A. Møllekær, H. Kirkegaard, B. V. Hansen, I. Duvald, J. K. Eskildsen, B. Obel, and B. Madsen, “Risk of death within 7 days of discharge from emergency departments with different organizational models,” European journal of emergency medicine, vol. 27, iss. 1, p. 27–32, 2020.
Abstract
Objective: The aim of this study is to investigate the association between emergency department (ED) organizational models and the risk of death within 7 days of ED discharge. Patients and methods: We included Danish ED discharges between 1 January 2011 and 24 December 2014 that led to death within 7 days of discharge. The inclusion criterion was age older than 18 years. The exclusion criterion was further in-hospital admission. First model (Virtual): other departments employ interns who perform ED tasks. They are responsible for ED patient care and prioritize their task order between their own department and the ED. Second model (Hybrid): the ED/other departments perform tasks; interns/consultants are employed by the ED/other departments. The ED/other departments have patient care responsibility. Third model (Independent): the ED performs all tasks; employs interns/consultants; and have patient care responsibility. Sex, age, Charlson Comorbidity Index score, and primary diagnosis were used to describe patient characteristics. We calculated the risk of death within 7 days of discharge using multiple logistic regression analysis. Results: In 805 out of 201 299 discharges included in the study, the patient died within 7 days. Compared with the Virtual model, the odds ratio for death within 7 days of discharge was 0.72 (95\\\% confidence interval: 0.59–0.92) for the Independent model and 0.75 (95\\\% confidence interval: 0.61–0.92) for the Hybrid+Virtual model. Increased risk was associated with male sex, older age, and a medium or a high Charlson Comorbidity Index score. Conclusion: Compared with discharges from a Virtual model, the risk of death within 7 days of discharge was lower if the ED had an Independent or a Hybrid+Virtual model.
BibTeX
@article {orcid-0000000312835489-2020-10-1097-mej-0000000000000596,
title = {Risk of death within 7 days of discharge from emergency departments with different organizational models},
year = {2020},
month = {2},
doi = {10.1097/MEJ.0000000000000596},
url = {https://pure.au.dk/portal/en/publications/fb8ca255-53f5-40b6-acdf-73fd74d3bd8c},
journal = {European Journal of Emergency Medicine},
publisher = {Lippincott Williams and Wilkins},
volume = {27},
number = {1},
pages = {27--32},
issn = {0969-9546},
language = {en},
abstract = {Objective: The aim of this study is to investigate the association between emergency department (ED) organizational models and the risk of death within 7 days of ED discharge. Patients and methods: We included Danish ED discharges between 1 January 2011 and 24 December 2014 that led to death within 7 days of discharge. The inclusion criterion was age older than 18 years. The exclusion criterion was further in-hospital admission. First model (Virtual): other departments employ interns who perform ED tasks. They are responsible for ED patient care and prioritize their task order between their own department and the ED. Second model (Hybrid): the ED/other departments perform tasks; interns/consultants are employed by the ED/other departments. The ED/other departments have patient care responsibility. Third model (Independent): the ED performs all tasks; employs interns/consultants; and have patient care responsibility. Sex, age, Charlson Comorbidity Index score, and primary diagnosis were used to describe patient characteristics. We calculated the risk of death within 7 days of discharge using multiple logistic regression analysis. Results: In 805 out of 201 299 discharges included in the study, the patient died within 7 days. Compared with the Virtual model, the odds ratio for death within 7 days of discharge was 0.72 (95\\\% confidence interval: 0.59–0.92) for the Independent model and 0.75 (95\\\% confidence interval: 0.61–0.92) for the Hybrid+Virtual model. Increased risk was associated with male sex, older age, and a medium or a high Charlson Comorbidity Index score. Conclusion: Compared with discharges from a Virtual model, the risk of death within 7 days of discharge was lower if the ED had an Independent or a Hybrid+Virtual model.},
updated = {2025-08-07T04:48:48+00:00},
biburl = {https://zeal.dk/publications/risk-of-death-within-7-days-of-discharge-from-emergency-departments-with-different-organizational-models/},
biburl_fo = {https://zeal.fo/utgavur/risk-of-death-within-7-days-of-discharge-from-emergency-departments-with-different-organizational-models/},
urltitle = {risk-of-death-within-7-days-of-discharge-from-emergency-departments-with-different-organizational-models},
author = {Møllekær, Anders and Kirkegaard, Hans and Hansen, Betina Vest and Duvald, Iben and Eskildsen, Jacob Kjær and Obel, Børge and Madsen, Bo}
}