Sun Yongxia, Wang Xiuping, Xue Huiping, Li Xiuzhen
Emergency Dept., Binzhou Central Hospital of Shandong Province, Binzhou, PR China.
ICU, Binzhou Central Hospital of Shandong Province, Binzhou, PR China.
Iran J Public Health. 2017 Jan;46(1):44-49.
To identify and analyze factors that influence the grading and zoning management model of emergency triage as a first step in the improvement of the system.
Questionnaires were used to extract data from clinical histories of 286 patients who attended the Emergency Department of Binzhou Central Hospital (Binzhou City, Shandong Province, China) from September to November of 2015. Through logistic regression analysis, influencing factors for unreasonable (≥ 2h) emergency department retention times were identified.
Analysis of general characteristics of patients including gender, method of payment or assigned medical department did not result in any statistically significant differences between patients with a time to discharge longer than 2 h and those with a shorter time to discharge (P > 0.05). Older age, higher income, lower or higher education degree, admission time from 17:00-7:59, and lack of understanding of zoning management and of condition severity grading resulted in a retention time greater than or equal to 2 hours (P < 0.05). According to the Logistic regression model: age, income level, education degree, admission time, degree of understanding of zoning management and condition severity grading were all independent risk factors affecting the time to discharge from the emergency department (P <0.05).
Countermeasures need to be developed in order to minimize the influence of patients' factors and promote reasonable average retention times lower than 2 hours in the emergency department.
识别并分析影响急诊分诊分级分区管理模式的因素，作为改进该系统的第一步。
采用问卷调查的方式，从2015年9月至11月到中国山东省滨州市中心医院急诊科就诊的286例患者的临床病历中提取数据。通过逻辑回归分析，确定急诊科滞留时间不合理（≥2小时）的影响因素。
对患者的一般特征（包括性别、支付方式或所属科室）进行分析，结果显示，出院时间超过2小时的患者与出院时间较短的患者之间，在统计学上无显著差异（P>0.05）。年龄较大、收入较高、教育程度较低或较高、17:00-7:59入院以及对分区管理和病情严重程度分级缺乏了解，导致滞留时间大于或等于2小时（P<0.05）。根据逻辑回归模型：年龄、收入水平、教育程度、入院时间、对分区管理和病情严重程度分级的了解程度均为影响急诊科出院时间的独立危险因素（P<0.05）。
需要制定对策，以尽量减少患者因素的影响，并促进急诊科平均滞留时间合理缩短至2小时以内。
