Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016-2017
DC Field | Value | Language |
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dc.contributor.author | Kim, June-Sung | - |
dc.contributor.author | Seo, Dong Woo | - |
dc.contributor.author | Kim, Youn-Jung | - |
dc.contributor.author | Jeong, Jinwoo | - |
dc.contributor.author | Kang, Hyunggoo | - |
dc.contributor.author | Han, Kap Su | - |
dc.contributor.author | Kim, Su Jin | - |
dc.contributor.author | Lee, Sung Woo | - |
dc.contributor.author | Ahn, Shin | - |
dc.contributor.author | Kim, Won Young | - |
dc.date.accessioned | 2021-08-30T19:50:38Z | - |
dc.date.available | 2021-08-30T19:50:38Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2020-07 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/54499 | - |
dc.description.abstract | This study was to determine whether prolonged emergency department (ED) length of stay (LOS) is associated with increased risk of in-hospital cardiac arrest (IHCA). A retrospective cohort with a nationwide database of all adult patients who visited the EDs in South Korea between January 2016 and December 2017 was performed. A total of 18,217,034 patients visited an ED during the study period. The median ED LOS was 2.5 h. IHCA occurred in 9,180 patients (0.2%). IHCA was associated with longer ED LOS (4.2 vs. 2.5 h), and higher rates of intensive care unit (ICU) admission (58.6% vs. 4.7%) and in-hospital mortality (35.7% vs. 1.5%). The ED LOS correlated positively with the development of IHCA (Spearman rho = 0.91;p< 0.01) and was an independent risk factor for IHCA (odds ratio (OR) 1.10; 95% confidence interval (CI), 1.10-1.10). The development of IHCA increased in a stepwise fashion across increasing quartiles of ED LOS, with ORs for the second, third, and fourth relative to the first being 3.35 (95% CI, 3.26-3.44), 3.974 (95% CI, 3.89-4.06), and 4.97 (95% CI, 4.89-5.05), respectively. ED LOS should be reduced to prevent adverse events in patients visiting the ED. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | MDPI | - |
dc.subject | ASSOCIATION | - |
dc.subject | MORTALITY | - |
dc.subject | SURVIVAL | - |
dc.subject | OUTCOMES | - |
dc.subject | TIMES | - |
dc.title | Prolonged Length of Stay in the Emergency Department and Increased Risk of In-Hospital Cardiac Arrest: A nationwide Population-Based Study in South Korea, 2016-2017 | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Han, Kap Su | - |
dc.contributor.affiliatedAuthor | Kim, Su Jin | - |
dc.contributor.affiliatedAuthor | Lee, Sung Woo | - |
dc.identifier.doi | 10.3390/jcm9072284 | - |
dc.identifier.wosid | 000557963000001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL MEDICINE, v.9, no.7 | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL MEDICINE | - |
dc.citation.title | JOURNAL OF CLINICAL MEDICINE | - |
dc.citation.volume | 9 | - |
dc.citation.number | 7 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | TIMES | - |
dc.subject.keywordAuthor | emergency department crowding | - |
dc.subject.keywordAuthor | in-hospital cardiac arrest | - |
dc.subject.keywordAuthor | quality control | - |
dc.subject.keywordAuthor | length of stay | - |
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