Impact of urgent care centers on emergency department visits in Al Madina Al Munawara: A pre-post study

Article Figures & Data

Table 1

- Patient characteristics in emergency room (ER) (N=198,050).

Variable	Total	Impact of urgent care centers (UCCs)		P-value
Variable	Total	Before UCC implementation	After UCC implementation	P-value
Patients, n (%)	198,050 (100)	85,839 (43.3)	112,211 (56.7)	0.074
Average door-to-doctor time in minutes (mean ± SD)	21.9 (27.0)	28.4 (37.7)	15.4 (3.3)	0.245
Average doctor-to-decision time in minutes (mean ± SD)	872.82 (634.8)	852.4 (189.0)	893.3 (897.7)	0.880
Average door-to-disposition time in minutes (mean ± SD)	967.0 (646.8)	972.6 (238.6)	961.4 (904.3)	0.968
Patients waiting more than 4 hours in ER, n (%)	112,409 (100)	45,612 (40.5)	66,797 (59.5)	0.043*
Type of ER urgency
Urgent	154,790 (100)	67,976 (43.9)	86,814 (56.1)	<0.001*
Non-urgent	43,260 (100)	17,863 (41.3)	25,397 (58.7)	0.534
Type of emergency, n (%)
CTAS 1	4875 (100)	2283 (46.8)	2592 (53.2)	0.180
CTAS 2	4482 (100)	1912 (42.7)	2570 (57.3)	0.006*
CTAS 3	145433 (100)	63781 (43.9)	81652 (56.1)	<0.001*
CTAS 4	36363 (100)	14321 (39.4)	22042 (60.6)	0.456
CTAS 5	6897 (100)	3542 (51.4)	3355 (48.6)	0.918

ER: emergency room, CTAS: Canadian Triage and Acuity Scale, SD: standard deviation

Table 2

- Patient characteristics in emergency room (ER) according to CTAS (N=198,050).

Variable	Total	Impact of urgent care centers		P-value
Variable	Total	Before the implementation of urgent care centers	After the implementation of urgent care centers	P-value
Average door-to-doctor time in minutes (mean ± SD)
CTAS 1	16.2 (3.9)	15.1 (2.8)	17.3 (4.6)	0.163
CTAS 2	15.0 (4.9)	12.7 (2.6)	17.1 (5.6)	0.024^*
CTAS 3	15.0 (3.5)	16.0 (4.1)	13.8 (2.5)	0.133
CTAS 4	56.2 (173.3)	89.3 (245.6)	23.0 (7.0)	0.370
CTAS 5	41.4 (49.6)	32.3 (35.8)	50.6 (60.7)	0.378
Average doctor-to-decision time in minutes (mean ± SD)
CTAS 1	1137.2 (361.7)	1416.6 (432.6)	1258.0 (269.6)	0.293
CTAS 2	1165.6 (360.6)	1264.0 (435.9)	1067.2 (246.5)	0.187
CTAS 3	586.0 (209.0)	734.7 (175.4)	437.3 (111.2)	<0.001^*
CTAS 4	1563.8 (1544.2)	1250.0 (211.0)	1877.7 (2174.1)	0.340
CTAS 5	2071.0 (1872.2)	1711.8 (474.4)	2430.0 (2612.0)	0.368
Average door-to-disposition time in minutes (mean ± SD)
CTAS 1	1657.7 (510.6)	1791.9 (570.0)	1523.5 (425.5)	0.205
CTAS 2	1390.0 (472.1)	1570.3 (578.8)	1209.0 (245.0)	0.066
CTAS 3	671.8 (253.6)	840.2 (234.0)	503.6 (134.0)	<0.001^*
CTAS 4	1678.2 (1542.6)	1423.1 (351.2)	1933.3 (2170.4)	0.438
CTAS 5	2170.3 (1863.8)	1807.8 (473.5)	2532.8 (2598.6)	0.361
Patients waiting more than 4 hours in ER, n (%)
CTAS 1	878 (100)	368 (41.9)	510 (58.1)	0.022^*
CTAS 2	985 (100)	453 (46.0)	532 (54.0)	0.383
CTAS 3	86208 (100)	37195 (43.1)	49013 (56.9)	0.002^*
CTAS 4	22745 (100)	6672 (29.3)	16073 (70.7)	0.240
CTAS 5	2776 (100)	924 (33.3)	1852 (66.7)	0.262