Comparison of The Emergency Department Length of Stay Before and After Using the Vajira Hospital Asthmatic Care Guidelines
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Abstract
Objective: This study aimed to compare lengths of emergency department length of stay, admission rates and revisit rates in acute asthmatic patients who had moderate and severe clinical pictures before and after using Vajira hospital asthmatic care guidelines.
Methods: This was a retrospective comparative study. Medical records of patients who were older than 18-year-old and had moderate and severe asthmatic attack were reviewed. A total of 253 asthmatic patients were collected, including those who did not receive Vajira hospital asthmatic care guidelines according to the 127 asthmatic and receive Vajira hospital asthmatic care guidelines groups for the 126 asthma patients.
Results: Based on data analysis, it was found that recurrent asthmatic patients who did not receive and received Vajira hospital asthmatic care guidelines. The median emergency department length of stay was 210 minutes (IQR = 120-390 minutes) and 207 minutes (IQR = 119 - 364 minutes) respectively, admission rates 4.70% and 6.30% respectively, and revisit rates in acute asthmatic patients was 6.70% and 4.80%, respectively. When comparing the differences in the pre and post receive Vajira hospital asthmatic care guidelines, there was no statistically significant difference at the 0.05 level.
Conclusion: Patients with asthmatic patients who were treated according to Vajira hospital asthmatic care guidelines. showed no statistically significant difference in the duration of treatment in asthmatic patients at Vajira Hospital, Emergency medicine department inpatient admission rate and the recurrence rate at the emergency medicine department.
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