Research Article

Prolonged Emergency Department Length of Stay as a Predictor of Adverse Outcomes in Patients with Intracranial Hemorrhage

Table 1

Baseline demographic and clinical characteristics stratified by shift change.

VariablesNo shift change
Shift change
value

Age, median (range)60 (19–92)63 (29–87)0.13
Gender, % male52 (50.9%)37 (61.7%)0.19
Baseline NIHSS, median (range)17 (0–40)14 (0–40)0.0446
Baseline GCS, median (range)14 (3–15)14 (3–15)0.36
Baseline ICH score, median (range)2 (0–5)1 (0–5)0.21
Glucose, median (range)135 (70–421)133 (85–329)0.81
Length of stay in ED in minutes, median (range)218 (51–739)306 (68–2944)0.0007
Intubated in the ED, %33 (32.3%)18 (30%)0.76
Intubated by EMS, %3 (2.9%)1 (1.7%)0.37
Neuroworsening, %59/84 (70.2%)30/48 (62.5%)0.36
Pneumonia, %17 (16.8%)10 (16.7%)0.98
Length of stay in days, median (range)7 (1–86)9 (1–34)0.93
mRS on discharge, median (range)4 (0–6)4 (1–6)0.31
Discharge mRS percents
 mRS 0–2, %12 (11.8%)8 (13.3%)0.77
 mRS 3-4, %42 (41.2%)29 (48.3%)0.38
 mRS 5-6, %48 (47.1%)23 (38.3%)0.28
Discharge NIHSS, median (range)14 (0–42)11 (0–42)0.42
Discharge NIHSS
 NIHSS 0–6, %32 (32.3%)22 (37.3%)0.52
 NIHSS 7–22, %34 (34.3%)21 (35.6%)0.87
 NIHSS >22, %33 (33.3%)16 (27.1%)0.41
Disposition, %0.80
 AMA00
 Home or home with home health 17 (16.7%)11 (18.3%)
 Inpatient rehab39 (38.2%)23 (38.3%)
 Transfer to another service1 (0.98%)0
 SNF/NH12 (11.8%)7 (11.7%)
 LTAC4 (3.9%)5 (8.3%)
 Hospice5 (4.9%)1 (1.7%)
 Death24 (23.5%)13 (21.7%)
Good disposition (home or inpatient rehab), %56 (54.9%)34 (56.7%)0.83
Death, %24 (23.5%)13 (21.7%)0.78