Emergency Overcrowding Research Paper

3330 Words14 Pages

Abstract
Objective: Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA).
Methods: Prospectively collected data including patients’ demographics, Utstein factors and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively analyzed. The patients were categorized into 4 groups according to ED occupancy rate. The primary outcome was resuscitation outcome, a composite of rates of return of spontaneous circulation (ROSC), survival at discharge and neurological outcome at 6 months. The secondary outcome was resuscitation quality …show more content…

Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust 2006;184:213-6.
[8] Cowan RM, Trzeciak S. Clinical review: Emergency department overcrowding and the potential impact on the critically ill. Crit Care 2005;9:291-5.
[9] Rehmani R. Emergency section and overcrowding in a university hospital of Karachi, Pakistan. J Pak Med Assoc 2004;54:233-7.
[10] Chatterjee P, Cucchiara BL, Lazarciuc N, Shofer FS, Pines JM. Emergency department crowding and time to care in patients with acute stroke. Stroke 2011;42:1074-80.
[11] Kulstad EB, Kelley KM. Overcrowding is associated with delays in percutaneous coronary intervention for acute myocardial infarction. Int J Emerg Med 2009;2:149-54.
[12] Sprivulis PC, Da Silva JA, Jacobs IG, Frazer AR, Jelinek GA. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust 2006;184:208-12.
[13] Fee C, Weber EJ, Maak CA, Bacchetti P. Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia. Ann Emerg Med 2007;50:501-9, 09