Emergency Stay Duration of Patients in Emergency Department of A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study.

Emergency Stay Duration of Patients in Emergency Department of A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study.
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DOI:
10.31729/jnma.4806
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发表时间:
2020-02
期刊:
JNMA; journal of the Nepal Medical Association
影响因子:
--
通讯作者:
Thapa A
Thapa A
中科院分区:
其他
文献类型:
--
作者:
Simkhada P;Acharya S;Lama R;Dahal S;Lohola N;Thapa A

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医院的急诊部负责为到达医院需要立即护理的患者提供医疗和手术护理。急诊科没有人员或设备提供长期护理。在急诊科的住院时间直接影响到病人的护理质量。较长的住院时间与急诊室过度拥挤,患者护理下降,死亡率增加和患者满意度下降有关。本研究的主要目的是找出尼泊尔三级医院急诊科患者的平均住院时间。这是一项描述性横断面研究,于2019年1月15日至2019年1月30日在三级护理教学医院进行。从加德满都医学院-机构审查委员会获得伦理批准。计算的样本量为587。采用连续抽样技术。将由此获得的数据输入SPSS 20版,并进行必要的计算。在95%置信区间(2.98-3.38小时)下,平均紧急住院时间为3.18小时,标准差为2.51小时。女性的平均住院时间(3.25小时)长于男性(3.11小时)。最长住院时间为15.3小时。398例(67.8%)急诊科就诊的患者直接通过急诊科出院。转诊组的平均住院时间最长(5.06小时)。与之前进行的类似研究相比,尼泊尔三级护理医院急诊科的平均住院时间越来越短。
Emergency department of a hospital is responsible for providing medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department is not staffed or equipped to provide prolonged care. Duration of stay in the Emergency department directly affects the quality of patient care. Longer length of stay is associated with Emergency department overcrowding, decline in patient care, increased mortality and decreased patients satisfaction. The main aim of this study is to find the mean stay duration of patients in the emergency department of a tertiary care hospital in Nepal. This is a descriptive cross-sectional study which was conducted in a tertiary care teaching hospital from Jan 15, 2019 to Jan 30, 2019. Ethical clearance was obtained from Kathmandu Medical College- Institutional Review Committee. The calculated sample size was 587. Consecutive sampling technique was used. The data thus obtained was entered in SPSS version 20 and necessary calculations were done. The mean emergency stay duration was obtained to be 3.18 hours at 95% confidence interval (2.98-3.38 hours) and standard deviation was 2.51 hours. Female had longer mean duration of stay (3.25 hours) compared to male (3.11 hours). The maximum length of stay was 15.3 hours. Three hundred ninety eight (67.8%) patients attending the emergency department were discharged right through the emergency department. Mean duration of stay was longest (5.06 hours) for the referral group. The mean stay duration in Emergency Department of tertiary care hospital in Nepal is getting shorter compared to similar study done previously.
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