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August 16, 2021Emergency Medicine JournalOpen Access

Associations between emergency department crowding and perceptions of interpersonal care in patients presenting with suspected acute coronary syndrome

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Key result

Higher ED crowding is linked to lower perceived interpersonal care among suspected ACS patients.

  • adjusted β -1.77
  • 95% CI -3.31 to -0.24
  • P=0.02
  • n=933

Why the study?

It was unknown whether ED crowding is associated with perceptions of interpersonal care in patients evaluated for ACS.

Is emergency department crowding associated with poorer perceptions of interpersonal care in patients evaluated for suspected acute coronary syndrome?

Population

933 patients evaluated for suspected ACS at an ED in New York City

Comparison

Higher vs lower ED crowding measured by EDWIN score

Design

Observational cohort study

Authors

NLNadia Liyanage-DonDEDavid EdelmanBCBernard Chang

Discussion

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Overview

Hypothesis-generating for ED crowding effects on interpersonal care in suspected ACS; prospective studies needed before practice implications.

Study Design

Type

Observational (n=933)

Multicenter

No

Structured PICO

Is emergency department crowding associated with poorer perceptions of interpersonal care in patients evaluated for suspected acute coronary syndrome?

P
Population
933 patients presenting to a quaternary academic medical centre emergency department in New York City for evaluation of suspected acute coronary syndrome (ACS)
I
Intervention
Emergency department crowding at admission and throughout ED stay, measured by the ED Work Index (EDWIN)
C
Comparator
Lower levels of emergency department crowding
O
Outcome
Perceptions of interpersonal care, measured by the 18-item Interpersonal Processes of Care (IPC) surveypatient reported

Main Result

Effect estimate: adjusted β -1.77 (95% CI -3.31 to -0.24)

p-value: p=0.02

Increased emergency department crowding at admission is associated with poorer patient perceptions of interpersonal care among those evaluated for suspected ACS.

Cite This Study

Liyanage-Don et al. (2021) conducted an observational in suspected acute coronary syndrome (n=933). Emergency department crowding (EDWIN score) was evaluated on Interpersonal Processes of Care (IPC) score (adjusted β -1.77, 95% CI -3.31 to -0.24, p=0.02). Higher emergency department crowding at admission was associated with lower perceptions of interpersonal care among patients with suspected ACS (adjusted β -1.77; 95% CI -3.31 to -0.24; p=0.02).

synapsesocial.com/papers/6a10b79239dd87f6d0ee398chttps://doi.org/10.1136/emermed-2020-210493
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Overcrowding is associated with delays in percutaneous coronary intervention for acute myocardial infarction2009 · 80 citations
  2. 2The Association Between Emergency Department Crowding and Adverse Cardiovascular Outcomes in Patients with Chest Pain2009 · 290 citations
  3. 3B104-01 Association of Emergency Department Crowding and Disposition Decisions in Sepsis2026
  4. 4Association of emergency department crowding with inpatient outcomes2022 · 20 citations
  5. 5Increases in Emergency Department Occupancy Are Associated With Adverse 30‐day Outcomes2014 · 100 citations