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本文引用的文献

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The impact of emergency department length of stay on the outcomes of trauma patients requiring hospitalization: a retrospective observational study.急诊科留观时间对需住院治疗的创伤患者预后的影响：一项回顾性观察研究。
World J Emerg Med. 2023;14(2):96-105. doi: 10.5847/wjem.j.1920-8642.2023.016.
2
Patient and hospital characteristics predict prolonged emergency department length of stay and in-hospital mortality: a nationwide analysis in Korea.患者和医院特征可预测急诊停留时间延长和住院死亡率：韩国全国范围内的分析。
BMC Emerg Med. 2022 Nov 21;22(1):183. doi: 10.1186/s12873-022-00745-y.
3
Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining.运用数据挖掘预测澳大利亚急诊科患者住院时间。
Sensors (Basel). 2022 Jun 30;22(13):4968. doi: 10.3390/s22134968.
4
Incidence of emergency neurosurgical TBI procedures: a population-based study.紧急神经外科 TBI 手术的发生率：一项基于人群的研究。
BMC Emerg Med. 2022 Jan 6;22(1):1. doi: 10.1186/s12873-021-00561-w.
5
Length of stay as quality indicator in emergency departments: analysis of determinants in the German Emergency Department Data Registry (AKTIN registry).留观时间作为急诊科质量指标：德国急诊科数据登记系统（AKTIN 登记系统）中决定因素的分析。
Intern Emerg Med. 2022 Jun;17(4):1199-1209. doi: 10.1007/s11739-021-02919-1. Epub 2022 Jan 6.
6
Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study.与危重症患者急诊停留时间相关的因素：一项单中心回顾性研究。
Med Sci Monit. 2021 Aug 1;27:e931286. doi: 10.12659/MSM.931286.
7
Investigating Indicators of Waiting Time and Length of Stay in Emergency Departments.急诊科等待时间和住院时间指标的调查
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8
Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa.与南非一家学术医院急诊科住院时间延长相关的延误领域。
Afr J Emerg Med. 2021 Jun;11(2):237-241. doi: 10.1016/j.afjem.2021.02.002. Epub 2021 Mar 10.
9
Length of Stay in the Emergency Department and Its Associated Factors at Jimma Medical Center, Southwest Ethiopia.埃塞俄比亚西南部吉马医疗中心急诊科的住院时间及其相关因素
Open Access Emerg Med. 2020 Oct 9;12:227-235. doi: 10.2147/OAEM.S254239. eCollection 2020.
10
Waiting times in emergency departments: exploring the factors associated with longer patient waits for emergency care in England using routinely collected daily data.急诊科候诊时间：利用日常收集的每日数据探讨英格兰与急诊患者等待时间较长相关的因素。
Emerg Med J. 2020 Dec;37(12):781-786. doi: 10.1136/emermed-2019-208849. Epub 2020 Sep 15.

印度尼西亚巴东公立医院急诊科住院时间影响因素分析。

Analysis of factors influencing length of stay in the emergency department in public hospital, Padang, Indonesia.

作者信息

Mailani Fitri, Simandalahi Tiurmaida, Purnama Sari Aisyah

机构信息

Lecturer (Medical-Surgical & Emergency Nursing), Faculty of Nursing, Universitas Andalas, Padang, Indonesia.

Student in Bachelor of Nursing, Faculty of Nursing, Universitas Andalas, Padang, Indonesia.

出版信息

Med J Armed Forces India. 2025 Jan-Feb;81(1):52-57. doi: 10.1016/j.mjafi.2023.11.009. Epub 2024 Jan 13.

DOI:10.1016/j.mjafi.2023.11.009
PMID:39872189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11762579/
Abstract

BACKGROUND

Extending the time patients spend in the emergency department (ED) not only diminishes the quality of care but also heightens the potential for harm and adversely impacts patient satisfaction. However, there exists a dearth of accessible information regarding the length of stay (LOS) in emergency departments and the factors associated with it in Indonesia. This study aims to analyze the factors that influence the LOS of patients in the emergency department of a public hospital in Padang, Indonesia.

METHODS

This research design is a cross-sectional approach. The sample was patients who visited the ED in a tertiary public hospital in Padang (n = 328). The data collected from the medical records included length of stay, mode of arrival, case type, triage scale, diagnostic examination, specialist consultation needs, and needs for admission. Data analysis was performed using the chi-square statistical test and binary logistic regression.

RESULTS

The percentage of patients with LOS > 6 h in the emergency department was 29 %. There was a significant relationship between the triage scale, diagnostic tests, and the need for hospitalization with LOS (p < 0.05). The results of the multivariate analysis showed that the case type and the need for admission to hospitalization influence 12.4 % of LOS in ED.

CONCLUSION

This study enriches our comprehension of the variables exerting the most substantial impact on the average duration of stay in the emergency department of a hospital in Indonesia. The findings will assist policymakers in crafting enduring strategies to optimize patient flow in the emergency department.

摘要

背景

延长患者在急诊科的停留时间不仅会降低护理质量，还会增加伤害风险，并对患者满意度产生不利影响。然而，在印度尼西亚，关于急诊科住院时间（LOS）及其相关因素的可获取信息匮乏。本研究旨在分析影响印度尼西亚巴东一家公立医院急诊科患者住院时间的因素。

方法

本研究设计为横断面研究方法。样本为在巴东一家三级公立医院急诊科就诊的患者（n = 328）。从病历中收集的数据包括住院时间、到达方式、病例类型、分诊量表、诊断检查、专科会诊需求和住院需求。使用卡方统计检验和二元逻辑回归进行数据分析。

结果

急诊科住院时间>6小时的患者百分比为29%。分诊量表、诊断检查以及住院需求与住院时间之间存在显著关系（p < 0.05）。多变量分析结果表明，病例类型和住院需求影响急诊科住院时间的12.4%。

结论

本研究丰富了我们对影响印度尼西亚一家医院急诊科平均住院时间的最重要变量的理解。研究结果将帮助政策制定者制定持久策略，以优化急诊科的患者流程。