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Tytuł:
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Length of stay in the emergency department and its associated factors among pediatric patients attending Wolaita Sodo University Teaching and Referral Hospital, Southern, Ethiopia.
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Autorzy:
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Negasi KB; School of Nursing Department of pediatrics and neonatology, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Tefera Gonete A; Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Getachew M; School of Nursing Department of emergency and critical care nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Assimamaw NT; Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Terefe B; Department of Community Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. .
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Źródło:
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BMC emergency medicine [BMC Emerg Med] 2022 Dec 13; Vol. 22 (1), pp. 203. Date of Electronic Publication: 2022 Dec 13.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Referral and Consultation*
Emergency Service, Hospital*
Child ; Humans ; Cross-Sectional Studies ; Universities ; Hospitals, University ; Ethiopia/epidemiology
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References:
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Contributed Indexing:
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Keywords: Ethiopia; Length of stay; Pediatrics emergency; Wolaita
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Entry Date(s):
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Date Created: 20221212 Date Completed: 20221214 Latest Revision: 20221221
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Update Code:
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20240105
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PubMed Central ID:
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PMC9746184
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DOI:
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10.1186/s12873-022-00740-3
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PMID:
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36510156
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Background: Globally, there is an increase in the need for emergency department visits, which is exceptionally high in pediatric patients, resulting in longer lengths of stay, which is a global challenge and a hospital bottleneck that increases the risk of patient morbidity and mortality while also lowering satisfaction.
Objective: This study aimed to assess the length of stay and associated factors in the pediatric emergency department at Wolaita Sodo University Hospital in 2021.
Methods: An institution-based cross-sectional investigation was undertaken from March 15 to May 15, 2021. The 422 study participants were chosen using a systematic sampling procedure. The data were collected using semi-structured interviewer-administered questionnaires and chart reviews. Epi Data version 4.6 was used to enter the data, while SPSS version 26 was used to analyze it. With a 95% confidence interval, descriptive statistics were used to describe the prevalence, pediatrics, and emergency department duration of stay. The factors related to the length of stay were identified using bivariable and multivariable logistic regression analysis. On the AOR, a significant level was proclaimed when the p-value was less than 0.05, and the confidence interval was less than 95%.
Results: The proportion of prolonged pediatric emergency department length of stay was 79.70% (95% CI; 75.7, 83.6). Nighttime arrival [AOR = 3.19, 95% CI (1.14, 8.98)], weekend arrival [AOR = 4.25, 95% CI (1.49, 5.35)], not receiving ordered medication in the hospital [AOR = 2.05, 95% CI (1.04, 4.03)], orange triage category [AOR = 4.01, 95% CI (1.60, 10.05)], and duration of pain 13-24 h [AOR = 0.29, 95% CI (0.89,0.98)], were significantly associated with length of stay.
Conclusion: The percentage of children who stayed in the pediatric emergency department for an extended period was high. Policymakers should implement evidence-based care, maximize existing resources, provide equal access to care and high-quality care, and make pediatric emergency departments more accessible and operationally efficient.
(© 2022. The Author(s).)
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