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Conference/Presentation Title: | Time to Hospital admission for acute stroke patients. | Authors: | Bray J.;Braitberg G.;Campaign G.;Mosley I. | Institution: | (Mosley, Bray, Campaign, Braitberg) Monash University, Melbourne Australia, Southern Health, Emergency Department, Melbourne, Australia | Presentation/Conference Date: | 5-Oct-2012 | Copyright year: | 2012 | Publisher: | Blackwell Publishing Ltd | Publication information: | International Journal of Stroke. Conference: STROKE 2012 Conference - A Combined Event of the Stroke Society of Australasia 2012 Annual Scientific Meeting and the 8th Smart Strokes Australasian Nursing and Allied Health Stroke Conference. Sydney, NSW Australia. Conference Publication: (var.pagings). 7 (SUPPL. 1) (pp 23), 2012. Date of Publication: September 2012. | Abstract: | Background: Rapid assessment protocols have been introduced in Emergency Departments (EDs) to streamline processes, reduce times from hospital presentation to medical assessment, CT, treatment and facilitate prompt admission to a stroke unit. in an environment of ambulance ramping, ED overcrowding and bed block we sought to investigate ED length of stay times for acute stroke patients. Aim(s): We set out to examine ED times at multiple time points, investigate total ED times and time from bed request to admission. Method(s): A retrospective assessment of ED records was undertaken for stroke and Transient Ischaemic Attack (TIA) patients presenting to three hospitals in Melbourne over 6 months from September 2011 to January in 2012. Result(s): 782 patients were included in this study. (483 stroke and 299 TIA patients). Among acute stroke patients, 398 were admitted to hospital. The median ED length of stay was 9.1 h (IQ range 5.6- 15.6). Median time from bed request to admission was 5.2 h (IQ range 2.5-11.6). The majority of ED time (57%) was spent waiting for an inpatient bed. Only 6% of patients (n = 23) were admitted within 3 h from hospital presentation. Conclusion(s): The vast majority of acute stroke patients requiring inpatient admission experience extensive delays in the ED waiting for an inpatient bed. ED staff are not trained to deliver inpatient care. Improving admission processes are complex. However patient outcomes may improve if strategies to reduce inpatient admission delays were implemented to support rapid assessment protocols already in place in the ED. | Conference Start Date: | 2012-08-29 | Conference End Date: | 2012-08-31 | ISSN: | 1747-4930 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/29560 | Type: | Conference Abstract |
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