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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kim, Susan W. Li, Jordan Y. Hakendorf, Paul Teubner, David Jo Ben-Tovim, David I. Thompson, Campbell H. |
| Spatial Coverage | Australia |
| Description | Country affiliation: Australia Author Affiliation: Kim SW ( Flinders Centre for Epidemiology and Biostatistics, School of Medicine, Flinders University, Adelaide, South Australia, Australia.) |
| Abstract | OBJECTIVE: The present study aims to determine the importance of certain factors in predicting the need of hospital admission for a patient in the ED. METHODS: This is a retrospective observational cohort study between January 2010 and March 2012. The characteristics, including blood test results, of 100,123 patients who presented to the ED of a tertiary referral urban hospital, were incorporated into models using logistic regression in an attempt to predict the likelihood of patients' disposition on leaving the ED. These models were compared with triage nurses' prediction of patient disposition. RESULTS: Patient age, their initial presenting symptoms or diagnosis, Australasian Triage Scale category, mode of arrival, existence of any outside referral, triage time of day and day of the week were significant predictors of the patient's disposition (P < 0.001). The ordering of blood tests for any patient and the extent of abnormality of those tests increased the likelihood of admission. The accuracy of triage nurses' admission prediction was similar to that offered by a model that used the patients' presentation characteristics. The addition of blood tests to that model resulted in only 3% greater accuracy in prediction of patient disposition. CONCLUSIONS: Certain characteristics of patients as they present to hospital predict their admission. The accuracy of the triage nurses' prediction for disposition of patients is the same as that afforded by a model constructed from these characteristics. Blood test results improve disposition accuracy only slightly so admission decisions should not always wait for these results. |
| File Format | HTM / HTML |
| ISSN | 17426731 |
| Issue Number | 4 |
| Volume Number | 26 |
| e-ISSN | 17426723 |
| Journal | Emergency Medicine Australasia |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2014-08-01 |
| Publisher Place | Australia |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Emergency Medicine Emergency Service, Hospital Statistics & Numerical Data Hospitalization Risk Assessment Methods Adult Aged Aged, 80 And Over Australia Clinical Competence Standards Female Hematologic Tests Humans Length Of Stay Logistic Models Male Middle Aged Nursing Assessment Predictive Value Of Tests Retrospective Studies Time Factors Triage Journal Article Observational Study |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine |
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