Changes in admission thresholds in English emergency departments.

ABSTRACT:

Background

The most common route to a hospital bed in an emergency is via an Emergency Department (ED). Many recent initiatives and interventions have the objective of reducing the number of unnecessary emergency admissions. We aimed to assess whether ED admission thresholds had changed over time taking account of the casemix of patients arriving at ED.

Methods

We conducted a retrospective cross-sectional analysis of more than 20 million attendances at 47 consultant-led EDs in England between April 2010 and March 2015. We used mixed-effects logistic regression to estimate the odds of a patient being admitted to hospital and the impact of a range of potential explanatory variables. Models were developed and validated for four attendance subgroups: ambulance-conveyed children,

SUBMITTER: Wyatt S 

PROVIDER: S-EPMC5750365 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature