P96 | Medical admission area as possible reply to Emergency Department overcrowding and boarding: model and preliminary report from hospitals of Azienda USL Toscana Centro
Year: 2025
Type: article
Study design: Observational Study
Abstract: Premises and Purpose of the study: Ministry of Health and italian Regions have issued recommendations to reduce boarding and overcrowding of Emergency Departments (EDs). The early taking charge by Specialists after initial diagnostic and therapeutic framework by ED physicians, represents a key point. In 2022 the Azienda USL Toscana Centro (AUTC) arranged to create Areas defined “Aree Mediche di Ammissione (AMA)” outside the EDs in which haemodinamically stable patients requiring hospitalization for medical reasons or taking charge for rapid turn-over medical problems could be allocated and managed by Internal Medicine (IM) and/or Geriatrics physicians. The aim of our study was to report on the results of AMAs of AUTC in 2023. Materials and Methods: We retrospectively analized data of patients admitted the AMAs of AUTC in 2023. Results: In the analyzed period, 17.624 patients, corresponding to about 5% of EDs admissions and 45% of IM wards admissions, have been taken care by the AMAs. Of them 60% were admitted in medical wards, 30% were discharged home, 9% had other destination such as discharged with transfer in territorial structures or discharged home with close geriatric follow-up, 1% died in AMAs. Mean stay from ED arrival was 43 hours in patients admitted in wards, 68 hours in patients discharged home, 61 hours in patients with other destination. Conclusions: Preliminary results support the role of AMAs as a concrete option for healtcare system to reduce overcrowding and boarding of patients in the EDs and make admission in medical wards more appropriate.
Source: Italian Journal of Medicine
Authors: Vo Van Kha, Tran Thi Huong Ly, Pham Thi Thanh Hoa, Vo Huynh Nhu, Damas Hendriansyah, Nusratuddin Abdullah, Rudy B. Leonardy, Mardiah Tahir, Samrichard Rambulangi, Firdaus Hamid, Filomena Pietrantonio, Vera Kopsaj, Francesco Rosiello, Aurora Tomassoni, Luca Moriconi, Donatella Padua, Kiki Rizki Amelia, Efendi Lukas, Nurbani Bangsawan, Isharyah Sunarno, Retno Budiarti Farid, Sriwijaya Qadar, Rabab H. Elshaikh, Ashok Kumar Sah, Abdelrahman Mohamed Abukanna, Abdulrahman Algarni, Ammar Abdelmola, Hussam Ali Osman, Tagwa Yousif Elsayed Yousif, Elryah I. Ali, Hiba Ali, Ayman Hussein Alfeel, Thanh Long Nguyen, Victor Storm, Lam Toi Phung, Cong Thien Le, Thi Thu Ha Le, Thi Hoa Nguyen, Son Tung Vu, Thien Thang Tran, Minh Hanh Vu, Van Tuan Nguyen, Francesco Ventrella, Anna Belfiore, Antonio Greco, Franco Mastroianni, Salvatore Lenti, Domenico Ruggiero, Michele Cannone, Vincenzo Ostilio Palmieri, Massimo Errico, Giuseppe Mancia, Guido Grassi, Sverre E. Kjeldsen
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413638792