Involuntary patient length-of-stay at a suburban emergency department.
Am J Emerg Med
; 38(3): 534-538, 2020 03.
Article
en En
| MEDLINE
| ID: mdl-31153738
ABSTRACT
BACKGROUND:
Patients who may be a danger to themselves or others often are placed on involuntary hold status in the Emergency Department (ED). Our primary objective was to determine if there are demographic and/or clinical variables of involuntary hold patients which were associated with an increased ED LOS.METHODS:
Records of ED patients evaluated while on involuntary hold from January 1, 2014 through November 30, 2015 at a suburban acute-care hospital ED were reviewed. Data collected included demographics information, LOS, suicidal or homicidal ideation, suicide attempt, blood alcohol concentration (BAC), urine drug test (UDT), psychiatric disorder, substance use, medical illness, violence in the ED, and hospital admission. Linear regression based on the log of LOS was used to identify factors associated with increased LOS.RESULTS:
Two-hundred and fifty-one patients were included in the study. ED LOS (median) was 6â¯h (1, 49). Linear regression analysis showed increased LOS was associated with BAC (pâ¯=â¯0.05), urine drug test (UDT) (pâ¯=â¯0.05) and UDT positive for barbiturates (pâ¯=â¯0.01). There was no significant difference in ED LOS with respect to age, gender, housing, psychiatric diagnosis, suicidal or homicidal ideation, suicide attempt, violence, medical diagnosis, or admission status.CONCLUSIONS:
Involuntary hold patients had an increased ED LOS associated with alcohol use, urine drug test screening, and barbiturate use. Protocol development to help stream-line ED evaluation of alcohol and drug use may improve ED LOS in this patient population.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
8_ODS3_consumo_sustancias_psicoactivas
Problema de salud:
8_alcohol
Asunto principal:
Servicio de Urgencia en Hospital
/
Internamiento Involuntario
/
Tiempo de Internación
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Emerg Med
Año:
2020
Tipo del documento:
Article