Emergency Department length of stay and disposal of patients in Chitwan medical college, Nepal

Abstract

Background: Measuring patients Length of Stay (LOS) in the emergency Department (ED) is one of the assessments of quality indicators in terms of clinical, managerial and public satisfaction pro­spective. Waiting time standard is defined and its impact is analyzed in many hospitals especially in developed countries. Policy of emergency operations to reduce length of stay helps to manage overcrowding, spares time to treat critical patient and minimize preventable death. The study was done to assess length of stay and disposal of patients visiting emergency department in Chitwan Medical College.
 Methods: This was a retrospective study conducted from 01/10/2018 to 30/09/2019 at Chitwan Medical college, Nepal. Patients electronic records were retrieved from medical record section of all patients visiting to emergency department. Ethical approval was obtained from ethical review committee.
 Results: Medial Length of Stay (LOS) was 3.84 hours (Interquartile range 0.4 hours to 84 hours) 54.54% discharged, 40.83% admitted from ED.
 Conclusion: Median Length of Stay (LOS) in the Emergency Department (ED) was 3.84 hours which is satisfactory as compared to similar studies. Majority of patients discharged after treatment from ED.

Prevalence and pattern of medico-legal cases in emergency department of a tertiary care Centre in Kathmandu, Nepal

“…This duration was less than that from another tertiary care hospital from Nepal where the median length of stay was 3.84 hours while was 4.5 hours in another study. 14,15 Contrast to few studies where it was documented that 80% cases and 52% cases had length of stay <4 hrs, in our study it was 89.2%.…”

Length of Stay in the Emergency Department during COVID-19 Pandemic in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

“…Previous studies conducted during pre-COVID-19 duration by Lamsal, et al showed a median of emergency length of stay as 3.84 hours with a minimum of 0.4 hours and maximum of 87.21 hours of stay. 11 In a study done by Chrusciel, et al the median LOS was 3.58 hours before the intervention and 3.10 hours after implementation of fast track in emergency department. 12 Likewise a study done by Hofer, et al the median length of emergency stay was found to be 2.06 hours.…”