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Only visit volume (patients per hour) and admission proportion increased with an increased composite score.
Participating EDs had a median annual visit volume of 20,000 (IQR, 9,000−42,000).
The number of beds in a dedicated OU should correlate with the annual ED visit volume.
The median annual ED visit volume was approximately 50,000 visits.
Significant positive predictors of a coordinator were an ED pediatric visit volume of ≥1 patient per hour and urban location.
As such, complete visit volume data reflecting all emergency visits were not always obtainable, resulting in the observed inconsistency.
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However, composite scores increased significantly with higher visit volumes and admission rates (Table 4).
Bogotá EDs have high annual visit volumes and long length-of-stay, and half are over capacity.
In a multivariable linear regression analysis, only higher visit volumes were found to be significantly associated with higher composite scores for any crowding solution (Table 5).
From a crowding perspective, those with visit volumes ≥3 patients/hour were more likely to be at or over capacity than those with a lower hourly volume (Table 1).
EDs with visit volumes greater than or equal to three patients/hour were more likely to be over capacity than at capacity or at a good balance (46% vs. 31% and 15%, respectively).
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