1 10 14 https://repository.horizon.ac.id/files/original/ad01f1bba607fcf318e9ad614c22cda1.PDF 5f67528f4d8e1ea0961bcfe62558e0c8 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A phenomenological interview study with patients being non-conveyed in the ambulance service Subject The topic of the resource Patients’ perspectives, Emergency medical services [MeSH], Ambulance care, Non-conveyance, Caring encounter, Phenomenology Description An account of the resource Background Non-conveyed patients (i.e. patients who are not transported to a hospital after being assessed by ambulance clinicians) represent a significantly increasing proportion of all patients seeking ambulance care. Scientific knowledge about patients’ non-conveyance experiences is sparse. This study describes the lived experiences of non�conveyed patients in an ambulance care context. Methods A reflective lifeworld research (RLR) approach founded on phenomenology is used. Data is derived from nine in-depth interviews with patients not conveyed by the ambulance service in a major Swedish region. Results Patients’ lived experiences of becoming acutely ill or injured and not conveyed by ambulance to a hospital are characterised by several dynamic movements: losing and regaining situational and bodily control, dependence and autonomy, external competence and inner knowledge, handing over and regaining responsibility, and fear and security. Conclusions Patients’ lived experiences of non-conveyance are complex and versatile. Although non-conveyed patients initially experience strong fear and the loss of situational and bodily control, they gradually feel more secure when experiencing confirmation and trust, which evolves into insecurity and uncertainty. The non-conveyance situation’s complexity from a patient’s perspective implies the need for ambulance organisations to take measures to prevent further suffering. Non-conveyed patients must be taken seriously in their unique situations, requiring ambulance clinicians to reflect and act with a conscious ethical perspective before, during and after their visit. Creator An entity primarily responsible for making the resource Jakob Lederman, Caroline Löfvenmark, Therese Djärv, Veronica Lindström and Carina Elmqvist Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:30 Contributor An entity responsible for making contributions to the resource Fajar Bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Ambulance care Caring encounter Emergency medical services [MeSH] Jurnal Internasional Keperawatan Non-conveyance Patients’ perspectives Phenomenology https://repository.horizon.ac.id/files/original/7cf352ec45065f21f49665bdbbb95d96.PDF 159da7a283e6e860ee45c858a39c202f Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Anaemia in the first week may be associated with long-term mortality among critically ill patients: propensity score-based analyses Subject The topic of the resource Anaemia, Long-term outcome, Critical illness, Propensity score Description An account of the resource Background Anaemia is highly prevalent in critically ill patients; however, the long-term effect on mortality remains unclear. Methods We retrospectively included patients admitted to the medical intensive care units (ICUs) during 2015–2020 at the Taichung Veterans General Hospital. The primary outcome of interest was one-year mortality, and hazard ratios (HRs) with 95% confidence intervals (CIs) were determined to assess the association. We used propensity score matching (PSM) and propensity score matching methods, including inverse probability of treatment weighting (IPTW) as well as covariate balancing propensity score (CBPS), in the present study. Results A total of 7,089 patients were eligible for analyses, and 45.0% (3,189/7,089) of them had anaemia, defined by mean levels of haemoglobin being less than 10 g/dL. The standardised difference of covariates in this study were lower than 0.20 after matching and weighting. The application of CBPS further reduced the imbalance among covariates. We demonstrated a similar association, and adjusted HRs in original, PSM, IPTW and CBPS populations were 1.345 (95% CI 1.227–1.474), 1.265 (95% CI 1.145–1.397), 1.276 (95% CI 1.142–1.427) and 1.260 (95% CI 1.125–1.411), respectively. Conclusions We used propensity score-based analyses to identify that anaemia within the first week was associated with increased one-year mortality in critically ill patients Creator An entity primarily responsible for making