Evidence map›Paper›PMID 34765432›Full record

ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2021

Delay in hospital discharge of trauma patients in a University Hospital in Egypt: A prospective observational study.

Islam El-Abbassy, Wafaa Mohamed, Hazem Mohamed El-Hariri, Maged El-Setouhy, Jon Mark Hirshon, Mohamed El-Shinawi

Open access · goldAbstract read
In one paragraph

Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 4 countries.

Islam El-AbbassyGeneral Surgery Department, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt.
Wafaa MohamedDepartment of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt.
Hazem Mohamed El-HaririCommunity Medicine Department, National Research Centre, Ad Doqi, Dokki, Cairo, Egypt.
Maged El-SetouhyDepartment of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt.
Jon Mark HirshonDepartment of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States.
Mohamed El-ShinawiGeneral Surgery Department, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt.
Ain Shams University · EGGalala UniversityJazan University · SAKing's College Hospital · GBNational Research Centre · EGUniversity of Maryland, Baltimore · US

Funding

INJURY PREVENTION TRAINING IN EGYPT AND THE MIDDLE EASTD43TW007296 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI HIRSHON, JON MARK · 2005 to 2020
$3.5M
FIC NIH HHS D43 TW007296
6 · The paper itself

Abstract

introduction"Delayed discharge" is defined as patients who remain hospitalised beyond the time of being fit for discharge after a decision of discharge has been made by the managing team. There is no standardised amount of time defining delayed discharge documented in the literature, and there is a lack of evidence about this topic in Egypt. This study is a quality improvement project aiming to identify the factors associated with discharge delays at a single centre in Egypt in order to address this issue.

methodsA prospective observational study included all trauma patients admitted to a University Hospital in Egypt over two months. The time of the decision of discharge and actual discharge time were recorded by reviewing patients' medical records. The patients and their caregivers were asked to fill in a questionnaire about the reasons for delayed discharge. Potential reasons for the delayed discharge were classified into system-related, medical and family-related factors.

resultsThe study included 498 patients with a median age of 41 years (9-72). The median time from discharge decision until actual discharge was 3 h. System-related factors were documented in 48.8% of cases, followed by medical factors (36.3%), and family-related factors (28.1%). When controlling for age, gender and injury severity score using a logistic regression analysis, longer time to discharge (≥3 h) showed a stronger association with medical factors [adjusted OR (95% CI) = 5.44 (2.73-10.85)] and family-related factors [adjusted OR (95% CI) = 7.94 (3.40-18.54)] compared to system-related factors [adjusted OR (95% CI) = 2.20 (1.12-4.29)]. DISCUSSION: Although system-related factors were more prevalent, medical and family-related factors appear to be associated with longer discharge delays compared to system-related factors.

Indexed as

Delayed dischargeFamily-related factorsMedical factorsSystem-related factorsTime to discharge

Identifiers

PMID34765432
PMCPMC8567154
OpenAlexW3208883377

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.