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- W2106205532 abstract "<h3>Background</h3> Prolonged emergency department (ED) stays make a disproportionate contribution to ED overcrowding, but the factors associated with longer stays have not been systematically reviewed. <h3>Objective</h3> To identify the patient characteristics associated with ED length of stay (LOS) and ascertain whether a predictive model existed. <h3>Methods</h3> This rapid systematic review included published, English-language studies that assessed at least one patient-level predictor of ED LOS (defined as a continuous or dichotomous variable) in an adult or mixed adult/paediatric population within an Organization for Economic Cooperation and Development country. Findings were synthesised narratively. <h3>Results</h3> We identified 35 relevant studies; most included multiple predictors, but none developed a predictive model. The factors most commonly associated with long ED LOS were need for admission (10 of 10 studies) and older age (which may be a proxy for age-related differences in health condition and severity; 9 of 10), receipt of diagnostic tests or consults (8 of 8) and ambulance arrival (4 of 5). Acuity often showed a bell-shaped relationship with LOS (ie, patients with moderate acuity stayed longest). <h3>Limitations</h3> Methodological choices made in the interests of rapidity limited the review9s comprehensiveness and depth. <h3>Conclusions</h3> Despite a sizeable body of literature, the available information is insufficiently precise to inform clinical or service-planning decisions; there is a need for a predictive model, including specific patient complaints. Deeper understanding of the determinants of ED LOS could help to identify patients and/or populations who require special intervention or resources to prevent a protracted stay." @default.
- W2106205532 created "2016-06-24" @default.
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- W2106205532 date "2015-09-04" @default.
- W2106205532 modified "2023-10-02" @default.
- W2106205532 title "Patient characteristics associated with longer emergency department stay: a rapid review" @default.
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- W2106205532 doi "https://doi.org/10.1136/emermed-2015-204913" @default.
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