the resource Hung Lin, Pei-Ya Liao, Li-Ting Wong, Ming-Cheng Chan, Chieh-LiangWu and Wen-Cheng Chao Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:32 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Anaemia critical illness Jurnal Internasional Keperawatan Long-term outcome Propensity score https://repository.horizon.ac.id/files/original/8ff0694f695170043fd920c740f08752.PDF d81360e80445a8a91f376066825c085e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Analyzing the queuing theory at the emergency department at King Hussein cancer center Subject The topic of the resource KHCC, ED, Health informatics desk, Triage room, Emergency bed area Description An account of the resource Objectives This study was conducted in 2022 at King Hussein Cancer Center (KHCC) to analyze the queuing theory approach at the Emergency Department (ED) to estimate patients’ wait times and predict the accuracy of the queuing theory approach. Methods According to the statistics, the peak months were July and August, with peak hours from 10 a.m. until 6 p.m. The study sample was a week in July 2022, during the peak days and hours. This study measured patients’ wait times at these three stations: the health informatics desk, triage room, and emergency bed area. Results The average number of patients in line at the health informatics desk was not more than 3, and the wait‑ ing time was between 1 and 4 min. Since patients were receiving the service immediately in the triage room, there was no waiting time or line because the nurse’s role ended after taking the vital signs and rating the patient’s disease acuity. Using equations of queuing theory and other relativistic equations in the emergency bed area gave diferent results. The queuing theory approach showed that the average residence time in the system was between 4 and 10 min. Conclusions Conversely, relativistic equations (ratios of served patients and departed patients and other related vari‑ ables) demonstrated that the average residence time was between 21 and 36 min. Creator An entity primarily responsible for making the resource Mahmoud Salameh Qandeel , Islam Khaleel Al‑Qudah , Riyad Nayfeh , Haitham Aryan, Omar Ajaj , Hisham Alkhatib and Yousef Hamdan Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:22 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text ED Emergency bed area Health informatics desk Jurnal Internasional Keperawatan KHCC Triage room https://repository.horizon.ac.id/files/original/b5a35f64268434e60886d3e8814d6249.PDF d766db7ae83d3a57c1187bac60a075cb Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Characteristics of rib fracture patients who require chest computed tomography in the emergency department Subject The topic of the resource Rib fracture, Chest computed tomography, Intra-thoracic and intra-abdominal injuries, Emergency department Description An account of the resource Background The disadvantages and complications of computed tomography (CT) can be minimized if CT is per�formed in rib fracture patients with high probability of intra-thoracic and intra-abdominal injuries and CT is omitted in rib fracture patients with low probability of intra-thoracic and intra-abdominal injuries. This study aimed to evaluate the factors that can identify patients with rib fractures with intra-thoracic and intra-abdominal injuries in the emer�gency department among patients with rib fracture. Methods This retrospective observational study included adult patients (age≥18 years) diagnosed with rib fracture on chest radiography prior to chest CT due to blunt chest trauma in the emergency department who underwent chest CT from January 2016 to February 2021. The primary outcomes were intra-thoracic and intra-abdominal injuries that could be identifed on a chest CT. Multivariate logistic regression analysis was performed. Results Among the characteristics of rib fractures, the number of rib fractures was greater (5.0 [3.0–7.0] vs. 2.0 [1.0–3.0], p<0.001), bilateral rib fractures were frequent (56 [20.1%] vs. 12 [9.8%], p=0.018), and lateral and posterior rib fracture was more frequent (lateral rib fracture: 160 [57.3%] vs. 25 [20.5%], p<0.001; posterior rib fracture: 129 [46.2%] vs. 21 [17.2%], p<0.001), and displacement was more frequent (99 [35.5%] vs. 6 [6.6%], p<0.001) in the group with intra-thoracic and intra-abdominal injuries than in the group with no injury. The number of rib fractures (adjusted odds ratio [aOR], 1.44; 95% confdence interval [CI], 