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10.1007/s11739-021-02796-8

http://scihub22266oqcxt.onion/10.1007/s11739-021-02796-8
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suck abstract from ncbi


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pmid34292458      Intern+Emerg+Med 2022 ; 17 (3): 829-837
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  • The presentations/physician ratio predicts door-to-physician time but not global length of stay in the emergency department: an Italian multicenter study during the SARS-CoV-2 pandemic #MMPMID34292458
  • Vanni S; Bartalucci P; Gargano U; Coppa A; Giannasi G; Nazerian P; Tonietti B; Vannini R; Lanigra M; Daviddi F; Baldini A; Grifoni S; Magazzini S
  • Intern Emerg Med 2022[Apr]; 17 (3): 829-837 PMID34292458show ga
  • To investigate the effects of the dramatic reduction in presentations to Italian Emergency Departments (EDs) on the main indicators of ED performance during the SARS-CoV-2 pandemic. From February to June 2020 we retrospectively measured the number of daily presentations normalized for the number of emergency physicians on duty (presentations/physician ratio), door-to-physician and door-to-final disposition (length-of-stay) times of seven EDs in the central area of Tuscany. Using the multivariate regression analysis we investigated the relationship between the aforesaid variables and patient-level (triage codes, age, admissions) or hospital-level factors (number of physician on duty, working surface area, academic vs. community hospital). We analyzed data from 105,271 patients. Over ten consecutive 14-day periods, the number of presentations dropped from 18,239 to 6132 (- 67%) and the proportion of patients visited in less than 60 min rose from 56 to 86%. The proportion of patients with a length-of-stay under 4 h decreased from 59 to 52%. The presentations/physician ratio was inversely related to the proportion of patients with a door-to-physician time under 60 min (slope - 2.91, 95% CI - 4.23 to - 1.59, R(2) = 0.39). The proportion of patients with high-priority codes but not the presentations/physician ratio, was inversely related to the proportion of patients with a length-of-stay under 4 h (slope - 0.40, 95% CI - 0.24 to - 0.27, R(2) = 0.36). The variability of door-to-physician time and global length-of-stay are predicted by different factors. For appropriate benchmarking among EDs, the use of performance indicators should consider specific, hospital-level and patient-level factors.
  • |*COVID-19/epidemiology[MESH]
  • |*Emergency Service, Hospital/standards/statistics & numerical data[MESH]
  • |*Physicians/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Italy[MESH]
  • |Length of Stay[MESH]
  • |Multivariate Analysis[MESH]
  • |Pandemics[MESH]
  • |Regression Analysis[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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