head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue1
Subject Area: Medicine
DOI: 10.5272/jimab.2024301.5328
Published online: 24 January 2024

Original article
J of IMAB. 2024 Jan-Mar;30(1):5328-5331
Iliya Katrandzhiev1ORCID logoCorresponding Autoremail, Radina Fuchidzhieva2ORCID logo,
1) Department of Anaesthesiology, Emergency, Intensive Medicine, Faculty "Medicine", Medical University - Varna, Bulgaria.
2) Department of Neurology and Neuroscience, Faculty "Medicine", Medical University - Varna, Bulgaria.

Length of stay is perceived as an important indicator of quality of care in Emergency Departments. The increased length of stay in the provision of emergency medical care can contribute to systemic problems in the provision of efficient and high-quality medical care. The aim of the present study was to investigate the relationship between the duration of the examination in the emergency department and some characteristics of the patients.
Material and Methods: A retrospective study of patients admitted to the Emergency Department of St. Marina University Hospital – Varna, Bulgaria, over a 5-year period was conducted. Data were collected from the hospital information system.
Results: 272,390 patients who passed through the emergency department were examined. The increase in the flow of patients from other areas is, on average 3.07 times. The majority of patients are adults from other areas who are self-directed. The average duration of the visit was 45.7 minutes.The average duration of visits increases in the morning and then decreases until midnight, when we observe an approximately 30-minute jump in the average duration. There was a significant difference in the average duration of the visit to the emergency department according to the days of the week, ethnicity, age and sex of the patients, as well as according to the reason for the visit.
Conclusion: Our results show that the average duration of the visit varies considerably according to the time of admission and the day of the week, the volume of patient care, the characteristics of the patient and the characteristics of the hospital. The length of stay correlates directly with the patient's age, severity of sex, gender and ethnicity.

Keywords: duration of the examination, emergency department, patients,

pdf - Download FULL TEXT /PDF 672 KB/
Please cite this article as: Katrandzhiev I, Fuchidzhieva R. Relationship between the duration of the examination in the emergency department and some characteristics of the patients. J of IMAB. 2024 Jan-Mar;30(1):5328-5331. [Crossref - 10.5272/jimab.2024301.5328]

Corresponding AutorCorrespondence to: Iliya Katrandzhiev, Department of Anaesthesiology, Emergency, Intensive Medicine, Faculty "Medicine", Medical University – Varna; 1, Hristo Smirnenski Str. Varna, Bulgaria; E-mail: katrandzhievcard@abv.bg

1. Krall SP, Cornelius AP, Addison JB. Hospital factors impact variation in emergency department length of stay more than physician factors. West J Emerg Med. 2014 Mar; 15(2):158-64. [PubMed]
2. Ruger JP, Lewis LM, Richter CJ. Identifying high-risk patients for triage and resource allocation in the ED. Am J Emerg Med. 2007 Sep;25(7):794-8. [PubMed]
3. Forero R, Hillman KM, McCarthy S, Fatovich DM, Joseph A, Richardson DB. Access block and ED overcrowding. Emerg Med Australas. 2010 Apr; 22(2):119-35. [PubMed]
4. Richardson DB. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust. 2006 Mar 6;184(5):213-6. [PubMed]
5. Krochmal P, Riley TA. Increased health care costs associated with ED overcrowding. Am J Emerg Med. 1994 May;12(3):265-6. [PubMed]
6. Eitel DR, Rudkin SE, Malvehy MA, Killeen JP, Pines JM. Improving service quality by understanding emergency department flow: A white paper and position statement prepared for the American Academy of Emergency Medicine. J Emerg Med. 2010 Jan;38(1):70-9. [PubMed
7. Tsai MT, Yen YL, Su CM, Hung CW, Kung CT, Wu KH, et al. The influence of emergency department crowding on the efficiency of care for acute stroke patients. Int J Qual Health Care. 2016 Dec 1;28(6):774-778. [PubMed]
8. Sills MR, Fairclough D, Ranade D, Kahn MG. Emergency department crowding is associated with decreased quality of care for children with acute asthma. Ann Emerg Med. 2011 Mar;57(3):191-200.e1-7. [PubMed]
9. Geelhoed GC, de Klerk NH. Emergency department overcrowding, mortality and the 4-hour rule in Western Australia. Med J Aust. 2012 Feb 6:196:122-6. [PubMed]
10. Maumill L, Zic M, Esson AA, Geelhoed GC, Borland MM, Johnson C, et al. The National Emergency Access Target (NEAT): Can quality go with timeliness? Med J Aust. 2013 Feb 18;198(3):153-7. [PubMed]
11. Solbiati M, Russo L, Beverina A, Groff P, Strada A, Furlan L, Montano N, Costantino G, Casazza G. Examination of the relationship between emergency department presentations and population mortality: a multicenter analysis of emergency department presentations during the COVID-19 pandemic. Eur J Intern Med. 2021 Dec;94:34-38 [PubMed]
12. Garrafa E, Levaggi R, Miniaci R, Paolillo C. When fear backfires: Emergency department accesses during the Covid-19 pandemic. Health Policy. 2020 Dec;124(12):1333-1339 [PubMed]
13. Kocher KE, Macy ML. Emergency Department Patients in the Early Months of the Coronavirus Disease 2019 (COVID-19) Pandemic-What Have We Learned? JAMA Health Forum. 2020 Jun 1;1(6):e200705 [PubMed]
14. Qureshi NA. Triage systems: a review of the literature with reference to Saudi Arabia. East Mediterr Health J. 2010 Jun;16(6):690-8. [PubMed]
15. Sprivulis PC, Da Silva JA, Jacobs IG, Jelinek GA, Frazer AR. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust. 2006 Mar 6;184(5):208-12 [PubMed]
16. Baek SM, Seo DW, Kim YJ, Jeong J, Kang H, Han KS, et al. Analysis of emergency department length of stay in patient with severe illness code. [in Korean] J Korean Soc Emerg Med. 2020 Oct;31(5):518-25. [Internet]
17. Han KS, Jeong J, Kang H, Kim WY, Kim SJ, Lee SW. Association between the emergency department length of stay time and in-hospital mortality according to 28 diagnosis groups in patients with severe illness diagnosis codes. [in Korean] J Korean Soc Emerg Med. 2021 Feb 26;32(1):77–88. [Internet]
18. Chang AM, Lin A, Fu R, McConnell KJ, Sun B. Associations of Emergency Department Length of Stay With Publicly Reported Quality-of-care Measures. Acad Emerg Med. 2017 Feb;24(2):246-250. [PubMed]
19. Chong CP, Haywood C, Barker A, Lim WK. Is emergency department length of stay associated with inpatient mortality? Australas J Ageing. 2012 Jun;32(2):122-4. [PubMed]
20. Yoon BS, Choa MH, Kong TY, Joo YS, Ko DR, Hwang YJ, et al. The effect of time target on overcrowding and clinical quality in the ED: A systematic review and meta-analysis.  [in Korean] J Korean Soc Emerg Med. 2018;29(2):170–8 [Internet].

Received: 04 July 2023
Published online: 24 January 2024

back to Online Journal