Descripción del Boarding en la fundación Santa Fe de Bogotá, en el primer semestre de 2018

Abstract

Introduction: It is known as “boarding”, the hospitalization of patients in the emergency department (ED) due to the lack of availability of a bed or room in the hospitalization areas. This type of hospitalization has negative consequences in terms of quality and the outcome of patients. Methodology: Observational, descriptive, historical cohort study. The objective was to establish the frequency and time of boarding in the HUFSFB, during the period from January to June 2018. Boarding was defined as hospitalization time greater than 6 hours. Results: Of 4,777 hospitalization cases, 1,177 patients (24.6%) meet the boarding criteria. The variable time in boarding presents an asymmetric distribution to the right (p <0.001). The median was 9.40 hours (IQR. 7,195 - 14,138 hrs). Minimum and maximum value of 6.01 and 23.98 hrs respectively. The frequency of "boarding" increases significantly as the complexity of the patient decreases (p <0.001). There are no significant differences in the frequency (p = 0.182) or time (p = 0.187) of boarding, between 6 different clinical diagnostic categories. January was the month with the least frequency and time for boarding. Conclusions: About ¼ of the patients admitted to the emergency room meet the boarding criteria. The most frequent pathologies of "boarding" are related to internal medicine. Knowing the characteristics of this phenomenon will allow adjusting to improve the quality of care in emergency services.