Factors associated with the length of stay in emergency departments in Southern-Ethiopia

Abstract Objectives This cross-sectional study was conducted on 399 patients at Hawassa University Comprehensive Specialized Hospital from February 15 to March 30/2018 to assess the length of stay (LOS) and its associated factors in emergency departments (EDs). Result About 91.5% patients were staye...

Full description

Bibliographic Details
Main Authors: Getahun H/meskel Alemu, Keneni Gutema Negari, Kaleb Mayisso Rodamo, Agete Tadewos Hirigo
Format: Article
Language:English
Published: BMC 2019-04-01
Series:BMC Research Notes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13104-019-4271-7
_version_ 1830483033884459008
author Getahun H/meskel Alemu
Keneni Gutema Negari
Kaleb Mayisso Rodamo
Agete Tadewos Hirigo
author_facet Getahun H/meskel Alemu
Keneni Gutema Negari
Kaleb Mayisso Rodamo
Agete Tadewos Hirigo
author_sort Getahun H/meskel Alemu
collection DOAJ
description Abstract Objectives This cross-sectional study was conducted on 399 patients at Hawassa University Comprehensive Specialized Hospital from February 15 to March 30/2018 to assess the length of stay (LOS) and its associated factors in emergency departments (EDs). Result About 91.5% patients were stayed in the EDs for greater than 24 h in different reasons. Inadequacy of beds in inpatient wards, overcrowding, absence of different laboratory test profiles and delay in radiological services were showed a significant differences in LOS greater than 24 h when compared to LOS ≤ 24 h in EDs (p < 0.05 for all). In addition, admission beds [adjusted odds ratio: 8.7 (95% CI 3.2–23.2)]; overcrowding [adjusted odds ratio: 3.6 (95% CI 1.6–8.3)]; laboratory test profiles [adjusted odds ratio: 5.1 (95% CI 1.9–14.1)], and radiology services [adjusted odds ratio: 3.7 (95% CI 1.5–9.2)] were significantly and positively associated with LOS greater than 24 h in EDs. Further, a significant proportion of patients were stayed for unnecessary extended length of time in EDs due to different factors. Therefore, the commitment of organization is crucial to provide sufficient number of admission beds, to scale-up laboratory test profiles and to decrease radiology service turn-around time in order to improve LOS in EDs.
first_indexed 2024-12-21T17:44:59Z
format Article
id doaj.art-a7a5c8861e50471e8a8285de9df8653b
institution Directory Open Access Journal
issn 1756-0500
language English
last_indexed 2024-12-21T17:44:59Z
publishDate 2019-04-01
publisher BMC
record_format Article
series BMC Research Notes
spelling doaj.art-a7a5c8861e50471e8a8285de9df8653b2022-12-21T18:55:32ZengBMCBMC Research Notes1756-05002019-04-011211510.1186/s13104-019-4271-7Factors associated with the length of stay in emergency departments in Southern-EthiopiaGetahun H/meskel Alemu0Keneni Gutema Negari1Kaleb Mayisso Rodamo2Agete Tadewos Hirigo3College of Medicine and Health Science, Comprehensive Specialized Hospital, Hawassa UniversityCollege of Medicine and Health Science, School of Public Health, Hawassa UniversityCollege of Medicine and Health Science, School of Public Health, Hawassa UniversityCollege of Medicine and Health Science, School of Medical Laboratory Sciences, Hawassa UniversityAbstract Objectives This cross-sectional study was conducted on 399 patients at Hawassa University Comprehensive Specialized Hospital from February 15 to March 30/2018 to assess the length of stay (LOS) and its associated factors in emergency departments (EDs). Result About 91.5% patients were stayed in the EDs for greater than 24 h in different reasons. Inadequacy of beds in inpatient wards, overcrowding, absence of different laboratory test profiles and delay in radiological services were showed a significant differences in LOS greater than 24 h when compared to LOS ≤ 24 h in EDs (p < 0.05 for all). In addition, admission beds [adjusted odds ratio: 8.7 (95% CI 3.2–23.2)]; overcrowding [adjusted odds ratio: 3.6 (95% CI 1.6–8.3)]; laboratory test profiles [adjusted odds ratio: 5.1 (95% CI 1.9–14.1)], and radiology services [adjusted odds ratio: 3.7 (95% CI 1.5–9.2)] were significantly and positively associated with LOS greater than 24 h in EDs. Further, a significant proportion of patients were stayed for unnecessary extended length of time in EDs due to different factors. Therefore, the commitment of organization is crucial to provide sufficient number of admission beds, to scale-up laboratory test profiles and to decrease radiology service turn-around time in order to improve LOS in EDs.http://link.springer.com/article/10.1186/s13104-019-4271-7Emergency departmentLength of stayHawassaSouth-Ethiopia
spellingShingle Getahun H/meskel Alemu
Keneni Gutema Negari
Kaleb Mayisso Rodamo
Agete Tadewos Hirigo
Factors associated with the length of stay in emergency departments in Southern-Ethiopia
BMC Research Notes
Emergency department
Length of stay
Hawassa
South-Ethiopia
title Factors associated with the length of stay in emergency departments in Southern-Ethiopia
title_full Factors associated with the length of stay in emergency departments in Southern-Ethiopia
title_fullStr Factors associated with the length of stay in emergency departments in Southern-Ethiopia
title_full_unstemmed Factors associated with the length of stay in emergency departments in Southern-Ethiopia
title_short Factors associated with the length of stay in emergency departments in Southern-Ethiopia
title_sort factors associated with the length of stay in emergency departments in southern ethiopia
topic Emergency department
Length of stay
Hawassa
South-Ethiopia
url http://link.springer.com/article/10.1186/s13104-019-4271-7
work_keys_str_mv AT getahunhmeskelalemu factorsassociatedwiththelengthofstayinemergencydepartmentsinsouthernethiopia
AT kenenigutemanegari factorsassociatedwiththelengthofstayinemergencydepartmentsinsouthernethiopia
AT kalebmayissorodamo factorsassociatedwiththelengthofstayinemergencydepartmentsinsouthernethiopia
AT agetetadewoshirigo factorsassociatedwiththelengthofstayinemergencydepartmentsinsouthernethiopia