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dc.contributor.authorEl-Abbassy, Islam
dc.contributor.authorMohamed, Wafaa
dc.contributor.authorEl-Hariri, Hazem Mohamed
dc.contributor.authorEl-Setouhy, Maged
dc.contributor.authorHirshon, Jon Mark
dc.contributor.authorEl-Shinawi, Mohamed
dc.date.accessioned2021-11-16T12:50:14Z
dc.date.available2021-11-16T12:50:14Z
dc.date.issued2021-10-28
dc.identifier.urihttp://hdl.handle.net/10713/17122
dc.description.abstractIntroduction: "Delayed discharge" is defined as patients who remain hospitalised beyond the time of being fit for discharge after a decision of discharge has been made by the managing team. There is no standardised amount of time defining delayed discharge documented in the literature, and there is a lack of evidence about this topic in Egypt. This study is a quality improvement project aiming to identify the factors associated with discharge delays at a single centre in Egypt in order to address this issue. Methods: A prospective observational study included all trauma patients admitted to a University Hospital in Egypt over two months. The time of the decision of discharge and actual discharge time were recorded by reviewing patients' medical records. The patients and their caregivers were asked to fill in a questionnaire about the reasons for delayed discharge. Potential reasons for the delayed discharge were classified into system-related, medical and family-related factors. Results: The study included 498 patients with a median age of 41 years (9-72). The median time from discharge decision until actual discharge was 3 h. System-related factors were documented in 48.8% of cases, followed by medical factors (36.3%), and family-related factors (28.1%). When controlling for age, gender and injury severity score using a logistic regression analysis, longer time to discharge (≥3 h) showed a stronger association with medical factors [adjusted OR (95% CI) = 5.44 (2.73-10.85)] and family-related factors [adjusted OR (95% CI) = 7.94 (3.40-18.54)] compared to system-related factors [adjusted OR (95% CI) = 2.20 (1.12-4.29)]. Discussion: Although system-related factors were more prevalent, medical and family-related factors appear to be associated with longer discharge delays compared to system-related factors.en_US
dc.description.sponsorshipFogarty International Centeren_US
dc.description.urihttps://doi.org/10.1016/j.afjem.2021.06.008en_US
dc.language.isoenen_US
dc.publisherElsevier BVen_US
dc.relation.ispartofAfrican journal of Emergency Medicineen_US
dc.rights© 2018 Published by Elsevier Ltd. CC BY 4.0en_US
dc.rights.urihttps://www.elsevier.com/tdm/userlicense/1.0/
dc.subjectDelayed dischargeen_US
dc.subjectSystem-related factorsen_US
dc.subjectFamily-related factorsen_US
dc.subjectMedical factorsen_US
dc.subjectTime to dischargeen_US
dc.titleDelay in hospital discharge of trauma patients in a University Hospital in Egypt: A prospective observational studyen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.afjem.2021.06.008
dc.source.volume11
dc.source.issue4
dc.source.beginpage459
dc.source.endpage463


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