Evidence on ED Diversion Strategies Inconclusive

Share this content:
Evidence on ED Diversion Strategies Inconclusive
Evidence on ED Diversion Strategies Inconclusive

FRIDAY, Dec. 21, 2018 (HealthDay News) -- There is insufficient evidence to recommend the implementation of diversion protocols as effective strategies to address emergency department overcrowding, according to a review published online Nov. 27 in the Emergency Medicine Journal.

Scott William Kirkland, from the University of Alberta in Edmonton, Canada, and colleagues conducted a systematic literature review of randomized controlled trials and cohort studies that assessed the effectiveness of prehospital (11 studies) or emergency department-based (four studies) diversion interventions.

The researchers found that the quality of the studies ranged from moderate to low. In three prehospital studies, patients deemed suitable for diversion ranged from 19.2 to 90.4 percent, while the range was 19 to 36 percent in four emergency department-based studies. The proportion of eligible patients diverted via emergency department-based diversion tended to be higher than that based on prehospital diversion (median, 85 versus 40 percent). Compared with standard care, prehospital diversion did not decrease the proportion of patients transferred to the emergency department (relative risk, 0.92). Patients diverted via prehospital diversion had no significant decrease in subsequent emergency department utilization compared with nondiverted patients (relative risk, 1.09). Further, there was no significant difference in total health care costs between diverted and nondiverted patients in the three prehospital studies.

"The overall quality of the research limited the ability of this review to draw definitive conclusions and more research is required prior to widespread implementation," the authors write.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

FDA Approves First Customizable Insulin Pump

FDA Approves First Customizable Insulin Pump

Product works by delivering insulin under the skin at set or variable rates

Sepsis Common in Terminal Hospitalizations, Discharges

Sepsis Common in Terminal Hospitalizations, Discharges

Most common underlying causes of death in sepsis are solid and hematologic cancers, chronic heart disease

Fewer Older Men Assessed, Treated for Osteoporosis

Fewer Older Men Assessed, Treated for Osteoporosis

Fewer older men than women, even with higher risk, undergo DXA screening, 25(OH)D measurement

is free, fast, and customized just for you!




Already a member?

Sign In Now »