Emergency Department Admission Rates, Waiting Times, and Mortality: An Observational Study in the Tertiary Center Most Proximal to Gaza During a Military Conflict.
Disaster Med Public Health Prep
; 17: e463, 2023 08 23.
Article
en En
| MEDLINE
| ID: mdl-37608756
ABSTRACT
OBJECTIVES:
Military conflicts may be ongoing and encompass multiple medical facilities. This study investigated the impact of a military conflict ("Protective Edge" PE) on emergency department (ED) function in a tertiary medical center.METHODS:
Visits to the ED during PE (July-August 2014) were compared with ED visits during July-August 2013 and 2015 with regard to admission rates, waiting times and 30-d mortality. Odds ratios (ORs) adjusted for confounders were used for the multivariable regression models.RESULTS:
There were 32,343 visits during PE and 74,279 visits during the comparison periods. A 13% decrease in the daily number of visits was noted. During PE, longer waiting times were found, on average 0.25 h longer, controlling for confounders. The difference in waiting times was greater in medicine and surgery. Admission rates were on average 10% higher during PE military conflict, controlling for confounders. This difference decreased to 7% controlling for the daily number of visits. Thirty-day mortality was significantly increased during PE (OR = 1.42; 95% CI 1.18-1.70). ORs for mortality during PE were significantly higher in medicine (OR = 1.45; 95% CI 1.15-1.81) and pediatrics (OR = 4.40; 95% CI 1.33-14.5).CONCLUSIONS:
During an ongoing military conflict, waiting times, admission rates, and mortality were statistically significantly increased.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Personal Militar
Tipo de estudio:
Observational_studies
Límite:
Child
/
Humans
Idioma:
En
Revista:
Disaster Med Public Health Prep
Asunto de la revista:
SAUDE PUBLICA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Israel