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Original Article

SJEMed. 2024; 5(3): 223-228


Predicting early hospital admissions for emergency department patients at the time of triage

Shahad M. Al-Ashgar, Mohammed K. Almolhis, Omar W. Aldhasee, Rama A. Alraheili.




Abstract

Objective: This study aimed to determine factors predicting hospital admissions at King Abdulaziz Medical City in the emergency department (ED), Rdiyadh, Saudi Arabia.
Methods: A retrospective study was conducted at the ED of King Abdulaziz Medical City among adult patients aged ≥14 years triaged in ED and arriving by either paramedic transport or self-referral and presented to ED from 01/01/2021 to 01/01/2022. The data were collected from the patient’s medical records and a pre-designed checklist was prepared to collect data.
Results: The majority of patients (88.7%) arrived at the ED walk-ins, as for patient acuity, a substantial segment of the population (86.9%) fell into category 3. Exactly half of the patients reported no known comorbidities. The prior visit to the ED within the past 72 hours was documented in 12.3% of the cases. As for the patients’ outcomes post-triage, a large proportion (78.4%) were discharged after their ED visit. The majority of emergency visits were associated with no complications (92.5%), while morbidity was reported among 4.2% and mortality among 3.4% of the visits. The rate of hospital admission was significantly higher among patients aged 25-34 years and 55-64 years, who arrived walk-in, who had patient acuity category “3” and who had no previous ED Visit

Key words: Predicting, early hospital admissions, emergency department, patients, time of triage.






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The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.