背景:在全球范围内,急诊就诊的需要有所增加,这在儿科患者中异常高,导致更长的停留时间,这是一个全球性的挑战和医院瓶颈,增加了患者发病率和死亡率的风险,同时也降低了满意度。
目的:本研究旨在评估2021年WolaitaSodo大学医院儿科急诊科的住院时间和相关因素。
方法:2021年3月15日至5月15日进行了基于机构的横断面调查。使用系统抽样程序选择了422名研究参与者。数据是使用半结构化的面试官管理的问卷和图表评论收集的。Epi数据4.6版用于输入数据,而SPSS版本26被用来分析它。95%的置信区间,描述性统计用于描述患病率,儿科,和急诊科的逗留时间。使用双变量和多变量逻辑回归分析确定与住院时间相关的因素。在AOR上,当p值小于0.05且置信区间小于95%时,宣布显著水平.
结果:儿科急诊科住院时间延长的比例为79.70%(95%CI;75.7,83.6)。夜间到达[AOR=3.19,95%CI(1.14,8.98)],周末到达[AOR=4.25,95%CI(1.49,5.35)],未在医院接受订购药物[AOR=2.05,95%CI(1.04,4.03)],橙色分诊类别[AOR=4.01,95%CI(1.60,10.05)],和疼痛持续时间13-24小时[AOR=0.29,95%CI(0.89,0.98)],与住院时间显著相关。
结论:长期留在儿科急诊科的儿童比例很高。政策制定者应该实施循证护理,最大限度地利用现有资源,提供平等的护理和高质量的护理,并使儿科急诊科更容易获得和操作高效。
Globally, there is an increase in the need for emergency department visits, which is exceptionally high in pediatric patients, resulting in longer lengths of stay, which is a global challenge and a hospital bottleneck that increases the risk of patient morbidity and mortality while also lowering satisfaction.
This study aimed to assess the length of stay and associated factors in the pediatric emergency department at Wolaita Sodo University Hospital in 2021.
An institution-based cross-sectional investigation was undertaken from March 15 to May 15, 2021. The 422 study participants were chosen using a systematic sampling procedure. The data were collected using semi-structured interviewer-administered questionnaires and chart reviews. Epi Data version 4.6 was used to enter the data, while SPSS version 26 was used to analyze it. With a 95% confidence interval, descriptive statistics were used to describe the prevalence, pediatrics, and emergency department duration of stay. The factors related to the length of stay were identified using bivariable and multivariable logistic regression analysis. On the AOR, a significant level was proclaimed when the p-value was less than 0.05, and the confidence interval was less than 95%.
The proportion of prolonged pediatric emergency department length of stay was 79.70% (95% CI; 75.7, 83.6). Nighttime arrival [AOR = 3.19, 95% CI (1.14, 8.98)], weekend arrival [AOR = 4.25, 95% CI (1.49, 5.35)], not receiving ordered medication in the hospital [AOR = 2.05, 95% CI (1.04, 4.03)], orange triage category [AOR = 4.01, 95% CI (1.60, 10.05)], and duration of pain 13-24 h [AOR = 0.29, 95% CI (0.89,0.98)], were significantly associated with length of stay.
The percentage of children who stayed in the pediatric emergency department for an extended period was high. Policymakers should implement evidence-based care, maximize existing resources, provide equal access to care and high-quality care, and make pediatric emergency departments more accessible and operationally efficient.