Leaving The Emergency Department Without Being Seen or Without Complete Treatment; A Study From Saudi Arabia
Journal Title: The Journal of Medicine, Law & Public Health (JMLPH) - Year 2021, Vol 1, Issue 1
Abstract
Background, The attitude of Leaving the emergency department (ED) without being seen or without completing treatment is attributed to prolonged waiting time. The impact of such behaviour and fate of such patients remain undetermined. Aim This study aimed to investigate the prevalence of Left Without Being Seen (LWBS) and Left Without Completing Treatment (LWCT), analyse the contributing factors for such behaviour and the mortality rate within one week of leaving the ED. Methods A retrospective observational study was performed in a tertiary hospital in Riyadh, Saudi Arabia, for three months. All adult patients of more than 14 years of age who visited the ED and LWBS or LWCT were included. Patients were seen by physicians and triaged-out, and those who were directed towards the outpatient clinic were excluded. Patients were asked about the reason for leaving, and their intention to return to the same ED again via call. Results The total number of LWBS and LWCT was 286 patients, with a response rate of 75%. The mean age was 45.8 years. About 46.6% sought medical help within seven days of leaving ED. However, the mortality rate was nil. Many patients (69.3%) reported their intention to revisit the same ED in the near future. A positive correlation was found between increasing age and admission within the same seven days’ period. Conclusion Prolonged waiting time is a public health concern that needs management strategies, the number of patients whom LWBS and LWCT require continuous monitoring and exploration.
Authors and Affiliations
Mishal Abdulrahman Almarshady, Sharafaldeen Bin Nafisah, Yousef Almubarak , Husam Althobyane
Clinical Research in Saudi Arabia: Trainee Knowledge and Attitude
Background Clinical research is an integral part of medical and surgical residency programmes, as well as medical school. Aim This study aimed to investigate attitudes toward, the experience of, and perceived barriers...
Snake Bites in The Arabian Peninsula: A Scoping Review
INTRODUCTION The aim of this study is to provide a comprehensive review of snake bites in the Arabian Peninsula. METHODS A scoping review was conducted from October to December 2022, and included sources from PubMed...
Knowledge and Attitude of Mothers Towards Childhood Vaccination in Taif, Saudi Arabia
Background: Misconceptions and inadequate knowledge about vaccination represent an important barrier against adherence to vaccination schedules. Objectives: To assess the knowledge and attitude of mothers of children...
Renal Cell Carcinoma Migrating to the Right Atrium through the Inferior Vena Cava, need abstract)
A 63-year-old man with known type 2 diabetes mellitus, hypertension, and dyslipidemia was re-ferred to us from another hospital due to a right renal mass with inferior vena cava (IVC) extension. Three months...
Evacuating Patients with Ongoing Dialysis
Introduction: Efficient planning is crucial for the safe evacuation of dialysis patients during a disaster. The lack of evidence-based approaches for evacuating these patients highlights the need to explore the associ...