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Which patients spend more than 4 hours in the Accident and Emergency department?
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UNSPECIFIED (2004) Which patients spend more than 4 hours in the Accident and Emergency department? JOURNAL OF PUBLIC HEALTH, 26 (2). pp. 172-176. doi:10.1093/pubmed/fdh141
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Official URL: http://dx.doi.org/10.1093/pubmed/fdh141
Abstract
Objectives The NHS Plan has a target that no patient should spend longer than 4 hours in Accident and Emergency (A&E) by the end of 2004. The aim of this study is to describe the attendance characteristics of patients spending less than and more than 4 hours total time in A&E.
Methods Data were collected from 10 A&E departments in the West Midlands NHS region for the period 1 April 2001 to 31 March 2002. Patients were split into three groups; those spending less than 4 hours, between 4 and 8 hours an over 8 hours in A&E. The groups were compared in terms their attendance characteristics, these being demography, temporal patterns, arrival mode and disposal. The data were also entered into a multinomial logistic regression using SPSS.
Results Overall, 83.0 per cent (range 76.7-94.0 per cent) of patients spent less than 4 hours in AE; 3.6 per cent (range 0.3-8.6 per cent) spent longer than 8 hours in A&E. The risk factors for spending over 4 hours in A&E were requiring admission, arriving by ambulance, arriving during the night, increasing age and higher levels of deprivation. Being admitted had the greatest effect on time spent in A&E, with a patient being 2.64 times more likely to spend 4-8 hours and 4.84 times more likely to spend over 8 hours in the department.
Conclusions This study points to admission and service provision at night as factors leading to long periods in A&E. However, these results can only act as a guide as the problems are different in different Trusts and each should analyse their problem before taking action.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine | ||||
| Journal or Publication Title: | JOURNAL OF PUBLIC HEALTH | ||||
| Publisher: | OXFORD UNIV PRESS | ||||
| ISSN: | 1741-3842 | ||||
| Official Date: | June 2004 | ||||
| Dates: |
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| Volume: | 26 | ||||
| Number: | 2 | ||||
| Number of Pages: | 5 | ||||
| Page Range: | pp. 172-176 | ||||
| DOI: | 10.1093/pubmed/fdh141 | ||||
| Publication Status: | Published |
Data sourced from Thomson Reuters' Web of Knowledge
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