目的 分析上海市某三级甲等医院患者在抢救室滞留状况的影响因素，为进一步优化管理和政策制定提出参考意见。方法 回顾性地分析上海市某三级甲等综合医院2013年1月—2014年6月的抢救室收治记录数据,通过单因素分析和多因素分析得出患者在抢救室滞留状况的主要影响因素。结果 共纳入8 746例病例，在抢救室滞留的平均时间为17.04 h；中位数时间为5 h。分析结果显示，年龄、性别、出抢救室时间段、入抢救室时间段、入抢救室的意识状态、就诊季度、转归去向、管理措施是影响不同滞留状况的显著影响因素（P<0.05）。结论 该医院急诊患者抢救室的滞留状况不断改善，管理措施产生一定的效果，需要针对相关影响因素研究更有效的优化措施。

Objective To analyze influencing factors of patients' stay in emergency rescue room (ERR) of a tertiary A hospital in Shanghai and provide reference suggestions for

further optimizing administration and making policies. Methods Data of ERR of a tertiary A hospital in Shanghai from Jan. 2013 to Jun. 2014 were collected and retrospectively analyzed. Univariate and multivariate analyses were adopted to identify major influencing factors of patients' stay in ERR. Results A total of 8 746 patients were enrolled. The mean time of stay in ERR was 17.04 h and the median time of stay in ERR was 5 h. The results of analyses showed that major influencing factors of stay in ERR were age, gender, time of patients being sent in and out of ERR, consciousness of patients being sent in ERR, visit quarter, destination of transfer, and administrative measures. Conclusion The patients' stay in ERR is gradually improved and administrative measures are somewhat

effective. It is necessary to explore more effective measures according to relevant influencing factors.