Prolonged length of stay in ED psychiatric patients: A multivariable predictive model

Mark B. Warren, Ronna L. Campbell, David M. Nestler, Kalyan S Pasupathy, Christine M. Lohse, Karen A. Koch, Eduard Schlechtinger, Scott T. Schmidt, Gabrielle J. Melin

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Background We aimed to evaluate factors associated with prolonged emergency department (ED) length of stay (LOS) among psychiatric patients and to develop a multivariable predictive model to guide future interventions to reduce ED LOS. Methods Electronic health records of ED patients receiving a psychiatric consultation and providing research authorization were reviewed from September 14, 2010, through September 13, 2013, at an academic hospital with approximately 73 000 visits annually. Prolonged LOS was defined as ≥ 8 hours. Results We identified 9247 visits among 6335 patients; median LOS was 4.1 hours, with 1424 visits (15%) with prolonged LOS. In the multivariable model, characteristics associated with an increased risk of a prolonged LOS included patient age 12 to 17 years (odds ratio [OR], 2.43; P

Original languageEnglish (US)
Pages (from-to)133-139
Number of pages7
JournalAmerican Journal of Emergency Medicine
Volume34
Issue number2
DOIs
StatePublished - Feb 1 2016

ASJC Scopus subject areas

  • Emergency Medicine

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