Length of stay in the emergency department and its associated factors among pediatric patients attending Wolaita Sodo University Teaching and Referral Hospital, Southern, Ethiopia

BMC Emergency Medicine

Research

Bewuketu Terefe¹  Nega Tezera Assimamaw²  Almaz Tefera Gonete²  Migbaru Getachew³  Kiberealeme Bisete Negasi⁴ 

[1] Department of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;School of Nursing Department of emergency and critical care nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia;School of Nursing Department of pediatrics and neonatology, Wolaita Sodo University, Wolaita Sodo, Ethiopia;

关键词: Ethiopia;    Length of stay;    Pediatrics emergency;    Wolaita;   

DOI  :  10.1186/s12873-022-00740-3

 received in 2022-06-05, accepted in 2022-11-03,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundGlobally, there is an increase in the need for emergency department visits, which is exceptionally high in pediatric patients, resulting in longer lengths of stay, which is a global challenge and a hospital bottleneck that increases the risk of patient morbidity and mortality while also lowering satisfaction.ObjectiveThis study aimed to assess the length of stay and associated factors in the pediatric emergency department at Wolaita Sodo University Hospital in 2021.MethodsAn institution-based cross-sectional investigation was undertaken from March 15 to May 15, 2021. The 422 study participants were chosen using a systematic sampling procedure. The data were collected using semi-structured interviewer-administered questionnaires and chart reviews. Epi Data version 4.6 was used to enter the data, while SPSS version 26 was used to analyze it. With a 95% confidence interval, descriptive statistics were used to describe the prevalence, pediatrics, and emergency department duration of stay. The factors related to the length of stay were identified using bivariable and multivariable logistic regression analysis. On the AOR, a significant level was proclaimed when the p-value was less than 0.05, and the confidence interval was less than 95%.ResultsThe proportion of prolonged pediatric emergency department length of stay was 79.70% (95% CI; 75.7, 83.6). Nighttime arrival [AOR = 3.19, 95% CI (1.14, 8.98)], weekend arrival [AOR = 4.25, 95% CI (1.49, 5.35)], not receiving ordered medication in the hospital [AOR = 2.05, 95% CI (1.04, 4.03)], orange triage category [AOR = 4.01, 95% CI (1.60, 10.05)], and duration of pain 13–24 h [AOR = 0.29, 95% CI (0.89,0.98)], were significantly associated with length of stay.ConclusionThe percentage of children who stayed in the pediatric emergency department for an extended period was high. Policymakers should implement evidence-based care, maximize existing resources, provide equal access to care and high-quality care, and make pediatric emergency departments more accessible and operationally efficient.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 3

Fig. 4