Factors related to delayed intensive care unit admission from emergency department—A retrospective cohort study

Background The delays in transferring patients from emergency department (ED) to intensive care unit (ICU) are known to be linked with several adverse events, including prolonged ICU stay and increased hospital mortality. The factors associated with delayed ICU admission include shortage of ICU beds...

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Veröffentlicht in:Acta anaesthesiologica Scandinavica 2019-08, Vol.63 (7), p.939-946
Hauptverfasser: Aitavaara‐Anttila, Mia, Liisanantti, Janne H., Raatiniemi, Lasse, Ohtonen, Pasi, Ala‐Kokko, Tero
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Sprache:eng
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Zusammenfassung:Background The delays in transferring patients from emergency department (ED) to intensive care unit (ICU) are known to be linked with several adverse events, including prolonged ICU stay and increased hospital mortality. The factors associated with delayed ICU admission include shortage of ICU beds, organizational factors, ED overcrowding, and patient‐related factors, including sepsis as admission diagnosis. The aim of this study was to examine ED‐related factors associated with prolonged ED stay. Methods The study population consisted of adult patients admitted (n = 479) from ED to ICU between 31 May 2016 and 19 March 2017 in Oulu University Hospital. A patient's ED length of stay (LOS) exceeding 180 minutes was considered delayed. Results Most of the patients (380, 79.3%) were admitted to the ICU within 3 hours of hospital admission. In a logistic regression analysis, odds ratios (ORs) for ED LOS > 180 minutes were as follows: for Glasgow Coma Scale score > 9, 2.73 (1.39‐5.32); for thrombocytes 
ISSN:0001-5172
1399-6576
DOI:10.1111/aas.13355