Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, United States.
Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, United States.
Am J Emerg Med. 2018 Mar;36(3):366-369. doi: 10.1016/j.ajem.2017.08.023. Epub 2017 Aug 17.
Forecasting emergency department (ED) visits is a well-studied topic. The importance of understanding the complexity of patients along with the days and times of varying patient volumes is critical for planning medical and ancillary staffing. Though multiple studies stratify their results based on severity of disease, severity was determined by triage status. The goal of this study was to utilize a novel method to evaluate the correlation between daily emergency department patient complexity, based on Current Procedure Terminology (CPT) code, and day of the week.
This was a retrospective study of subjects presenting to the ED between January 1, 2010 and December 31, 2015. We identified the correlation between subjects with each CPT code who were evaluated on a specific day of the week and evaluated the day before, the day of and the day after a legal holiday.
During the study period 312,550 (48%) male and 336,348 (52%) female subjects were identified. No correlation between daily ED patient complexity, based on CPT code, and day of the week (p=0.75) or any legal holidays were identified. Individual significant differences were noted among day of the week and particular CPT code as well as legal holiday and particular CPT code with no appreciable trend or pattern.
There was no correlation between daily ED patient complexity based on CPT code and day of the week or daily ED patient acuity and legal holiday. In light of these data, emergency department staffing and resource allocation patterns may need to be revisited.
预测急诊科（ED）就诊量是一个研究充分的课题。了解患者病情的复杂性以及不同患者数量的日期和时间的重要性对于医疗和辅助人员的规划至关重要。尽管多项研究根据疾病严重程度对其结果进行分层，但严重程度是由分诊状态决定的。本研究的目的是利用一种新方法评估基于当前操作术语（CPT）代码的每日急诊患者复杂性与一周中各天之间的相关性。
这是一项回顾性研究，研究对象为 2010 年 1 月 1 日至 2015 年 12 月 31 日期间到急诊科就诊的患者。我们确定了在特定一周中的某一天接受评估的具有特定 CPT 代码的患者之间的相关性，并评估了法定节假日前后一天的情况。
在研究期间，共确定了 312550 名（48%）男性和 336348 名（52%）女性患者。未发现基于 CPT 代码的每日 ED 患者复杂性与周几（p=0.75）或任何法定节假日之间存在相关性。在周几和特定 CPT 代码以及法定节假日和特定 CPT 代码之间注意到了个体差异，但没有明显的趋势或模式。
基于 CPT 代码的每日 ED 患者复杂性与周几或每日 ED 患者病情严重程度与法定节假日之间没有相关性。鉴于这些数据，可能需要重新考虑急诊科人员配备和资源分配模式。