1.16–1.78; p=0.001), lateral rib fracture (aOR, 2.80; 95% CI, 1.32– 5.95; p=0.008), and posterior rib fracture (aOR, 3.18; 95% CI, 1.45–6.94; p=0.004) were independently associated with intra-thoracic and intra-abdominal injuries. The optimal cut-of for the number of rib fractures on the outcome was three. The number of rib fractures≥3 (aOR, 3.01; 95% CI, 1.35–6.71; p=0.007) was independently associated with intra-thoracic and intra-abdominal injuries. Conclusion In patients with rib fractures due to blunt trauma, those with lateral or posterior rib fractures, those with≥3 rib fractures, and those requiring O2 supplementation require chest CT to identify signifcant intra-thoracic and intra-abdominal injuries in the emergency department. Creator An entity primarily responsible for making the resource Woosik Kim, Juhyun Song, Sungwoo Moon, Jooyeong Kim, Hanjin Cho, Jonghak Park, Sungjin Kim and Sejoong Ahn* Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:33 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Chest computed tomography Emergency Department Intra-thoracic and intra-abdominal injuries Jurnal Internasional Keperawatan Rib fracture https://repository.horizon.ac.id/files/original/7be807506dc6eabbf2eb695a9a59dda2.PDF 8cbf886be3ea4dd63cfe8fad0955b76e Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Equivalence of the top-down manoeuvre and bottom-up manoeuvre in speed and accuracy of identifying the cricothyroid membrane: a prospective randomised cross�over study Subject The topic of the resource Airway management, Cricothyrotomy, Cricothyroid membrane, Thyroid cartilage, Cricoid cartilage, Academic medical centres, Medical students Description An account of the resource Background Accurate identification of the cricothyroid membrane is crucial for successful cricothyrotomy; however, a manoeuvre that helps identify it both accurately and quickly remains unclear. The effectiveness of the so-called ‘bottom-up manoeuvre’ has never been investigated. This study aimed to examine whether the bottom-up manoeuvre is as rapid and accurate as the conventional ‘top-down manoeuvre’ at identifying the cricothyroid membrane. Methods This study was a prospective randomised cross-over trial conducted at an academic medical centre between 2018 and 2019. Fifth-year medical students participated. The students were trained in the use of either the top-down manoeuvre or the bottom-up manoeuvre first. Each student subsequently performed the technique once on a volunteer. The students were then taught and practiced the other manoeuvre as well. The accuracy of cricothyroid membrane identification and the time taken by successful participants only were measured and compared between the manoeuvres using equivalence tests with two one-sided tests. Results A total of 102 medical students participated in this study and there was no missing data. The accuracy of identification and time required for success were similar between the top-down manoeuvre and the bottom-up manoeuvre (65.7% vs. 70.6%, taking 13.8 s [interquartile range (IQR): 9.4–17.5] vs. 15.5 s [IQR: 11.5–19.9], respectively). The success rate was statistically equivalent (rate difference, 4.9%; 90% confidence interval [CI], -5.8 to 15.6; equivalence margin, -20.0 to 20.0). The time required for success was also statistically equivalent (median difference, 1.7 s; 90% CI, -0.2 to 3.3; equivalence margin, -4.0 to 4.0). Conclusion Among students first trained in both manoeuvres for identifying the cricothyroid membrane, the speed and accuracy of identification were similar between those using the bottom-up manoeuvre and those using the top�down manoeuvre. Creator An entity primarily responsible for making the resource Yohei Kamikawa , Osamu Muto and Hiroyuki Hayashi Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:29 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Academic medical centres Airway management Cricoid cartilage Cricothyroid membrane Cricothyrotomy Jurnal Internasional Keperawatan Medical students Thyroid cartilage https://repository.horizon.ac.id/files/original/69a364a6edae07a1bbd6931d153adae7.PDF 7ebf3467292e08f02fcb870808e833ab Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Paediatric emergency medicine practice in Nigeria: a narrative review Subject The topic of the resource Paediatric, Emergency medicine, Practice, Quality of service, Capacity needs, Funding, Nigeria Description An account of the resource The practice of paediatric emergency medicine