Aksel Gokhan, Bildik Fikret, Demircan Ahmet, Keles Ayfer, Kilicaslan Isa, Guler Sertac, Corbacioglu Seref Kerem, Turkay Asli, Bekgoz Burak, Dogan Nurettin Ozgur
J Pak Med Assoc. 2014 Jul;64(7):791-7.
To determine the impact of a fast track area on emergency department crowding and its efficacy for non-urgent patients.
The prospective cross-sectional study was conducted in an adult emergency department of a university-affiliated hospital in Turkey from September 17 to 30, 2010. Non-urgent patients were defined as those with Canadian Triage Acuity Scale category 4/5. The fast track area was open in the emergency department for one whole week, followed by another week in which fast track area was closed. Demographic information of patients, their complaints on admission, waiting times, length of stay and revisits were recorded. Overcrowding evaluation was performed via the National Emergency Department Overcrowding Study scale. In both weeks, the results of the patients were compared and the effects of fast track on the results were analysed. Continuous variables were compared via student's t test or Mann Whitney U test. Demographic features of the groups were evaluated by chi-square test.
A total of 249 patients were seen during the fast track week, and 239 during the non-fast track week at the emergency department. Satisfaction level was higher in the fast track group than the non-fast track group (p < 0.001). The waiting times shortened from 20 minutes to 10 minutes and length of stay shortened from 80 minutes to 42 minutes during the fast track week. Morbidity and mortality rates remained unchanged.
Owing to fast track, overcrowding in the emergency department was lessened. It also improved effectiveness and quality measures.
确定快速通道区域对急诊科拥挤状况的影响及其对非急症患者的疗效。
2010年9月17日至30日，在土耳其一家大学附属医院的成人急诊科进行了前瞻性横断面研究。非急症患者定义为加拿大分诊 acuity 量表4/5级的患者。快速通道区域在急诊科开放一整周，随后一周关闭。记录患者的人口统计学信息、入院时的主诉、等待时间、住院时间和复诊情况。通过国家急诊科拥挤状况研究量表进行过度拥挤评估。在这两周内，对患者的结果进行比较，并分析快速通道对结果的影响。连续变量通过学生t检验或曼-惠特尼U检验进行比较。通过卡方检验评估各组的人口统计学特征。
在快速通道周期间，急诊科共接待了249名患者，非快速通道周期间接待了239名患者。快速通道组的满意度高于非快速通道组（p < 0.001）。在快速通道周期间，等待时间从20分钟缩短至10分钟，住院时间从80分钟缩短至42分钟。发病率和死亡率保持不变。
由于快速通道的设置，急诊科的拥挤状况得到缓解。它还提高了效率和质量指标。
