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  • Profile and outcomes of emergency department presentations based on mode of arrival: A state-wide retrospective cohort study

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    Wardrop526354-Accepted.pdf (443.1Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Wardrop, Rachel
    Ranse, Jamie
    Chaboyer, Wendy
    Crilly, Julia
    Griffith University Author(s)
    Chaboyer, Wendy
    Ranse, Jamie C.
    Wardrop, Rachel A.
    Crilly, Julia
    Year published
    2021
    Metadata
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    Abstract
    OBJECTIVE: Understanding how people arrive to the ED assists in planning health services' response to fluctuating ED demand. The present study aimed to describe and compare demographics, clinical characteristics and health service outcomes of adult ED patient presentations based on mode of arrival: brought in by police (BIBP)/brought in by ambulance (BIBA)/privately arranged transport (PAT). METHODS: A retrospective cohort study of ED patient presentations made between 1 January 2018 and 31 December 2020 from all public hospital EDs across Queensland, Australia. Descriptive and inferential analyses were performed to ascertain ...
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    OBJECTIVE: Understanding how people arrive to the ED assists in planning health services' response to fluctuating ED demand. The present study aimed to describe and compare demographics, clinical characteristics and health service outcomes of adult ED patient presentations based on mode of arrival: brought in by police (BIBP)/brought in by ambulance (BIBA)/privately arranged transport (PAT). METHODS: A retrospective cohort study of ED patient presentations made between 1 January 2018 and 31 December 2020 from all public hospital EDs across Queensland, Australia. Descriptive and inferential analyses were performed to ascertain presentation characteristics and predictors of health service outcomes. RESULTS: From 4 707 959 ED presentations, 0.9% were BIBP, 34.8% were BIBA and 64.0% were PAT. Presentations BIBP were younger and comprised a higher proportion of mental health problems and Emergency Examination Authority orders compared to presentations BIBA or PAT. Compared to presentations BIBP or PAT, presentations BIBA were more likely to be assigned more urgent triage scores, be admitted to hospital, and have a longer ED length of stay (LOS). Compared to other modes of arrival, presentations arriving by PAT were more likely to be discharged and have a shorter ED LOS. CONCLUSION: Presentations BIBA and BIBP encountered a longer ED LOS and higher admission rates than PAT, suggesting more complex care needs than those from PAT. Clinical care pathways for specific modes of arrival that support pre-hospital providers and patients and are considerate of the throughput and output stages of ED care may be needed.
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    Journal Title
    Emergency Medicine Australasia
    DOI
    https://doi.org/10.1111/1742-6723.13914
    Copyright Statement
    © 2021 ACEM and ASEM. This is the peer reviewed version of the following article: Profile and outcomes of emergency department presentations based on mode of arrival: A state-wide retrospective cohort study, Emergency Medicine Australasia, which has been published in final form at https://doi.org/10.1111/1742-6723.13914. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Clinical sciences
    Public health
    ambulance
    emergency department
    outcome
    police
    Publication URI
    http://hdl.handle.net/10072/411076
    Collection
    • Journal articles

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