in Nigeria is still evolving, and laden with enormous challenges which contribute to adverse outcomes of childhood illnesses in emergency settings. Deaths from childhood illnesses presenting as emergencies contribute to overall child mortality rates in Nigeria. This narrative review discusses existing structures, organization, and practice of paediatric emergency in Nigeria. It highlights some of the challenges and suggests ways of surmounting them in order to reduce deaths in the children emergency units in Nigerian hospitals. Important aspects of this review include current capacity and need for capacity development, equipment needs for emergency care, quality of service in the context of inadequate healthcare funding and the need for improvement. Creator An entity primarily responsible for making the resource Joy N. Eze , Benedict O. Edelu , Ikenna K. Ndu and Tagbo Oguonu Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:31 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Capacity needs Emergency medicine Funding Jurnal Internasional Keperawatan Nigeria Paediatric Practice Quality of service https://repository.horizon.ac.id/files/original/01caef51edc5c3af8039486809b304ae.PDF f90016135a613e51563049494f27ac66 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Point-of-care neutrophil CD64 as a rule in diagnostic test for bacterial infections in the emergency department Subject The topic of the resource nCD64, Bacterial infections, Viral infections, COVID-19, Infammation, Point of care immunology Description An account of the resource Introduction Bacterial infections are frequently seen in the emergency department (ED), but can be difcult to dis�tinguish from viral infections and some non-infectious diseases. Common biomarkers such as c-reactive protein (CRP) and white blood cell (WBC) counts fail to aid in the diferential diagnosis. Neutrophil CD64 (nCD64), an IgG receptor, is suggested to be more specifc for bacterial infections. This study investigated if nCD64 can distinguish bacterial infec�tions from other infectious and non-infectious diseases in the ED. Methods All COVID-19 suspected patients who visited the ED and for which a defnitive diagnosis was made, were included. Blood was analyzed using an automated fow cytometer within 2 h after presentation. Patients were divided into a bacterial, viral, and non-infectious disease group. We determined the diagnostic value of nCD64 and compared this to those of CRP and WBC counts. Results Of the 291 patients presented at the ED, 182 patients were included with a defnitive diagnosis (bacterial infection n =78; viral infection n =64; non-infectious disease n =40). ROC-curves were plotted, with AUCs of 0.71 [95%CI: 0.64–0.79], 0.77 [0.69–0.84] and 0.64 [0.55–0.73] for nCD64, WBC counts and CRP, respectively. In the bacte�rial group, nCD64 MFI was signifcantly higher compared to the other groups (p <0.01). A cut-of of 9.4AU MFI for nCD64 corresponded with a positive predictive value of 1.00 (sensitivity of 0.27, a specifcity of 1.00, and an NPV of 0.64). Furthermore, a diagnostic algorithm was constructed which can serve as an example of what a future biomarker prediction model could look like. Conclusion For patients in the ED presenting with a suspected infection, nCD64 measured with automatic fow cytometry, has a high specifcity and positive predictive value for diagnosing a bacterial infection. However, a low nCD64 cannot rule out a bacterial infection. For future purposes, nCD64 should be combined with additional tests to form an algorithm that adequately diagnoses infectious diseases. Creator An entity primarily responsible for making the resource N. L. M. van de Ven, S. H. Bongers, R. Spijkerman, L. Koenderman, L. P. H. Leenen, F. Hietbrink and The COVPACH study group Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:28 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Bacterial infections COVID-19 Infammation, Jurnal Internasional Keperawatan nCD64 Point of care immunology Viral infections https://repository.horizon.ac.id/files/original/497d7e9c46a6beecc72b3a4a2a7d2a58.PDF 1701ee4b56d0266d760d0fa64c484ff8 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prehospital clinical practice guidelines for unintentional injuries: a scoping review and prioritisation process Subject The topic of the resource Injuries, Prehospital care, Clinical practice guidelines, Scoping review, Prioritisation Description An account of the resource Background Globally, millions