Factors associated with the length of stay of patients discharged from emergency department in France

Frédéric Capuano, Anne-Sophie Lot, Christine Sagnes-Raffy, Marie Ferrua, Dominique Brun-Ney, Henri Leleu, Dominique Pateron, Guillaume Debaty (), Marc Giroud, Etienne Minvielle () and Bruno Riou
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Frédéric Capuano: Dept Food Microbiol - Istituto Zooprofilattico Sperimentale del Mezzogiorno
Marie Ferrua: IGR - Institut Gustave Roussy
Dominique Pateron: UPMC - Université Pierre et Marie Curie - Paris 6
Guillaume Debaty: SAMU - CHUGA - Centre Hospitalier Universitaire [CHU Grenoble], TIMC-IMAG-PRETA - Physiologie cardio-Respiratoire Expérimentale Théorique et Appliquée - TIMC-IMAG - Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 - UJF - Université Joseph Fourier - Grenoble 1 - Grenoble INP - Institut polytechnique de Grenoble - Grenoble Institute of Technology - VAS - VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement - CNRS - Centre National de la Recherche Scientifique
Marc Giroud: CHU Dijon - CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand
Etienne Minvielle: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, IGR - Institut Gustave Roussy, EHESP - École des Hautes Études en Santé Publique [EHESP]
Bruno Riou: CHU Pitié-Salpêtrière [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université, ICAN - Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases - UPMC - Université Pierre et Marie Curie - Paris 6 - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - INSERM - Institut National de la Santé et de la Recherche Médicale - CHU Pitié-Salpêtrière [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université

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Abstract: Objectives: The length of stay in the emergency department (ED) has been proposed as an indicator of performance in many countries. We conducted a survey of length of stay in two large areas in France and tested the hypothesis that patient and ED-related variables may influence it. Patients and methods: During 2007, we examined lengths of stay in ambulatory patients, that is, excluding admitted patients. The following variables were considered: (a) at the patient level, age, sex, the day and month of the visit, and the French clinical classification of emergency patients (CCEP) class; (b) at the ED level, annual ED total number of visits, mean age, the proportions of patients less than 15 and more than 75 years, and the proportions of admitted and clinically stable patients with CCEP class 1 and 2. A multilevel hierarchical analysis was carried out. Results: We analyzed 988 591 visits in 53 EDs. The ED-specific median length of stay was 98 (IQR: 62–137) min and the ED-specific median proportion of patients with length of stay of more than 4 h was 15 (5–24) %. There was a strong correlation between the ED-specific median length of stay and the ED-specific proportion of patients with a length of stay of more than 4 h (R=0.96, P

Keywords: emergency department management; performance; length of stay; quality (search for similar items in EconPapers)
Date: 2015-04
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Published in European Journal of Emergency Medicine, 2015, 22 (2), pp.92 - 98. ⟨10.1097/MEJ.0000000000000109⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01508522

DOI: 10.1097/MEJ.0000000000000109

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