急诊科留观时间：时间快用完了吗？
The emergency department length of stay: Is the time running out?
作者信息
Becker Alexander, Segal Gil, Berlin Yuri, Hershko Dan
机构信息
Department of Surgery A, Emek Medical Center, Afula 18101, Israel.
Department of Surgery A, Emek Medical Center, Afula 18101, Israel.
出版信息
Chin J Traumatol. 2019 Jun;22(3):125-128. doi: 10.1016/j.cjtee.2019.01.008. Epub 2019 Mar 15.
PURPOSE
To examine the relationships between emergency department length of stay (EDLOS) with hospital length of stay (HLOS) and clinical outcome in hemodynamically stable trauma patients.
METHODS
Prospective data collected for 2 years from consecutive trauma patients admitted to the trauma resuscitation bay. Only stable blunt trauma patients with appropriate trauma triage criteria requiring trauma team activation were included in the study. EDLOS was determined short if patient spent less than 2 h in the emergency department (ER) and long for more than 2 h.
RESULTS
A total of 248 patients were enrolled in the study. The mean total EDLOS was 125 min (range 78-180). Injury severity score (ISS) were significantly higher in the long EDLOS group (17 ± 13 versus 11 ± 9, p < 0.001). However, when leveled according to ISS, there were no differences in mean in diagnostic workup, admission rate to intensive care unit (ICU) or HLOS between the short and long EDLOS groups.
CONCLUSION
EDLOS is not a significant parameter for HLOS in stable trauma patients.
目的
探讨血流动力学稳定的创伤患者的急诊科住院时间（EDLOS）与住院时间（HLOS）及临床结局之间的关系。
方法
收集连续2年入住创伤复苏区的创伤患者的前瞻性数据。本研究仅纳入符合适当创伤分诊标准、需要启动创伤团队的稳定钝性创伤患者。如果患者在急诊科（ER）停留时间少于2小时，则确定为短EDLOS；停留时间超过2小时，则确定为长EDLOS。
结果
本研究共纳入248例患者。EDLOS总均值为125分钟（范围78 - 180分钟）。长EDLOS组的损伤严重程度评分（ISS）显著更高（17±13比11±9，p<0.001）。然而，根据ISS分层后，短EDLOS组和长EDLOS组在诊断检查均值、重症监护病房（ICU）入住率或HLOS方面没有差异。
结论
对于稳定的创伤患者，EDLOS不是HLOS的重要参数。
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