Article ; Online: The presentations/physician ratio predicts door-to-physician time but not global length of stay in the emergency department: an Italian multicenter study during the SARS-CoV-2 pandemic.
Internal and emergency medicine
2021 Volume 17, Issue 3, Page(s) 829–837
Abstract: To investigate the effects of the dramatic reduction in presentations to Italian Emergency Departments (EDs) on the main indicators of ED performance during the SARS-CoV-2 pandemic. From February to June 2020 we retrospectively measured the number of ... ...
Abstract | To investigate the effects of the dramatic reduction in presentations to Italian Emergency Departments (EDs) on the main indicators of ED performance during the SARS-CoV-2 pandemic. From February to June 2020 we retrospectively measured the number of daily presentations normalized for the number of emergency physicians on duty (presentations/physician ratio), door-to-physician and door-to-final disposition (length-of-stay) times of seven EDs in the central area of Tuscany. Using the multivariate regression analysis we investigated the relationship between the aforesaid variables and patient-level (triage codes, age, admissions) or hospital-level factors (number of physician on duty, working surface area, academic vs. community hospital). We analyzed data from 105,271 patients. Over ten consecutive 14-day periods, the number of presentations dropped from 18,239 to 6132 (- 67%) and the proportion of patients visited in less than 60 min rose from 56 to 86%. The proportion of patients with a length-of-stay under 4 h decreased from 59 to 52%. The presentations/physician ratio was inversely related to the proportion of patients with a door-to-physician time under 60 min (slope - 2.91, 95% CI - 4.23 to - 1.59, R |
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MeSH term(s) | COVID-19/epidemiology ; Emergency Service, Hospital/standards ; Emergency Service, Hospital/statistics & numerical data ; Humans ; Italy ; Length of Stay ; Multivariate Analysis ; Pandemics ; Physicians/statistics & numerical data ; Regression Analysis ; Retrospective Studies ; SARS-CoV-2 ; Time Factors |
Language | English |
Publishing date | 2021-07-22 |
Publishing country | Italy |
Document type | Journal Article ; Multicenter Study |
ZDB-ID | 2454173-4 |
ISSN | 1970-9366 ; 1828-0447 |
ISSN (online) | 1970-9366 |
ISSN | 1828-0447 |
DOI | 10.1007/s11739-021-02796-8 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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