Tiwari Sanjeeb, Tiwari Jyostshna Sharma, Jha Jay Bhushan, Regmi Sushant, Yadav Dhirendra, Kafle Ravi, Khanal Inesh, Shrestha Aakripa Rani, Shrestha Shubham, Shakya Yagya Laxmi, Maharjan Ramesh Kumar, Gauta Sanjay Kumar
Department of General Practice, Tribhuwan University Teaching Hospital, Maharajgunj, Nepal.
Department of Obstetrics and Gynaecology, Kathmandu Medical College andn Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Sep;62(277):587-591. doi: 10.31729/jnma.8767. Epub 2024 Sep 30.
Emergency departments serve as the initial point of contact for patients with a wide range of conditions. Not all patients visiting get admitted to the hospital. The admission rate varies from 20% in the United States to 40.83% in Nepal. Given the variability in these results across different regions, there is a need to better understand the admission rates from the Emergency Department.
A descriptive cross-sectional study was conducted after obtaining ethical approval(Reference Number: 58 (6-11)E2 081/082) in the Emergency Department of a tertiary health care center. Retrospective data was collected from the data register. The data from April 2023 to April 2024 was collected. A sample size of 222 was calculated and convenience sampling was done. Demographic details like age, sex, and data regarding admission status were collected. Data was collected in MS Excel and was analyzed using JASP software.
Out of 222 patients that presented to the emergency department, 53 (23.87%)(18.26-29.47,95 % Confidence Interval) were admitted to the ward or intensive care unit of the hospital, whereas 167 (75.23%) got discharged, 1 (0.45%) was brought dead and 1 (0.45%) expired. The median age of patients was 43 years (IQR: 26-62). The admission rate of females was 20 (17.24%), whereas for males it was 33 (31.13%).
The prevalence of admission of patients visiting the emergency department was higher than similar US based studies. There was a higher percentage of female patients presenting to the emergency department, while those being admitted were mostly males.
急诊科是各类病症患者的初始就诊点。并非所有前来就诊的患者都会住院。住院率在美国为20%，在尼泊尔为40.83%。鉴于不同地区的这些结果存在差异，有必要更好地了解急诊科的住院率。
在一家三级医疗保健中心的急诊科获得伦理批准（参考编号：58 (6 - 11)E2 081/082）后，进行了一项描述性横断面研究。从数据登记册收集回顾性数据。收集了2023年4月至2024年4月的数据。计算出样本量为222，并采用便利抽样法。收集了年龄、性别等人口统计学细节以及关于住院状态的数据。数据在MS Excel中收集，并使用JASP软件进行分析。
在前往急诊科就诊的222名患者中，53名（23.87%）（18.26 - 29.47，95%置信区间）被收治到医院病房或重症监护病房，167名（75.23%）出院，1名（0.45%）送来时已死亡，1名（0.45%）死亡。患者的中位年龄为43岁（四分位间距：26 - 62）。女性的住院率为20（17.24%），而男性为33（31.13%）。
前往急诊科就诊患者的住院率高于美国的类似研究。前往急诊科就诊的女性患者比例较高，而住院患者大多为男性。
