Influencing factors and Analysis of Residence Hours in Observation Wards for Emergency Patients
Author(s): Yang Wei-ying, Shi Huan-huan, Chen Jian-ping, Sun Mei-ping
Pages: 28-31
Year: 2014 Issue: 8
Journal: Hospital Management Forum
Keyword: Emergency; Observation wards; Influencing factors; Logistic; Binary Logistic regression;
Abstract: Objective Explored the influencing factors of emergency inpatients detained in observation wards and provided basis for the improvement of patients shunt. Methods Retrospectively analyzed of the inpatients from the emergency observation wards in a local tertiary hospital in 2013 and studied the risk factors that influenced emergency inpatients detained in observation wards by means of binary logistic regression. Results (1)A total of 3116 inpatients were admitted from emergency observation wards. The median and quartile of residence hours in observation wards was 59h(24~92). 32.1% of the patients detained in emergency observation wards more than 72h. (2)Univariate analysis showed that the major factors contributing to residence hours were age, whether diseases involving multiple departments, the number of initial diagnosis and admission department. Other factors included gender, visit month, the way of observation and the observation hour.(3) Binary logistic regression showed that the main factors contributing to residence hours were admission department, age, visit month, the observation hour and gender. Conclusion The residence time of emergency patients for observation in this hospital was much longer, which was mainly affected by admission department, age, visit month and so on. Subjective factors of patients should be drawn attention and be further studied.
Pages: 28-31
Year: 2014 Issue: 8
Journal: Hospital Management Forum
Keyword: Emergency; Observation wards; Influencing factors; Logistic; Binary Logistic regression;
Abstract: Objective Explored the influencing factors of emergency inpatients detained in observation wards and provided basis for the improvement of patients shunt. Methods Retrospectively analyzed of the inpatients from the emergency observation wards in a local tertiary hospital in 2013 and studied the risk factors that influenced emergency inpatients detained in observation wards by means of binary logistic regression. Results (1)A total of 3116 inpatients were admitted from emergency observation wards. The median and quartile of residence hours in observation wards was 59h(24~92). 32.1% of the patients detained in emergency observation wards more than 72h. (2)Univariate analysis showed that the major factors contributing to residence hours were age, whether diseases involving multiple departments, the number of initial diagnosis and admission department. Other factors included gender, visit month, the way of observation and the observation hour.(3) Binary logistic regression showed that the main factors contributing to residence hours were admission department, age, visit month, the observation hour and gender. Conclusion The residence time of emergency patients for observation in this hospital was much longer, which was mainly affected by admission department, age, visit month and so on. Subjective factors of patients should be drawn attention and be further studied.
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