Evaluation Of Patient Hospitalization By Emergency Physician Authorization: A Single Center-Retrospective Study

İlter Ağaçkıran; Merve Ağaçkıran

Makale detayları

Evaluation Of Patient Hospitalization By Emergency Physician Authorization: A Single Center-Retrospective Study

Yazarlar:

İlter Ağaçkıran | Merve Ağaçkıran

Yayıncı:

Manisa Celal Bayar University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi Vol.11 Issue 3, pp.474-480

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327968

pISSN:

2147-9607

Anahtar kelimeler:

Özet:

 Background: By its very nature, the emergency department provides a 247 service, and it is a global goal to try to relieve the burden on emergency departments. To this end, we aimed to investigate the impact and appropriateness of the practice of giving emergency physicians authorization to hospitalize patients who require hospitalization but remain in the emergency department on patient outcomes. Methods: This is a single center retrospective study. The study was conducted in a tertiary academic emergency department in Turkey between 01052023 and 31122023, with patients admitted to the wards on the initiative of the emergency physician. Results: The number of patients admitted from the emergency department during the study period was 11927. Among these patients, the ratio of patients whose admission decision was made by the emergency physician was approximately 1 n11911927. The median IQR age of patients admitted by initiative was 75 years 65-83 and 47.9 n57 were male. The most common admission diagnosis was pneumonia 16.8 n20, the most common department consulted was infectious diseases 47.9 n57, and the most common department admitted was internal medicine 23.5 n28. The mean length of hospital stay LOHS for all patients in the study was seven days. The mean length of stay for patients who transferred departments after admission was thirty days p0.004. Conclusion: In order to prevent overcrowding in emergency departments, emergency physicians in our country are authorized to admit patients. This authorization is needed for about 1 of all hospitalized patients. If we look at the length of stay of patients admitted with this authorization, we can see that they are admitted for the right and appropriate purposes.

 Background: By its very nature, the emergency department provides a 247 service, and it is a global goal to try to relieve the burden on emergency departments. To this end, we aimed to investigate the impact and appropriateness of the practice of giving emergency physicians authorization to hospitalize patients who require hospitalization but remain in the emergency department on patient outcomes. Methods: This is a single center retrospective study. The study was conducted in a tertiary academic emergency department in Turkey between 01052023 and 31122023, with patients admitted to the wards on the initiative of the emergency physician. Results: The number of patients admitted from the emergency department during the study period was 11927. Among these patients, the ratio of patients whose admission decision was made by the emergency physician was approximately 1 n11911927. The median IQR age of patients admitted by initiative was 75 years 65-83 and 47.9 n57 were male. The most common admission diagnosis was pneumonia 16.8 n20, the most common department consulted was infectious diseases 47.9 n57, and the most common department admitted was internal medicine 23.5 n28. The mean length of hospital stay LOHS for all patients in the study was seven days. The mean length of stay for patients who transferred departments after admission was thirty days p0.004. Conclusion: In order to prevent overcrowding in emergency departments, emergency physicians in our country are authorized to admit patients. This authorization is needed for about 1 of all hospitalized patients. If we look at the length of stay of patients admitted with this authorization, we can see that they are admitted for the right and appropriate purposes.

 Background: By its very nature, the emergency department provides a 247 service, and it is a global goal to try to relieve the burden on emergency departments. To this end, we aimed to investigate the impact and appropriateness of the practice of giving emergency physicians authorization to hospitalize patients who require hospitalization but remain in the emergency department on patient outcomes. Methods: This is a single center retrospective study. The study was conducted in a tertiary academic emergency department in Turkey between 01052023 and 31122023, with patients admitted to the wards on the initiative of the emergency physician. Results: The number of patients admitted from the emergency department during the study period was 11927. Among these patients, the ratio of patients whose admission decision was made by the emergency physician was approximately 1 n11911927. The median IQR age of patients admitted by initiative was 75 years 65-83 and 47.9 n57 were male. The most common admission diagnosis was pneumonia 16.8 n20, the most common department consulted was infectious diseases 47.9 n57, and the most common department admitted was internal medicine 23.5 n28. The mean length of hospital stay LOHS for all patients in the study was seven days. The mean length of stay for patients who transferred departments after admission was thirty days p0.004. Conclusion: In order to prevent overcrowding in emergency departments, emergency physicians in our country are authorized to admit patients. This authorization is needed for about 1 of all hospitalized patients. If we look at the length of stay of patients admitted with this authorization, we can see that they are admitted for the right and appropriate purposes.

