View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, March 18 (HealthDay News) -- The percentage of patients in emergency departments who leave without being seen (LWBS) varies greatly across hospitals and is higher for emergency departments with more low-income and poorly insured patients, according to a study published online Feb. 21 in the Annals of Emergency Medicine.
Renee Y. Hsia, M.D., from the University of California in San Francisco, and colleagues analyzed data from 9.2 million emergency department visits to 262 hospitals to determine the proportion of visits to acute-care, nonfederal hospitals resulting in LWBS. The investigators also studied whether LWBS was affected by structural characteristics or socioeconomic status case-mix at the hospitals.
The investigators found that among visitors to emergency departments, the median LWBS was 2.6 percent, ranging from 0 to 20.3 percent between hospitals. A higher risk of LWBS was found in emergency departments with a higher proportion of low-income and poorly insured patients. The likelihood of an emergency department visit being LWBS increased by a factor of 1.15 for each 10 percent increase in patients who were poorly insured, and decreased by 0.86 for each $10,000 increase in household income. Hospitals with trauma center designation, county ownership, and teaching program affiliation were associated with elevated probability of LWBS (odds ratio, 2.09), and these factors reduced the association with insurance status.
"The increasing phenomenon of LWBS patients differentially affects those at hospitals that tend to serve the most vulnerable. Real action and resources should be applied to address these disparities on a systems level," the authors write.
Full Text (subscription or payment may be required)
Find in-depth content on major issues provided by leading companies in partnership with NursingCenter.com
BD Safety Beyond Needlestick Prevention Learning Center
Sponsored by BD Medical
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top