Effect of Out-Of-Hour Admission on Fluid Treatment of Emergency Department Patients with Suspected Infection, a Multicenter Post-Hoc Analysis

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Jessen Marie Kristine; Petersen Anna Drescher; Kirkegaard Hans

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Journal: Archives of Academic Emergency Medicine Year:621 | Volume: | Issue: Page(s): 0-0

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Title

Effect of Out-Of-Hour Admission on Fluid Treatment of Emergency Department Patients with Suspected Infection, a Multicenter Post-Hoc Analysis

Author(s)

Jessen Marie Kristine | Petersen Anna Drescher | Kirkegaard Hans | Issue Writer Certificate

Keywords

Emergency service

hospital

fluid therapy

sepsis

infections

time factors

periodicity

Abstract

Introduction: sepsis is a life-threatening and common cause of Emergency department (ED) referrals. Out-of-hour staffing is limited in ED, which may potentially affect fluid administration. This study aimed to investigate fluid volume variation in out-of-hour vs. routine-hour admissions. Methods: The present study is a post-hoc analysis of a multicentre, prospective, observational study investigating fluid administration in ED patients with suspected infection, from Jan 20th-March 2nd, 2020. Patient groups were “, routine-hours”,(RH): weekdays 07: 00-18: 59 or “, out-of-hours”,(OOH): weekdays 19: 00-06: 59 or Friday 19: 00-Monday 06: 59. Primary outcome was 24-hour total fluid volumes (oral + intravenous (IV)). Secondary outcomes were total fluids 0-6 hours, oral fluids 0-6 and 0-24 hours, and IV fluids 0-6 and 0-24 hours. Linear regression adjusted for site and illness severity was used. Results: 734 patients had suspected infection,449 were admitted during RH and 287 during OOH. Mean (95% CI) total 24-hour fluid volumes were equal in simple infection and sepsis regardless of admission time: Simple infection RH: 3640 (3410-3871)ml and OOH: 3681 (3451-3913) ml. sepsis RH: 3671 (3443, 3898) ml and OOH: 3896 (3542, 4250) ml. Oral fluids 0-6h were reduced in simple infection and sepsis among OOH vs. RH. sepsis patients received more 0-6-hour IV fluid when admitted OOH vs. RH. There were no associations between admission time and 0-24-hour oral or IV volumes in simple infection or sepsis. Conclusion: Admission time did not have an association with 24-hour total fluid volumes. sepsis patients admitted during OOH received more 0-6-hour IV fluids than RH patients, and simple infection and sepsis patients received less oral fluid in 0-6 hours if admitted during OOH vs. RH.

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APA: Copy

Jessen, Marie Kristine, Petersen, Anna Drescher, & Kirkegaard, Hans. (2023). Effect of Out-Of-Hour Admission on Fluid Treatment of Emergency Department Patients with Suspected Infection, a Multicenter Post-Hoc Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 11(1), 0-0. SID. https://sid.ir/paper/1115093/en

Vancouver: Copy

Jessen Marie Kristine, Petersen Anna Drescher, Kirkegaard Hans. Effect of Out-Of-Hour Admission on Fluid Treatment of Emergency Department Patients with Suspected Infection, a Multicenter Post-Hoc Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2023;11(1):0-0. Available from: https://sid.ir/paper/1115093/en

IEEE: Copy

Marie Kristine Jessen, Anna Drescher Petersen, and Hans Kirkegaard, “Effect of Out-Of-Hour Admission on Fluid Treatment of Emergency Department Patients with Suspected Infection, a Multicenter Post-Hoc Analysis,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 11, no. 1, pp. 0–0, 2023, [Online]. Available: https://sid.ir/paper/1115093/en

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