Factors affecting patient length of stay in the emergency unit: A scoping review

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-04-18 DOI:10.1016/j.ienj.2025.101607

Firman Firman , Andi Masyitha Irwan , Amy Buckenmeyer

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引用次数: 0

Abstract

Background

Despite the recommendation that patients should spend no more than six hours in the emergency department, crowding remains a persistent global health challenge. Extended patient wait times in emergency departments pose a barrier to timely medical care delivery. This scoping review aims to identify the variables increasing patients’ length of stay (LOS) in emergency department.

Method

This scoping review was conducted by searching PubMed, ScienceDirect, Wiley, Cochrane Library, Global Index Medicus, GARUDA, and Google Scholar, as well as additional secondary searches from 2013 to 2022 and in accordance with the Arksey and O’Malley methodological framework for scoping reviews. Studies were retained if they included primary, qualitative, or quantitative data and reported on patients admitted to the emergency department with their respective LOS.

Results

Of the 914 articles reviewed, 23 met the inclusion criteria. The results of the scoping review identified three main categories of contributory factors for LOS in emergency department: patient, diagnostic tests, and organizational factors.

Conclusion

The scoping review identified mitigatable factors to decrease LOS in the emergency department. These insights can help hospitals improve emergency department services by reducing the LOS.

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影响病人在急诊科住院时间的因素：范围审查

尽管建议患者在急诊科停留时间不应超过6小时，但拥挤仍然是一个持续存在的全球健康挑战。急诊科病人等待时间的延长对及时提供医疗服务构成了障碍。本综述旨在确定增加急诊科患者住院时间（LOS）的变量。方法检索PubMed、ScienceDirect、Wiley、Cochrane Library、Global Index Medicus、GARUDA和谷歌Scholar，以及2013 - 2022年的辅助检索，并按照Arksey和O’malley范围评价方法学框架进行范围评价。如果研究包括原始的、定性的或定量的数据，并且报告了在各自的LOS下进入急诊科的患者，则保留研究。结果914篇文献中，23篇符合纳入标准。范围审查的结果确定了急诊科LOS的三大类主要促成因素：患者、诊断测试和组织因素。结论本综述确定了降低急诊科LOS的可缓解因素。这些见解可以帮助医院通过减少LOS来改善急诊科服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.