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- W2084638583 abstract "Objective . This study explores the association of patient and emergency department (ED) mental health visit characteristics with wait time and length of stay (LOS). Methods . We examined data from 580 ED mental health visits made to two urban EDs by children aged ≤18 years from April 1, 2004, to March 31, 2006. Logistic regressions identified characteristics associated with wait time and LOS using hazard ratios (HR) with 95% confidence intervals (CIs). Results . Sex (male:<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mtext>H</mml:mtext><mml:mtext>R</mml:mtext><mml:mo>=</mml:mo><mml:mn>1.48</mml:mn></mml:math>, 95%<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mtext>C</mml:mtext><mml:mtext>I</mml:mtext><mml:mo>=</mml:mo><mml:mn>1.20</mml:mn></mml:math>–1.84), ED type (pediatric ED:<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mtext>H</mml:mtext><mml:mtext>R</mml:mtext><mml:mo>=</mml:mo><mml:mn>5.91</mml:mn></mml:math>, 95%<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M4><mml:mtext>C</mml:mtext><mml:mtext>I</mml:mtext><mml:mo>=</mml:mo><mml:mn>4.16</mml:mn></mml:math>–8.39), and triage level (Canadian Triage and Acuity Scale (CTAS) 2:<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M5><mml:mtext>H</mml:mtext><mml:mtext>R</mml:mtext><mml:mo>=</mml:mo><mml:mn>3.62</mml:mn></mml:math>, 95%<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M6><mml:mtext>C</mml:mtext><mml:mtext>I</mml:mtext><mml:mo>=</mml:mo><mml:mn>2.24</mml:mn></mml:math>–5.85) were statistically significant predictors of wait time. ED type (pediatric ED:<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M7><mml:mtext>H</mml:mtext><mml:mtext>R</mml:mtext><mml:mo>=</mml:mo><mml:mn>1.71</mml:mn></mml:math>, 95%<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M8><mml:mtext>C</mml:mtext><mml:mtext>I</mml:mtext><mml:mo>=</mml:mo><mml:mn>1.18</mml:mn></mml:math>–2.46), triage level (CTAS 5:<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M9><mml:mtext>H</mml:mtext><mml:mtext>R</mml:mtext><mml:mo>=</mml:mo><mml:mn>2.00</mml:mn></mml:math>, 95%<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M10><mml:mtext>C</mml:mtext><mml:mtext>I</mml:mtext><mml:mo>=</mml:mo><mml:mn>1.15</mml:mn></mml:math>–3.48), number of consultations (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M11><mml:mtext>H</mml:mtext><mml:mtext>R</mml:mtext><mml:mo>=</mml:mo><mml:mn>0.46</mml:mn></mml:math>, 95%<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M12><mml:mtext>C</mml:mtext><mml:mtext>I</mml:mtext><mml:mo>=</mml:mo><mml:mn>0.31</mml:mn></mml:math>–0.69), and number of laboratory investigations (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M13><mml:mtext>H</mml:mtext><mml:mtext>R</mml:mtext><mml:mo>=</mml:mo><mml:mn>0.75</mml:mn></mml:math>, 95%<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M14><mml:mtext>C</mml:mtext><mml:mtext>I</mml:mtext><mml:mo>=</mml:mo><mml:mn>0.66</mml:mn></mml:math>–0.85) predicted LOS. Conclusions . Based on our results, quality improvement initiatives to reduce ED waits and LOS for pediatric mental health visits may consider monitoring triage processes and the availability, access, and/or time to receipt of specialty consultations." @default.
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- W2084638583 date "2014-01-01" @default.
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- W2084638583 title "Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay" @default.
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- W2084638583 doi "https://doi.org/10.1155/2014/897904" @default.
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