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Nigerian Journal of Clinical Practice

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The impact of the duration of admission to the emergency room on the mortality of intensive care patients

MK Erkuran, A Duran, T Ocak, V Citisli, H Kaya

Abstract


Objective: There are many factors affecting the mortality of patients admitted to the intensive care unit (ICU). Among these are the patientsf age, diagnosis, and concomitant pathology. The aim of this retrospective study was to investigate whether there is an adverse effect of the time between admission to the Emergency Room (ER) and admission to the
ICU on the mortality of these patients.
Materials and Methods: The medical records of the patients who were admitted to the Emergency Department (ED) of the Bolu Izzet Baysal State Hospital and subsequently were admitted to the ICU between December 2009 and August 2011 were analyzed in terms of the time of admission, the season of admission, and the waiting and the stand.by times in the ER.
Results: A total of 2380 patients, who were admitted to the ED of the Bolu -zzet Baysal State Hospital and subsequently to the ICU, were included in the study. The median waiting time in the ER was 1.23 h (10 min to 10.02 h). After completion of the admission procedures, the median  hospitalization time in the ER was 0.16 h (3 min to 2.58 h). There was no
statistically significant difference between the patients who died after admission to the ICU and the ones who survived, in terms of the waiting and the stand.by times in the ER (P > 0.05).
Conclusion: The waiting times at the ED did not affect the mortality of the ICU patients.


Key words: Intensive care, mortality, stand.by time




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