Decrease in emergency department length of stay as a result of triage pulse oximetry
Decrease in emergency department length of stay as a result of triage pulse oximetry
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DOI：
10.1097/01.pec.0000221340.26873.2f
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发表时间：
2006-06-01
影响因子：
1.4
通讯作者：
Claudius, Ilene
中科院分区：
文献类型：
--
作者：
Choi, James;Claudius, Ilene
目的：许多急诊科在分诊时不进行脉搏血氧测定，尽管它有可能改变管理决策。我们试图量化减少病人的吞吐量时间在儿科急诊科引入分流脉搏oxygenometer.Methods：159例毛细支气管炎患者从2004年作为干预前组，并对89个严重程度匹配的干预后毛细支气管炎患者从2005年进行了评价。结果：干预前组平均艾德住院时间为4h 59min，干预后组平均ED住院时间为4h 9min，两组比较差异有统计学意义（P = 0.03）。呼吸窘迫的敏感性分诊考试预测缺氧是公平的（74%）。结论：制度分诊脉搏血氧饱和度显着减少艾德吞吐时间。临床检查本身并不能替代血氧饱和度的测量。
Objectives: Many emergency departments do not perform pulse oximetry in triage, in spite of its potential for altering management decisions. We attempted to quantify the decrease in patient throughput time in a pediatric emergency department following the introduction of triage pulse oximetry.Methods: One hundred fifty-nine bronchiolitis patients from 2004 served as the preintervention group, and were evaluated against 89 severity-matched postintervention bronchiolitis patients from 2005. Their mean lengths of ED stay were compared by t test.Results: The preintervention group had a mean length of stay of 4 hours and 59 minutes, and the postintervention group had a mean length of stay of 4 hours and 9 minutes, which was significantly different (P = 0.03). The sensitivity of respiratory distress on the triage exam for predicting hypoxia was fair (74%).Conclusions: Institution of triage pulse oximetry significantly decreases ED throughput times. Clinical exam alone is not a replacement for measurement of oxygen saturation.