Author/Authors :
Dadeh, Ar-aishah Department of Emergency Medicine - Songklanagarind Hospital - Faculty of Medicine - Prince of Songkla University Hat Yai - Songkhla 90110 - thailand , Phunyanantakorn, Pitshaya Department of Emergency Medicine - Songklanagarind Hospital - Faculty of Medicine - Prince of Songkla University Hat Yai - Songkhla 90110 - thailand
Abstract :
Objective. We aimed to identify factors affecting length of stay in the emergency department in patients who presented with abdominal pain. Methods. A retrospective cohort study was conducted from 1 January 2017 to 31 December 2017. 'e medical records were reviewed from 217 patients older than 15 years with the chief complaint of abdominal pain. 'e patients were divided
into emergency department length of stay (EDLOS) < 4 hours and ≥4 hours. 'e two groups were compared in terms of baseline
characteristics, physical examination, time of presenting, attending physicians, interdepartmental consultations, investigations,
ED disposition, final diagnosis, and mortality. 'e significant factors affecting longer EDLOS were examined using univariate and
multivariate analyses by logistic regression. Results. Factors affecting longer EDLOS were age ≥50 (odds ratio (OR) 3.17, 95%
confidence interval (CI) 1.36–7.42), interdepartmental consultation ≥2 specialists (OR 71.82, 95% CI 5.67–909.51), blood testing
≥2 rounds (OR 85.6, 95% CI 4.22–1734.6), and ultrasonography (OR 8.28, 95% CI 1.84–37.26). Conclusion. 'e study found that
the statistically significant factors that prolonged EDLOS in patients with the chief complaint of abdominal pain were age, rounds of blood test, interdepartmental consultation, and the need for ultrasonography
Keywords :
factors affecting length , Emergency Department , Patients , Abdominal Pain