of people die and many more develop disabilities resulting from injuries each year. Most people who die from injuries do so before they are transported to hospital. Thus, reliable, pragmatic, and evi�dence-based prehospital guidance for various injuries is essential. We systematically mapped and described prehospi�tal clinical practice guidelines (CPGs) for injuries in the global context, as well as prioritised injury topics for guidance development and adolopment. Methods This study was sequentially conducted in three phases: a scoping review for CPGs (Phase I), identifcation and refnement of gaps in CPGs (Phase II), and ranking and prioritisation of gaps in CPGs (Phase III). For Phase I, we searched PubMed, SCOPUS, and Trip Database; guideline repositories and websites up to 23rd May 2021. Two authors in duplicate independently screened titles and abstract, and full-text as well as extracted data of eligible CPGs. Guide�lines had to meet 60% minimum methodological quality according to rigour of development domain in AGREE II. The second and third phases involved 17 participants from 9 African countries and 1 from Europe who participated in a virtual stakeholder engagement workshop held on 5 April 2022, and followed by an online ranking process. Results Fifty-eight CPGs were included out of 3,427 guidance documents obtained and screened. 39/58 (67%) were developed de novo compared to 19 that were developed using alternative approaches. Twenty-fve out of 58 guidelines (43%) were developed by bodies in countries within the WHO European Region, while only one guideline was targeted to the African context. Twenty-fve (43%) CPGs targeted emergency medical service providers, while 13 (22%) targeted frst aid providers (laypeople). Forty-three CPGs (74%) targeted people of all ages. The 58 guidance documents contained 32 injury topics. Injuries linked to road trafc accidents such as traumatic brain injuries and chest injuries were among the top prioritised topics for future guideline development by the workshop participants. Conclusion This study highlights the availability, gaps and priority injury topics for future guideline development/ adolopment, especially for the African context. Further research is needed to evaluate the recommendations in the 58 included CPGs for possible adaptation to the African context. Creator An entity primarily responsible for making the resource Desmond Kuupiel, Nasreen S. Jessani, Jody Bofa, Celeste Naude, Emmy De Buck, Philippe Vandekerckhove and Michael McCaul Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:27 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Clinical practice guidelines Injuries Jurnal Internasional Keperawatan Prehospital care Prioritisation Scoping review https://repository.horizon.ac.id/files/original/f7eead3819a6f12e791d26e27fa1f60b.PDF 3c0699a3bed6d79df2f13529edc9c404 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prolonged length of stay and its associated factors at adult emergency department in amhara region comprehensive specialized hospitals, northwest Ethiopia Subject The topic of the resource Emergency department, Length of stay, Northwest Ethiopia Description An account of the resource Background Prolonged length of stay at the emergency department interferes with the main goal of emergency care and results in adverse patient outcomes like nosocomial infection, dissatisfaction, morbidity, and mortality. Despite this, little is known about the length of stay and the factors that influence it in Ethiopia’s emergency department. Methods An institution-based cross-sectional study was conducted on 495 patients admitted at Amhara region comprehensive specialized hospitals emergency department from May 14 to June 15/2022. A systematic random sampling was employed to select study participants. A pretested structured interview-based questionnaire was used to collect data by using Kobo toolbox software. SPSS version 25 was used for data analysis. Bi-variable logistic regression analysis was carried out to select variables with P-value<0.25. The significance of association was interpreted using an Adjusted Odds Ratio with a 95% confidence interval. Variables with P-value<0.05 in the multivariable logistic regression analysis were inferred to be significantly associated with length of stay. Result Out of 512 enrolled participants, 495 were participated with a response rate of 96.7%. The prevalence of prolonged length of stay in the adult emergency department