Impact of emergency short‐stay unit opening on in‐hospital global and cardiology indicators

Rationale, aims and objectives Emergency short‐stay unit (SSU) alleviates emergency department (ED) overcrowding, but may affect in‐hospital indicators. Cardiology patients comprise a substantial part of patients admitted at SSU. This study evaluated whether SSU opening differentially modified in‐ho...

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Veröffentlicht in:	Journal of evaluation in clinical practice 2021-12, Vol.27 (6), p.1262-1270
Hauptverfasser:	Cirillo, Willian, Freitas, Lidia R. C., Kitaka, Edson L., Matos‐Souza, José R., Silva, Marcos R., Coelho, Otávio R., Coelho‐Filho, Otávio R., Sposito, Andrei C., Nadruz, Wilson
Format:	Artikel
Sprache:	eng
Schlagworte:	Cardiology Cardiovascular disease coronary heart disease Emergency medical care Emergency Service, Hospital emergency ward hospital Hospitalization Humans Length of Stay Patient Admission Patient admissions Retrospective Studies Tertiary Care Centers
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Zusammenfassung:	Rationale, aims and objectives Emergency short‐stay unit (SSU) alleviates emergency department (ED) overcrowding, but may affect in‐hospital indicators. Cardiology patients comprise a substantial part of patients admitted at SSU. This study evaluated whether SSU opening differentially modified in‐hospital indicators at a whole general hospital and at its cardiology division (CARD). Methods We retrospectively analysed indicators based on 859 686 ED visits, and 171 547 hospital admissions, including 12 110 CARD admissions, from 2007 to 2018 at a general tertiary hospital, and compared global ED indicators and in‐hospital indicators at the hospital and CARD before (2007‐2011) and after (2011‐2018) SSU opening. Results After SSU opening, monthly ED bed occupancy rate decreased (mean ± SD 200 ± 18% vs 187 ± 22%; P
ISSN:	1356-1294 1365-2753
DOI:	10.1111/jep.13534