Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016-2017
- Title
- Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016-2017
- Author
- 강형구
- Keywords
- emergency department crowding; in-hospital cardiac arrest; quality control; length of stay
- Issue Date
- 2020-07
- Publisher
- MDPI
- Citation
- JOURNAL OF CLINICAL MEDICINE, v. 9, no. 7, article no. 2284
- Abstract
- This study was to determine whether prolonged emergency department (ED) length of stay (LOS) is associated with increased risk of in-hospital cardiac arrest (IHCA). A retrospective cohort with a nationwide database of all adult patients who visited the EDs in South Korea between January 2016 and December 2017 was performed. A total of 18,217,034 patients visited an ED during the study period. The median ED LOS was 2.5 h. IHCA occurred in 9,180 patients (0.2%). IHCA was associated with longer ED LOS (4.2 vs. 2.5 h), and higher rates of intensive care unit (ICU) admission (58.6% vs. 4.7%) and in-hospital mortality (35.7% vs. 1.5%). The ED LOS correlated positively with the development of IHCA (Spearman ρ = 0.91; p < 0.01) and was an independent risk factor for IHCA (odds ratio (OR) 1.10; 95% confidence interval (CI), 1.10–1.10). The development of IHCA increased in a stepwise fashion across increasing quartiles of ED LOS, with ORs for the second, third, and fourth relative to the first being 3.35 (95% CI, 3.26–3.44), 3.974 (95% CI, 3.89–4.06), and 4.97 (95% CI, 4.89–5.05), respectively. ED LOS should be reduced to prevent adverse events in patients visiting the ED
- URI
- https://www.mdpi.com/2077-0383/9/7/2284https://repository.hanyang.ac.kr/handle/20.500.11754/169255
- ISSN
- 2077-0383
- DOI
- 10.3390/jcm9072284
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
- Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest A nationwide Population-Based Study in South ...Download
- Export
- RIS (EndNote)
- XLS (Excel)
- XML