Work

Effect of Emergency Department Boarding on ICU Length of Stay and In-Hospital Mortality; A Retrospective Cohort Study.

Year: 2025

Type: article

Abstract: Introduction: One of the main contributing factors of emergency department (ED) crowding is ED patient boarding. This study aimed to assess the factors influencing length of stay (LOS) in intensive care unit (ICU) and in-hospital mortality (IHM) among ICU-admitted ED boarded cases. Methods: A retrospective cohort study was conducted on adult patients at a tertiary care hospital in Lebanon who required ICU admission and stayed for 6+ hours in the ED during one year. The independent predictive factors of LOS in ICU and IHM were studied using multivariable logistic regression analysis. Results: ) level was negatively associated with IHM (aOR=0.89). Conclusion: It seems that, ED boarding of ICU patients is associated with an increase in ICU LOS, which is associated with an increase in IHM. Hospitals should allocate resources to reduce ED boarding and improve outcomes for critically ill patients.

Source: PubMed

DOI: 10.22037/aaemj.v13i1.2604

Authors: Mohamed M Khamis, Moustafa Al Hariri, Nour Al Jalbout, Malak Khalifeh, Bachar Hamade

Institutions: Mercy Hospital, Qatar University, Massachusetts General Hospital, Stony Brook University Hospital, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University

Language: English

Topic: Emergency and Acute Care Studies

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W4412725018

FWCI: 2.107

Cites: 3

Cited by: 2

Related to: 10