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- W3011980578 abstract "AbstractObjectives: Many studies have verified the adverse effects of prolonged emergency department (ED) length of stay (LOS) on outcomes. Patient, physician, hospital, and system factors affect ED LOS. We investigate racial disparities in prolonged ED LOS for admitted patients, controlling both patients’ medical condition and hospital factors that could responsible for potential disparities.Methods: We studied 6932 hospital admissions from 994 EDs in the National Hospital Ambulatory Medical Care Survey from 2009–2011. The main outcome was prolonged ED LOS which was defined as triage to transfer to inpatient bed > 6 hours. We use logit model as the maximum likelihood model of choice. Akaike information criterion, Bayesian information criterion as well as the Pregibon’s Linktest are used to test different specifications of the model.Results: The mean age of our sample was 57 years old, 65% of patients are white, and 54% of them were female. A total of 58.5% of patients experienced prolonged LOS. Overall, 55.4% of whites stayed for more than six hours in the ED compared to 64.1% of non–whites (P < 0.01). Among the sample of this study, the average predicted probability of prolonged ED OLS was 0.5798, 0.5791 and 0.5989 in 2009, 2010 and 2011 respectively (P’s < 0.01). On average, comparing to white patients, black patients had a 7.3, 1.3 and 6.7 percentage point higher probability of having prolonged ED LOS, controlling for all other variables in 2009, 2010 and 2011 respectively (P's< 0.01).Conclusions: Non-white patients who are admitted to the main hospital through the ED have longer ED LOS compared to whites, demonstrating that racial disparities still exist across U.S. hospitals." @default.
- W3011980578 created "2020-03-23" @default.
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- W3011980578 date "2018-01-01" @default.
- W3011980578 modified "2023-09-27" @default.
- W3011980578 title "Racial Disparities in Prolonged Emergency Department Length of Stay for Admitted Patients in the United States" @default.
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