Table 2.
Outcomes of ED management of cancer patients, before and after intervention implementation
| Outcome measure | Preintervention period | Intervention period | OR (95% CI) | P |
|---|---|---|---|---|
| All ED visits (primary analysis), n | 390 | 418 | ||
| Hospital admission within 2 d of ED evaluationa | 274 (70%) | 287 (69%) | 0.93 (0.69–1.24) | .62 |
| Acute care within 5 d after ED evaluationb | 29/138 (21%) | 35/154 (23%) | 1.15 (0.64–2.06) | .65 |
| Death within 30 d of ED visitc | 47 (12%) | 45 (11%) | 0.88 (0.57–1.36) | .57 |
| ED disposition | - | .82 | ||
| Inpatient admission | 252 (65%) | 264 (63%) | - | - |
| ED observation care | 41 (11%) | 42 (10%) | - | - |
| Discharged | 97 (25%) | 112 (27%) | - | - |
| ED length of stay (h:min), median (IQR) | 5:37 (4:09, 7:31) | 5:15 (4:01,7:03) | - | .07 |
| Inpatient length of stay (d), median (IQR) | 4 (2, 7) | 4 (2, 7) | - | .21 |
| ED visits with presentation 4 PM-11 PM, Sun-Fri (exploratory analysis), n | 124 | 128 | ||
| Hospital admission within 2 d of ED evaluation | 95 (77%) | 86 (67%) | 0.62 (0.36–1.08) | .08 |
| Acute care within 5 d after ED evaluationb | 13/40 (33%) | 7/46 (15%) | 0.37 (0.13–1.06) | .07 |
| Death within 30 d of ED visit | 13 (10%) | 14 (11%) | 1.05 (0.47–2.33) | .43 |
| ED disposition | - | .49 | ||
| Inpatient admission | 84 (68%) | 82 (65%) | - | - |
| ED observation care | 12 (10%) | 10 (8%) | - | - |
| Discharged | 28 (23%) | 36 (28%) | - | - |
| ED length of stay (h:min), median (IQR) | 5:11 (3:55, 6:45) | 4:55 (3:53, 6:27) | - | .20 |
| Inpatient length of stay (d), median (IQR) | 4 (2, 8) | 4 (3, 8] | − | .31 |
a
Primary outcome.
b
Hospitalization or repeat ED evaluation, assessed among patients with an ED disposition other than hospital admission.
c
Thirty-day follow-up complete for 98% of ED visits.