A Study on the Magnitude and the Effectiveness of the Observation Ward of Hospital Universiti Sains Malaysia
- Author:
Rashidi Ahmad
;
Nik Hisamuddin Nik Abdul Rahman
;
Abu Yazid Mohd Noh
;
Nik Ariff Nik Abdul Rahman
;
Nasir Mohamad
;
Kamarul Aryffin Baharudin
- Publication Type:Journal Article
- Keywords:
observation ward, adult patients, length of admission and discharge, medical sciences
- From:Malaysian Journal of Medical Sciences
2010;17(1):38-43
- CountryMalaysia
- Language:English
-
Abstract:
Background: The observation ward (OW) allows patients to be reassessed and monitored
before deciding either to admit or to discharge them. This is a six-month descriptive cross-sectional
study conducted in the observation ward of the Emergency Department (ED) of Hospital Universiti
Sains Malaysia, Kelantan. The objective of this study was to examine the demographic characteristics
and clinical profiles of adult observed patients and to determine the effectiveness of OW management.
Methods: Patients were selected randomly by convenience sampling. One hundred and
twenty-four patients were included in the study. The mean age was 40.3 ± 18.5 years (95% CI: 37.2 to
43.8).
Results: Among the common clinical problems were abdominal discomfort (23%), diarrhoea
and vomiting (13%) and fever (13%). Reasons for OW admission included diagnostic uncertainty
(63%) and short course of treatment (33%). The mean length of stay was 4.1 ± 1.8 hours (95% CI=3.8
to 4.4 hours). Most of the patients (85%) were discharged.
Conclusions: The OW of HUSM is effective in managing adult patients as determined by the
hospitalisation rate and the length of stay.
- Full text:W020151022421095342029.pdf