 Giriş ve Amaç: Acil servis doğası gereği 724 hizmet sunmaktadır ve acil servislerin rahatlatılmaya çalışılması global bir amaçtır. Bu amaçla yatması gereken ancak acil serviste kalmaya devam eden hastaların yatışı için acil hekimlerine verilen yatış yetkisi uygulamasının hasta sonlanımı üzerine etkisini ve uygunluğunu araştırmak amaçlandı. Gereç ve Yöntem: Tek merkezli retrospektif bir çalışmadır. 01.05.2023-31.12.2023 tarihleri arasında Türkiyede üçüncü basamak bir akademik acil serviste, acil servis hekimi insiyatifi kullanılarak servislere yatışı yapılan hastalarla çalışıldı. Bulgular: Çalışma süresince acil servisten hastaneye yatan hasta sayısı 11927 olarak bulunuldu. Bu hastalar arasında yatış kararı acil tıp uzmanı tarafından insiyatif olarak belirlenen hasta sayısının yatan hastalara oranı yaklaşık olarak 1dir n11911927. İnsiyatifle yatırılan hastaların yaş medianı IQR 75 65-83 olup, 47,9 u n57 erkekti. En sık yatış tanısı Pnömoni 16,8 n20, en sık konsültasyon yapılan bölüm enfeksiyon hastalıkları 47,9 n57, ve en sık yatış yapılan bölüm iç hastalıkları 23,5 n28 idi. Çalışmadaki tüm hastaların ortalama hastanede kalış süresi OHKS yedi gün idi. Yatışından sonra bölüm değiştiren hastaların OHKS otuz gün idi p0.004 Sonuç: Acil servisin kalabalığını önlemek için ülkemizde acil hekiminin hasta yatırma yetkisi vardır. Tüm yatan hastaların yaklaşık 1 oranında bu yetkiye ihtiyaç duyulmaktadır. Yetki kullanılarak yatan hastaların hastane kalış sürelerinin uzunluğu göz önüne alındığında yatışların doğru ve uygun amaçlarla yapıldığı görülmektedir.

Makale detayları

Evaluation Of Patient Hospitalization By Emergency Physician Authorization: A Single Center-Retrospective Study

Yazarlar:

İlter Ağaçkıran | Merve Ağaçkıran

Yayıncı:

Manisa Celal Bayar University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi Vol.11 Issue 3, pp.474-480

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327968

pISSN:

2147-9607

Emergency room

crowding

initiativeAcil Tıp

kalabalık

insiyatif

Sayı

Makale detayları

Evaluation Of Patient Hospitalization By Emergency Physician Authorization: A Single Center-Retrospective Study

Yazarlar: İlter Ağaçkıran | Merve Ağaçkıran

Yayıncı: Manisa Celal Bayar University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi Vol.11 Issue 3, pp.474-480

Belge Tipi: Makale

Yayın Tarihi: 9/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001327968

pISSN: 2147-9607

Emergency room

crowding

initiativeAcil Tıp

kalabalık

insiyatif

Sayı

Yazarlar:

İlter Ağaçkıran | Merve Ağaçkıran

Yayıncı:

Manisa Celal Bayar University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi Vol.11 Issue 3, pp.474-480

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327968

pISSN:

2147-9607