Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Which patients spend more than 4 hours in the Accident and Emergency department?

Tools
- Tools
+ Tools

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 ISSN 1741-3842.

Research output not available from this repository.

Request-a-Copy directly from author or use local Library Get it For Me service.

Official URL: http://dx.doi.org/10.1093/pubmed/fdh141

Request Changes to record.

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:
DateEvent
June 2004UNSPECIFIED
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

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item
twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us