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dc.contributor.authorHitchcock, Mareeen_US
dc.contributor.authorCrilly, Juliaen_US
dc.contributor.authorGillespie, Brigiden_US
dc.contributor.authorChaboyer, Wendyen_US
dc.contributor.authorTippett, Vivienneen_US
dc.contributor.authorLind, Jamesen_US
dc.description.abstractBackground Ambulance ramping within the Emergency Department (ED) is a common problem both internationally and in Australia. Previous research has focused on various issues associated with ambulance ramping such as access block, ED overcrowding and ambulance bypass. However, limited research has been conducted on ambulance ramping and its effects on patient outcomes. Methods A case-control design was used to describe, compare and predict patient outcomes of 619 ramped (cases) vs. 1238 non-ramped (control) patients arriving to one ED via ambulance from 1 June 2007 to 31 August 2007. Cases and controls were matched (on a 1:2 basis) on age, gender and presenting problem. Outcome measures included ED length of stay and in-hospital mortality. Results The median ramp time for all 1857 patients was 11 (IQR 6-21) min. Compared to non-ramped patients, ramped patients had significantly longer wait time to be triaged (10 min vs. 4 min). Ramped patients also comprised significantly higher proportions of those access blocked (43% vs. 34%). No significant difference in the proportion of in-hospital deaths was identified (2% vs. 3%). Multivariate analysis revealed that the likelihood of having an ED length of stay greater than eight hours was 34% higher among patients who were ramped (OR 1.34, 95% CI 1.06-1.70, p = 0.014). In relation to in-hospital mortality age was the only significant independent predictor of mortality (p < 0.0001). Conclusion Ambulance ramping is one factor that contributes to prolonged ED length of stay and adds additional strain on ED service provision. The potential for adverse patient outcomes that may occur as a result of ramping warrants close attention by health care service providers. Keywords: Ambulance ramping; Emergency Department; Outcomes; Prehospitalen_US
dc.relation.ispartofjournalAustralasian Emergency Nursing Journalen_US
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)en_US
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classifieden_US
dc.titleThe effects of ambulance ramping on Emergency Department length of stay and in-patient mortalityen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.hasfulltextNo Full Text

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