was 46.5% (95%CI: 42.1, 51.1). Lack of insurance (AOR: 2.11; 95% CI: 1.22, 3.65), non-communicative presentation (AOR: 1.98; 95% CI: 1.07, 3.68), delayed consultation (AOR: 9.5; 95% CI: 5.00, 18.03), overcrowding (AOR: 4.98; 95% CI: 2.13, 11.68), and shift change experience (AOR: 3.67; 95% CI: 1.30, 10.37) were significantly associated with prolonged length of stay. Conclusion The result of this study is found to be high based on Ethiopian target emergency department patient length of stay. Lack of insurance, presentation without communication, delayed consultation, overcrowding, and shift change experience were significant factors for prolonged emergency department length of stay. Therefore, interventions like expansion of organizational setup are needed to decrease the length of stay to an acceptable level. Creator An entity primarily responsible for making the resource Asnake Gashaw Belayneh, Yemataw Zewdu Temachu, Mengistu Abebe Messelu and Mignote Hailu Gebrie Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:34 Contributor An entity responsible for making contributions to the resource Fajar bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Emergency department Jurnal Internasional Keperawatan Length of stay Northwest Ethiopia https://repository.horizon.ac.id/files/original/1a22cc32e1aa006fd1dc1d58e527552b.PDF 30f461f28c36db5cb4ddc25a31cc211b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOLUME 23 ISSUE 1 MARET 2023 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Red cell distribution width and mortality in older patients with frailty in the emergency department Subject The topic of the resource Frailty, Red cell distribution width, Biomarkers, Mortality, Prognostic factor, Emergency departments Description An account of the resource Background The red cell distribution width (RDW) refects the degree of heterogeneity of red blood cells. Elevated RDW is associated both with frailty and with increased mortality in hospital-admitted patients. In this study we evaluate whether high RDW values are associated with mortality in older emergency department (ED) patients with frailty, and if the association is independent of the degree of frailty. Methods We included ED patients with the following criteria:≥75 years of age, Clinical Frailty Scale (CFS) score of 4 to 8, and RDW % measured within 48 h of ED admission. Patients were allocated to six classes by their RDW value:≤13%, 14%, 15%, 16%, 17%, and≥18%. The outcome was death within 30 days of ED admission. Crude and adjusted odds ratios (OR) with 95% confdence intervals (CI) for a one-class increase in RDW for 30-day mortality were calculated via binary logistic regression analysis. Age, gender and CFS score were considered as potential confounders. Results A total of 1407 patients (61.2% female), were included. The median age was 85 with an inter-quartile range (IQR) of 80–89, median CFS score 6 (IQR: 5–7), and median RDW 14 (IQR: 13–16). Of the included patients, 71.9% were admitted to hospital wards. A total of 85 patients (6.0%) died during the 30-day follow-up. Mortality rate was associated with RDW increase (p for trend<.001). Crude OR for a one-class increase in RDW for 30-day mortality was 1.32 (95% CI: 1.17–1.50, p<.001). When adjusted for age, gender and CFS-score, OR of mortality for one-class RDW increase was still 1.32 (95% CI: 1.16–1.50, p<.001). Conclusion Higher RDW values had a signifcant association with increased 30-day mortality risk in frail older adults in the ED, and this risk was independent of degree of frailty. RDW is a readily available biomarker for most ED patients. It might be benefcial to include it in risk stratifcation of older frail ED patients to identify those who could beneft from further diagnostic assessment, targeted interventions, and care planning. Creator An entity primarily responsible for making the resource Janne Alakare, Kirsi Kemp, Timo Strandberg, Maaret Castrén, Jukka Tolonen and Veli‑Pekka Harjola Publisher An entity responsible for making the resource available BMC Emergency Medicine Date A point or period of time associated with an event in the lifecycle of the resource (2023) 23:24 Contributor An entity responsible for making contributions to the resource Fajar Bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource English Type The nature or genre of the resource Text Biomarkers Emergency departments Frailty Jurnal Internasional Keperawatan mortality prognostic factor Red cell distribution width