Skip to main content
Article thumbnail
Location of Repository

Short stay emergency admissions to a West Midlands NHS Trust : a longitudinal descriptive study, 2002–2005

By E. Sibly, C. M. Wiskin, Roger L. Holder and Matthew (Professor of clinical systems design) Cooke

Abstract

Objectives: To describe changes and characteristics in emergency admissions to a West Midlands National Health Service Trust, 2002–2005, with a focus on short stay emergency admissions. \ud \ud Methods: A longitudinal descriptive study using retrospective analysis of routine admissions data. Admissions were categorised as short (0/1 day) or long (≥2 days) and examined separately using a General Linear Model. Factors favouring short stays as opposed to long stays were examined using multivariable logistic regression. \ud \ud Results: There were 151 478 emergency admissions to the Trust between 1 April 2002 and 31 December 2005, of which 2910 (1.92%) had no discharge date recorded. Adjusted means showed a 7.76% increase in emergency admissions in winter months (October–January) and a 14.50% increase across the study period. Increases were greater in short stay (34.03%) than long stay emergency admissions (8.38%). Odds of short stays in admitted patients increased by 25%. Higher odds of short stays were also associated with younger age, winter month and medical admitting specialty (p<0.001). \ud \ud Conclusions: Increases in emergency admissions were greater in short stay than long stay cases. Reasons for this may be both appropriate (increased use of clinical protocols and falling average length of stay) and detrimental (pressure to meet 4 h emergency department target, changing primary care provision). Further research is needed before generalising findings to other Trusts. \u

Topics: R1
Publisher: BMJ Group
Year: 2007
OAI identifier: oai:wrap.warwick.ac.uk:3344

Suggested articles

Citations

  1. Admission avoidance and early discharge of acute hospital admissions: an accident and emergency based scheme. doi
  2. and Social Care Information Centre. Hospital episode statistics, www.hesonline.nhs.uk/Ease/servlet/DynamicPageBuild; jsessionid=xxqw03xwb1siteID=1802&categoryID=62.(accessed 12
  3. Effectiveness of measures to reduce emergency department waiting times: a natural experiment. doi
  4. Emergency medical admissions: taking stock and planning for winter. doi
  5. (2006). Health. Hospital activity statistics,
  6. The continuing rise in emergency admissions. doi
  7. (1996). The pattern of increase in emergency hospital admissions in Scotland. Health Bulletin
  8. The rise in emergency admissions-crisis or artefact? Temporal analysis of health services data. doi
  9. Total time in English accident and emergency department is related to bed occupancy. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.