Day of the Week Variation in Emergency Department Arrivals, Chest Pain, and Acute Myocardial Infarction Throughout 2016-2019.

Acute myocardial infarction rates Chest pain Emergency department arrival

Journal

Journal of community hospital internal medicine perspectives
ISSN: 2000-9666
Titre abrégé: J Community Hosp Intern Med Perspect
Pays: United States
ID NLM: 101601396

Informations de publication

Date de publication:
2023
Historique:
received: 08 02 2023
revised: 09 06 2023
accepted: 27 06 2023
medline: 23 10 2023
pubmed: 23 10 2023
entrez: 23 10 2023
Statut: epublish

Résumé

Overcrowding in the Emergency department (ED) necessitates a major challenge in delivering high-quality care in acute settings. This study presents a novel approach to modeling the relationship between the day of the week, ED arrivals, chest pain (CP), and acute myocardial infarction (AMI) using regression analysis. We analyzed data from 2016 to 2019 across three platforms: a nationwide representative sample (NHAMCS), a federated data network (TriNetX), and a regional medical center. For the stated three outcomes, the number of patients in that category on each day of the week was calculated; these were then calculated separately for each year, as well as across all four years. In line with prior studies, this study demonstrates the highest percentage of ED arrival on Mondays and the lowest on the weekends. Similarly, chest pain was more prevalent on Mondays, with similar patterns for TriNetX and the regional medical center. Analyzing NHAMCS data demonstrated Wednesdays as the busiest day for AMI-related ED arrivals, although this observation was not statistically significant. This knowledge will better aid us in resource allocation and system awareness, paving a path toward better patient care, improving disease management, and reducing healthcare costs.

Identifiants

pubmed: 37868675
doi: 10.55729/2000-9666.1237
pii: jchim-13-05-015
pmc: PMC10589040
doi:

Types de publication

Journal Article

Langues

eng

Pagination

15-22

Informations de copyright

© 2023 Greater Baltimore Medical Center.

Déclaration de conflit d'intérêts

Conflict of interest The authors report no conflict of interests.

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Auteurs

Elnaz Ebrahimihoor (E)

Luminis Health Anne Arundel Medical Center, Annapolis, MD, USA.

Mitchell Karpman (M)

Luminis Health Anne Arundel Medical Center, Annapolis, MD, USA.

Jennifer Grover (J)

Luminis Health Anne Arundel Medical Center, Annapolis, MD, USA.

Nargiz Muganlinskaya (N)

Luminis Health Anne Arundel Medical Center, Annapolis, MD, USA.

Classifications MeSH