Research Article

Factors Associated with Overcrowded Emergency Rooms in Thailand: A Medical School Setting

Table 1

Characteristics of patients at the emergency department (ED) categorized by time spent at the ED.

Factors<8 hours 
≥8 hours 
value

Male gender88 (41.12)27 (50.94)0.196
Median age, years 42.5 (1–91)67 (1–94)<0.001
Types of health insurance<0.001
 Self-payment94 (43.93)9 (16.98)
 Government insurance85 (39.72)40 (75.47)
Types of presenting to ER<0.001
 On their own199 (92.99)39 (73.58)
 Consultation 10 (4.67)13 (24.53)
Day presenting: Sunday29 (13.55)11 (20.75)0.710
Times of presenting0.515
 08:00–16:0074 (34.58)18 (33.96)
 16:01–24:0077 (35.98)23 (43.40)
 00.01:–07:5963 (29.44)12 (22.64)
Patient triage categories0.018
 14 (1.87)4 (7.55)
 282 (38.32)28 (52.83)
 3117 (54.67)20 (37.74)
 411 (5.14)1 (1.89)
Comorbid diseases<0.001
 None111 (51.87)13 (24.53)
 164 (29.91)14 (26.42)
 239 (18.22)26 (49.06)
Consultation<0.001
 None 183 (85.51)23 (43.40)
 1 department30 (14.02)28 (52.83)
 ≥2 departments1 (0.47)2 (3.77)
Types of discharge0.003
 Home185 (86.45)36 (67.22)
 Referred7 (3.27)2 (3.77)
 Admitted22 (10.28)15 (28.30)
Blood testing<0.001
 None134 (62.62)3 (5.66)
 1 round65 (30.37)11 (20.75)
 ≥2 rounds15 (7.01)39 (73.58)
General X-ray56 (26.17)40 (75.47)<0.001
Computed tomography7 (3.27)8 (15.09)0.003
Ultrasonography1 (0.47)4 (7.55)0.006

Note. Patient category: disease severity; see details in text; data presented as numbers (percentage) unless indicated otherwise; values were obtained by Wilcoxon rank-sum or Student’s -test and Fisher’s exact tests or Chi-square test where appropriated; total numbers of patients in both groups may not be equal to 214 and 58, respectively, due to missing data.