Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service

Lord, Kito; Parwani, Vivek; Ulrich, Andrew; Finn, Emily B.; Rothenberg, Craig; Emerson, Beth; Rosenberg, Alana; Venkatesh, Arjun K.

doi:10.1016/j.ajem.2018.03.043

Cited by 14 publications

(28 citation statements)

References 10 publications

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“…Among the twelve selected studies, six studies showed a significant association between ED boarding and IHM [28][29][30][31]34,39], five studies showed no association [32,33,35,36,38], and one study [37] that investigated patients admitted to ICU and non-ICU wards showed conflicting results, with a positive association for non-ICU patients but none for ICU patients. The results are summarized in Table 2.…”

Section: Discussionmentioning

confidence: 99%

“…The main characteristics of the included studies are summarized in Table 1. Twelve studies were selected [28][29][30][31][32][33][34][35][36][37][38][39]. Eight were retrospective cohort studies, three were cross-sectional, and one was a prospective observational study.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Five studies were performed in the USA [30,[34][35][36][37]. Two studies were realized in Taiwan [31,39], one in South Korea [29], one in Thailand [33], two in Saudi Arabia [28,38], and one in Ireland [32].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…A total of seven studies included non-ICU patients. Of these, three studies included all ED patients admitted to an inpatient bed [32,34,36], two studies included ED patients admitted with specific conditions such as stroke [38] and necrotizing fasciitis [39], and two studies included subgroup analyses for ED patients admitted to ICU and non-ICU inpatient wards [33,37].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Lord et al [36] "Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service "…”

Section: Nomentioning

confidence: 99%

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Association between boarding in the emergency department and in-hospital mortality: A systematic review

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Lord et al [36] "Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service "…”

Section: Nomentioning

confidence: 99%

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Association between boarding in the emergency department and in-hospital mortality: A systematic review

et al. 2020

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Association between emergency department length of stay and patient outcomes: A systematic review

Burgess

Ray‐Barruel

Kynoch

2021

Research in Nursing & Health

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In this review, we investigate associations between time spent in the emergency department (ED) and patient reported outcomes. ED staff provide initial assessment, treatment and referral to patients presenting with an acute status to the hospital 24 h a day. ED length of stay, including ED boarding, and treatment received in the ED may affect patient outcomes. In this review we considered published studies that explored the association of ED length of stay of individuals of any age with their subsequent outcomes, including mortality and inpatient length of stay (IPLOS).Joanna Briggs Institute methods for systematic reviews of association were followed. Search strategies were developed to identify studies published in English since 2000 for inclusion. Two reviewers assessed the studies for inclusion and methodological quality and extracted data independently. In total, 34 studies were included in the review, including one case-control, one analytical cross-sectional, and 32 retrospective cohort studies, with a total sample size of 2,308,840 patients.Overall, there were variable associations of time spent in the ED and mortality, IPLOS, time-to-treatment and adverse events. However, findings indicated that older people are at risk for longer ED stays. They may also experience higher mortality. Specific focus should be placed upon elderly people in the ED, to reduce their exposure to the ED environment where possible and to implement focused initiatives that address their specific and complex treatment needs. We conclude that the diversity of individual settings and health systems will require locally defined and relevant solutions to locally identified issues.

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Association between long boarding time in the emergency department and hospital mortality: a single-center propensity score-based analysis

2019

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Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service

Cited by 14 publications

References 10 publications

Association between boarding in the emergency department and in-hospital mortality: A systematic review

Association between boarding in the emergency department and in-hospital mortality: A systematic review

Association between emergency department length of stay and patient outcomes: A systematic review

Association between long boarding time in the emergency department and hospital mortality: a single-center propensity score-based analysis

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