Table 4.
Comparison of ED LOS by clinicians’ reasons
| Need to achieve clinical stability | |||
|---|---|---|---|
|
| |||
| Median times (min) | Yes (n=247) | No (n=845) | P value |
| Door to psychiatry | 144 | 137 | .47 |
| Psychiatry to decision | 96 | 71 | <.0001 |
| Decision to dischargea | 199 | 160 | .23 |
| Overall LOSa | 620 | 459 | .003 |
| Need for additional history | |||
|
| |||
| Median times (min) | Yes (n=255) | No (n=837) | P value |
|
| |||
| Door to psychiatry | 124 | 146 | .02 |
| Psychiatry to decision | 90 | 75 | .006 |
| Decision to dischargea | 133 | 192 | .02 |
| Overall LOSa | 439 | 518 | .66 |
| Problem with patient’s financial issues | |||
|
| |||
| Median times (min) | Yes (n=232) | No (n=860) | P value |
|
| |||
| Door to psychiatry | 128 | 141 | .21 |
| Psychiatry to decision | 75 | 75 | .92 |
| Decision to dischargea | 256 | 152 | .70 |
| Overall LOSa | 564 | 481 | .75 |
| Problem with bed availability | |||
|
| |||
| Median times (min) | Yes (n=195) | No (n=897) | P value |
|
| |||
| Door to psychiatry | 125 | 143 | .18 |
| Psychiatry to decision | 78 | 75 | .70 |
| Decision to dischargea | 365 | 146 | .02 |
| Overall LOSa | 629 | 472 | .32 |
| Problem with ED staff availability | |||
|
| |||
| Median times (min) | Yes (n=57) | No (n=1035) | P value |
|
| |||
| Door to psychiatry | 230 | 133 | <.0001 |
| Psychiatry to decision | 75 | 75 | .68 |
| Decision to dischargea | 88 | 180 | .07 |
| Overall LOSa | 458 | 496 | .26 |
a
These values were adjusted for type of disposition decision (home,admit in-house, transfer, and other).