Lucero Anthony, Sokol Kimberly, Hyun Jenny, Pan Luhong, Labha Joel, Donn Eric, Kahwaji Chadi, Miller Gregg
Kaweah Health Medical Center Department of Emergency Medicine Visalia California USA.
Vituity Department of Enterprise Data Analytics Emeryville California USA.
J Am Coll Emerg Physicians Open. 2021 Jun 22;2(3):e12489. doi: 10.1002/emp2.12489. eCollection 2021 Jun.
Our study sought to determine whether there was a change in emergency department (ED) length of stay (LOS) during the coronavirus disease 2019 (COVID-19) pandemic compared to prior years.
We performed a retrospective analysis using ED performance data 2018-2020 from 56 EDs across the United States. We used a generalized estimating equation (GEE) model to assess differences in ED LOS for admitted (LOS-A) and discharged (LOS-D) patients during the COVID-19 pandemic period compared to prior years.
GEE modeling showed that LOS-A and LOS-D were significantly higher during the COVID-19 period compared to the pre-COVID-19 period. LOS-A during the COVID-19 period was 10.3% higher compared to the pre-COVID-19 time period, which represents a higher geometric mean of 28 minutes. LOS-D during the COVID-19 period was 2.8% higher compared to the pre-COVID-19 time period, which represents a higher geometric mean of 2 minutes.
ED LOS-A and LOS-D were significantly higher in the COVID-19 period compared to the pre-COVID-19 period despite a lower volume of patients in the COVID-19 period.
我们的研究旨在确定与前几年相比，2019冠状病毒病（COVID-19）大流行期间急诊科（ED）的住院时间（LOS）是否发生了变化。
我们使用来自美国56家急诊科2018 - 2020年的急诊科绩效数据进行了回顾性分析。我们使用广义估计方程（GEE）模型来评估COVID-19大流行期间与前几年相比，入院患者（LOS-A）和出院患者（LOS-D）的急诊科住院时间差异。
GEE模型显示，与COVID-19之前的时期相比，COVID-19期间的LOS-A和LOS-D显著更高。与COVID-19之前的时期相比，COVID-19期间的LOS-A高出10.3%，这相当于几何平均数高出28分钟。与COVID-19之前的时期相比，COVID-19期间的LOS-D高出2.8%，这相当于几何平均数高出2分钟。
尽管COVID-19期间患者数量减少，但与COVID-19之前的时期相比，COVID-19期间的急诊科LOS-A和LOS-D显著更高。
