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Table 2 Comparison of planned services changes and measures of pressure to unit size

From: Response to winter pressures in acute services: analysis from the Winter Society for Acute Medicine Benchmarking Audit

 

Measures of hospital size

AMU beds

Inpatient beds

Medical patients admitted on day of survey

Median (IQR)

p value

Median (IQR)

p value

Median (IQR)

p value

Planned changes

 Extra medical beds created for winter pressures

Y

40 (30–52)

0.22

529 (407–763)

0.20

51 (36–75)

0.34

N

33 (24–51)

435 (325–648)

39 (33–70)

 Doctors in training moved to help pressure

Y

42 (28–56)

0.18

596 (456–846)

0.002

68 (45–79)

0.004

N

37 (29–50)

453 (331–677)

46 (33–64)

 Extra clinical staff

Y

40 (31–52)

0.092

516 (415–756)

0.12

54 (36–76)

0.008

N

31 (24–49)

430 (275–789)

39 (27–50)

 Extra non-clinical staff

Y

38 (28–52)

0.91

544 (418–794)

0.19

60 (36–76)

0.17

N

39 (30–51)

470 (395–669)

48 (33–69)

 SDEC area ever converted to inpatient beds

Y

39 (29–52)

0.69

500 (359–669)

0.34

51 (33–72)

0.35

N

40 (30–52)

525 (430–789)

49 (37–76)

 Any teaching sessions cancelled

Y

36 (28–50)

0.22

542 (431–792)

0.24

52 (37–74)

0.39

N

40 (33–53)

480 (362–680)

46 (34–72)

Measures of pressure

 Utilising escalation plan

Y

38 (29–52)

0.23

525 (430–792)

0.40

51 (36–75)

0.81

N

47 (40–50)

460 (358–647)

53 (34–73)

 Any elective surgery cancelled

Y

36 (26–51)

0.30

525 (415–767)

0.68

49 (36–69)

0.36

N

40 (31–53)

470 (405–767)

53 (34–77)

 SDEC area converted to inpatient beds on day of survey

Y

38 (28–52)

0.72

505 (384–732)

0.77

52 (33–72)

0.44

N

39 (30–51)

505 (413–786)

50 (37–76)

 Bed closures

Y

46 (33–51)

0.63

564 (450–756)

0.72

54 (49–80)

0.20

N

38 (29–52)

503 (384–792)

49 (34–73)

 Patients waiting in Emergency Department corridor

Y

36 (4–53)

0.46

532 (382–792)

0.54

62 (37–80)

0.05

N

41 (33–50)

485 (415–698)

47 (34–63)

 Patients without allocated inpatient bed in AMU at 16:00

Y

34 (27–52)

0.49

503 (451–779)

0.30

63 (42–79)

0.09

N

40 (30–51)

503 (368–741)

49 (33–72)

 OPEL level

1

32 (27–50)

0.78*

403 (318–480)

0.24*

33 (26–66)

0.18*

2

36 (30–45)

539 (429–808)

46 (33–67)

3

42 (29–52)

 

525 (400–782)

 

52 (38–73)

4

43 (31–53)

597 (458–805)

71 (47–82)

  1. Unit size assessed by number of acute medical inpatient beds, total inpatient beds and number of acute medical inpatient admissions on the day of the survey. AMU Acute Medical Unit, SDEC Same Day Emergency Care, OPEL Operational Pressures Escalation Levels. Comparisons performed using Mann-Whitney U test; *performed using Kruskal-Wallis test