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Emerg Med J 21:165-169 doi:10.1136/emj.2003.012831
  • Original Article

Developing a rapid diagnosis and treatment centre: estimating impact on hospital resources

Table 3

Assumptions about current length of stay and discharge rates after RDTC protocol and anticipated reduction in ward bed use after the introduction of an RDTC

Condition Current median LOS (days) Estimated proportion discharged at end of protocol Length of draft protocol (h) Annual reduction in ward bed use
Values in bold are estimates, other values based on local data or research from elsewhere. LOS data are derived only from patients admitted (including A&E ward).
Chest pain, suspected myocardial infarction 2.5 0.8 6 430
Deliberate self harm 0 0.95 6 −20
Suspected pulmonary embolus 2.5 0.75 6 121
Head injury 0 0.9 8 −11
Pneumonia 8 0.7 12 1560
Suspected appendicitis 2 0.8 12 122
Suspected cholecystitis 3 0.8 24 311
Social problems 1 0.75 4 −123
Suspected deep venous thrombosis 8.5 0.75 6 527
Headache 4 0.85 16 347
Exacerbation of COPD 7 0.75 18 607
Cellulitis 2 0.5 24 208
Pyelonephritis 1 0.95 18 87
Abscess 1 0.9 6 84
Transient ischaemic attack 7 0.9 24 421
Exacerbation of asthma 2 0.8 6 55
Vertigo 3 0.85 12 96
First fit 1 0.8 12 −18
Exacerbation of congestive cardiac failure 25 0.55 24 834
Pneumothorax 0 0.95 6 −21
Upper gastrointestinal bleed 1 0.95 16 65
Blunt chest trauma 2 0.85 12 77
Hypoglycaemia 1 0.95 4 −2
Renal colic 1 0.8 12 −9
Smoke inhalation 1 0.9 12 −5
Dehydration 6 0.9 12 123
Allergy 1 0.95 8 −1
Annual total 5844
Daily average 16.0

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