (3.5) | 0.92 (0.77–1.11) | 0.402 |
Medical specialism n (%) | ||||
Cardiology | 4396 (13.8) | 4454 (13.9) | (0.96–1.05) | 0.764 |
Surgery/traumatology | 9601 (30.1) | 10,219 (31.8) | 1.08 (1.05–1.12) | < 0.001 |
Neurology | 3750 (11.8) | 3785 (11.8) | 1.00 (0.96–1.05) | 0.923 |
Internal medicine | 4493 (14.1) | 4647 (14.5) | 1.03 (0.99–1.08) | 0.171 |
Other specialismd | 9651 (30.3) | 9016 (28.1) | 0.90 (0.87–0.93) | < 0.001 |
Presenting problemc n (%) | ||||
Abdominal pain | 4931 (15,8) | 5071 (16.4) | 1.04 (1.00–1.09) | 0.053 |
Back pain | 371 (1.2) | 361 (1.2) | 0.98 (0.85–1.13) | 0.787 |
Chest pain and collapse | 4353 (13.9) | 4221 (13.6) | 0.97 (0.93–1.02) | 0.245 |
Ear/nose/throat/eye | 682 (2.2) | 601 (1.9) | 0.89 (0.79–0.99) | 0.032 |
Headache and head injury | 2379 (7.6) | 2248 (7.3) | 0.95 (0.89–1.01) | 0.082 |
Limb problems | 5302 (17.0) | 4829 (15.6) | 0.90 (0.87–0.94) | < 0.001 |
Psychiatric disorders | 1148 (3.7) | 1153 (3.7) | 1.01 (0.93–1.10) | 0.773 |
Severe trauma and falls | 2263 (7.2) | 2262 (7.3) | 1.01 (0.95–1.07) | 0.806 |
Shortness of breath | 2357 (7.6) | 2537 (8.2) | 1.09 (1.03–1.16) | 0.003 |
Unwell patient | 3629 (11.6) | 3991 (12.9) | 1.12 (1.07–1.18) | < 0.001 |
Wounds and local infections | 2063 (6.6) | 2008 (6.5) | 0.98 (0.92–1.04) | 0.519 |
Other presenting probleme | 1736 (5.6) | 1700 (5.5) | 0.99 (0.92–1.06) | 0.684 |
Arrival during peak hours (noon–8 pm) | 15,115 (47.4) | 15,195 (47.3) | 1.00 (0.97–1.03) | 0.819 |