Evaluating the transitions in care for children presenting with acute asthma to emergency departments: a retrospective cohort study.

ABSTRACT:

Background

Acute asthma is a common presentation to emergency departments (EDs) worldwide and, due to overcrowding, delays in treatment often occur. This study deconstructs the total ED length of stay into stages and estimates covariate effects on transition times for children presenting with asthma.

Methods

We extracted ED presentations in 2019 made by children in Alberta, Canada for acute asthma. We used multivariable Cox regressions in a multistate model to model transition times among the stages of start, physician initial assessment (PIA), disposition decision, and ED departure.

Results

Data from 6598 patients on 8270 ED presentations were extracted. The individual PIA time was longer (i.e., HR < 1) when time to the crowding metric (hourly PIA) was above 1 h (HR 

SUBMITTER: Kroetch KR 

PROVIDER: S-EPMC8650289 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature