Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay
Objective. This study explores the association of patient and emergency department (ED) mental health visit characteristics with wait time and length of stay (LOS). Methods. We examined data from 580 ED mental health visits made to two urban EDs by children aged ≤18 years from April 1, 2004, to Marc...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2014/897904 |
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| _version_ | 1832546610524979200 |
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| author | Amanda S. Newton Sachin Rathee Simran Grewal Nadia Dow Rhonda J. Rosychuk |
| author_facet | Amanda S. Newton Sachin Rathee Simran Grewal Nadia Dow Rhonda J. Rosychuk |
| author_sort | Amanda S. Newton |
| collection | DOAJ |
| description | Objective. This study explores the association of patient and emergency department (ED) mental health visit characteristics with wait time and length of stay (LOS). Methods. We examined data from 580 ED mental health visits made to two urban EDs by children aged ≤18 years from April 1, 2004, to March 31, 2006. Logistic regressions identified characteristics associated with wait time and LOS using hazard ratios (HR) with 95% confidence intervals (CIs). Results. Sex (male: HR=1.48, 95% CI=1.20–1.84), ED type (pediatric ED: HR=5.91, 95% CI=4.16–8.39), and triage level (Canadian Triage and Acuity Scale (CTAS) 2: HR=3.62, 95% CI=2.24–5.85) were statistically significant predictors of wait time. ED type (pediatric ED: HR=1.71, 95% CI=1.18–2.46), triage level (CTAS 5: HR=2.00, 95% CI=1.15–3.48), number of consultations (HR=0.46, 95% CI=0.31–0.69), and number of laboratory investigations (HR=0.75, 95% CI=0.66–0.85) predicted LOS. Conclusions. Based on our results, quality improvement initiatives to reduce ED waits and LOS for pediatric mental health visits may consider monitoring triage processes and the availability, access, and/or time to receipt of specialty consultations. |
| format | Article |
| id | doaj-art-8ba41caa21a64cba89f4032c000f41ad |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-8ba41caa21a64cba89f4032c000f41ad2025-02-03T06:47:54ZengWileyEmergency Medicine International2090-28402090-28592014-01-01201410.1155/2014/897904897904Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of StayAmanda S. Newton0Sachin Rathee1Simran Grewal2Nadia Dow3Rhonda J. Rosychuk4Faculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-526, Edmonton, AB, T6G 1C9, CanadaFaculty of Medicine & Dentistry, University of Alberta, WC Mackenzie Health Sciences Centre, Edmonton, AB, T6G 2R7, CanadaFaculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-582B, Edmonton, AB, T6G 1C9, CanadaFaculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-582, Edmonton, AB, T6G 1C9, CanadaFaculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-524, Edmonton, AB, T6G 1C9, CanadaObjective. This study explores the association of patient and emergency department (ED) mental health visit characteristics with wait time and length of stay (LOS). Methods. We examined data from 580 ED mental health visits made to two urban EDs by children aged ≤18 years from April 1, 2004, to March 31, 2006. Logistic regressions identified characteristics associated with wait time and LOS using hazard ratios (HR) with 95% confidence intervals (CIs). Results. Sex (male: HR=1.48, 95% CI=1.20–1.84), ED type (pediatric ED: HR=5.91, 95% CI=4.16–8.39), and triage level (Canadian Triage and Acuity Scale (CTAS) 2: HR=3.62, 95% CI=2.24–5.85) were statistically significant predictors of wait time. ED type (pediatric ED: HR=1.71, 95% CI=1.18–2.46), triage level (CTAS 5: HR=2.00, 95% CI=1.15–3.48), number of consultations (HR=0.46, 95% CI=0.31–0.69), and number of laboratory investigations (HR=0.75, 95% CI=0.66–0.85) predicted LOS. Conclusions. Based on our results, quality improvement initiatives to reduce ED waits and LOS for pediatric mental health visits may consider monitoring triage processes and the availability, access, and/or time to receipt of specialty consultations.http://dx.doi.org/10.1155/2014/897904 |
| spellingShingle | Amanda S. Newton Sachin Rathee Simran Grewal Nadia Dow Rhonda J. Rosychuk Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay Emergency Medicine International |
| title | Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay |
| title_full | Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay |
| title_fullStr | Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay |
| title_full_unstemmed | Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay |
| title_short | Children’s Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay |
| title_sort | children s mental health visits to the emergency department factors affecting wait times and length of stay |
| url | http://dx.doi.org/10.1155/2014/897904 |
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