ArticleEmergency (Tehran, Iran)2017
Determinants of Prolonged Length of Stay in the Emergency Department; a Cross-sectional Study.
Article in Emergency (Tehran, Iran), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prolonged length of stay and associated factors among emergency department patients in Ethiopia: systematic review and meta-analysis.BMC emergency medicine · 2024Pooled it
- How to adjust the expected waiting time to improve patient's satisfaction?BMC health services research · 2023Trial
- Emergency Department length of stay: a mixed-methods study in four Ethiopian public hospitals.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Factors Associated With Prolonged Emergency Department (ED) Length of Stay (LOS) at a Tertiary Care Hospital in Nepal: A Cross-Sectional Study.Emergency medicine international · 2026Article
- Sick leave issuance in an obstetrics and gynecology emergency room in Saudi Arabia: Insights for public health and family medicine.SAGE open medicine · 2025Article
- Article
- Prolonged length of stay and its associated factors at adult emergency department in amhara region comprehensive specialized hospitals, northwest Ethiopia.BMC emergency medicine · 2023Article
- A Fuzzy Hybrid MCDM Approach for Assessing the Emergency Department Performance during the COVID-19 Outbreak.International journal of environmental research and public health · 2023Article
- Length of stay in the emergency department and its associated factors among pediatric patients attending Wolaita Sodo University Teaching and Referral Hospital, Southern, Ethiopia.BMC emergency medicine · 2022Article
- Effect of triage training on the knowledge application and practice improvement among the practicing nurses of the emergency departments of the National Referral Hospitals, 2018; a pre-post study in Asmara, Eritrea.BMC emergency medicine · 2022Article
- The characteristics of geriatric patients managed within the resuscitation unit of a district-level emergency centre in Cape Town.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Emergency Stay Duration of Patients in Emergency Department of A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2020Article
- Length of Stay in the Emergency Department and Its Associated Factors at Jimma Medical Center, Southwest Ethiopia.Open access emergency medicine : OAEM · 2020Article
- Cost and Visit Duration of Same-Day Access at an Academic Ophthalmology Department vs Emergency Department.JAMA ophthalmology · 2019Article
- Factors associated with the length of stay in emergency departments in Southern-Ethiopia.BMC research notes · 2019Article
- Analysis of factors influencing length of stay in the emergency department in public hospital, Padang, Indonesia.Medical journal, Armed Forces IndiaArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTimeliness has been considered as a key domain in quality of emergency department (ED) care and delay in care providing is influential determinants of patient's outcomes. The present study, aimed to evaluate the determinants of prolonged ED length of stay (LOS).
methodsIn this cross-sectional study, using adopted version of the latest form for external evaluation and accreditation of EDs introduced by Iranian Ministry of Health, determinants of prolonged LOS were evaluated in the ED of an educational Hospital. Using SPSS 11, multivariate binary logistic regression was applied to estimate adjusted odds ratios (OR) for determining factors associated with prolonged LOS.
results162 (10.2%) cases with prolonged LOS were detected. Based on univariate analysis, female gender (OR: 1.42, 95% CI: 1.14-1.75, p = 0.001), older age (OR: 1.05, 95% CI: 1.02-1.08, p < 0.0001), admission on evening shifts (OR: 4.0; 95% CI: 1.84-8.68, p < 0.001), triage level I (OR: 1.76, 95% CI: 1.21-2.57, p = 0.003), lack of insurance support (OR: 1.56, 95% CI: 1.12-2.19, p = 0.010), higher number of ordered para-clinical tests (OR: 1.23, 95% CI: 1.11-1.37, p = 0.016), and disposition time > 6 hours (OR, 0.13, p < 0.0001), were significant risk factors of prolonged LOS.
conclusionOlder age, lack of insurance support, disposition time > 6 hours due to complexity of patients' complaint, and the necessity of repeated para-clinical measures were the most important reasons for failed provision of timely services. From the view point of ED personnel, a small part of prolonged LOS in ED was concerned with defective ED workflow, while, the most important cause of such delays was the delayed response of the consultancy services.
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28286860PMC5325925What OpenQuestion holds
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