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Emerg Med Int. 2014;2014:897904. doi: 10.1155/2014/897904. Epub 2014 Jan 19.

Children's Mental Health Visits to the Emergency Department: Factors Affecting Wait Times and Length of Stay.

Author information

  • 1Faculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-526, Edmonton, AB, Canada T6G 1C9.
  • 2Faculty of Medicine & Dentistry, University of Alberta, WC Mackenzie Health Sciences Centre, Edmonton, AB, Canada T6G 2R7.
  • 3Faculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-582B, Edmonton, AB, Canada T6G 1C9.
  • 4Faculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-582, Edmonton, AB, Canada T6G 1C9.
  • 5Faculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), 11405-87 Avenue, Room 3-524, Edmonton, AB, Canada T6G 1C9.

Abstract

Objective. This study explores the association of patient and emergency department (ED) mental health visit characteristics with wait time and length of stay (LOS). Methods. We examined data from 580 ED mental health visits made to two urban EDs by children aged ≤18 years from April 1, 2004, to March 31, 2006. Logistic regressions identified characteristics associated with wait time and LOS using hazard ratios (HR) with 95% confidence intervals (CIs). Results. Sex (male: HR = 1.48, 95% CI = 1.20-1.84), ED type (pediatric ED: HR = 5.91, 95% CI = 4.16-8.39), and triage level (Canadian Triage and Acuity Scale (CTAS) 2: HR = 3.62, 95% CI = 2.24-5.85) were statistically significant predictors of wait time. ED type (pediatric ED: HR = 1.71, 95% CI = 1.18-2.46), triage level (CTAS 5: HR = 2.00, 95% CI = 1.15-3.48), number of consultations (HR = 0.46, 95% CI = 0.31-0.69), and number of laboratory investigations (HR = 0.75, 95% CI = 0.66-0.85) predicted LOS. Conclusions. Based on our results, quality improvement initiatives to reduce ED waits and LOS for pediatric mental health visits may consider monitoring triage processes and the availability, access, and/or time to receipt of specialty consultations.

PMID:
24563785
PMCID:
PMC3915921
DOI:
10.1155/2014/897904
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