ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2017
Emergency Department Length of Stay and Outcome after Ischemic Stroke.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Association between emergency department length of stay and outcomes among patients admitted to internal medicine wards.Internal and emergency medicine · 2025Article
- Real-Time Telemedical Oversight Improves Prehospital Stroke Metrics: A Five-Year Cohort Study.Archives of academic emergency medicine · 2025Article
- Predicting stroke severity of patients using interpretable machine learning algorithms.European journal of medical research · 2024Article
- Emergency Department Time Targets for Interhospital Transfer of Patients with Acute Ischemic Stroke.Journal of personalized medicine · 2023Article
- Risk factor identification and prediction models for prolonged length of stay in hospital after acute ischemic stroke using artificial neural networks.Frontiers in neurology · 2023Article
- The pattern of emergency department length of stay in Saudi Arabia: an epidemiological Nationwide analyses of secondary surveillance data.Frontiers in public health · 2023Article
- Association between prehospital recognition of acute myocardial infarction and length of stay in the emergency department.Clinical and experimental emergency medicine · 2022Article
- Profiles of patients' self-reported health after acute stroke.Neurological research and practice · 2021Article
- Factors Associated with Emergency Department Length of Stay in Critically Ill Patients: A Single-Center Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2021Article
- The use of a dedicated neurological triage system improves process times and resource utilization: a prospective observational study from an interdisciplinary emergency department.Neurological research and practice · 2019Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundEmergency department length of stay (ED-LOS) has been associated with worse outcomes after various medical conditions. However, there is a relative paucity of data for ischemic stroke patients. We sought to determine whether a longer ED-LOS is associated with a poor 90-day outcome after ischemic stroke.
methodsThis study is a retrospective analysis of a single-center cohort of consecutive ischemic stroke patients (n = 325). Multivariable linear and logistic regression models were constructed to determine factors independently associated with ED-LOS as well as a poor 90-day outcome (modified Rankin Scale [mRS] score >2), respectively.
resultsThe median ED-LOS in the cohort was 5.8 hours. For patients admitted to the inpatient stroke ward (n = 160) versus the neuroscience intensive care unit (NICU; n = 165), the median ED-LOS was 8.2 hours versus 3.7 hours, respectively. On multivariable linear regression, NICU admission (P <.001), endovascular stroke therapy (P = .001), and thrombolysis (P = .021) were inversely associated with the ED-LOS. Evening shift presentation was associated with a longer ED-LOS (P = .048). On multivariable logistic regression, a greater admission National Institutes of Health Stroke Scale score (P <.001), worse preadmission mRS score (P = .001), hemorrhagic conversion (P = .041), and a shorter ED-LOS (P = .016) were associated with a poor 90-day outcome. Early initiation of statin therapy (P = .049), endovascular stroke therapy (P = .041), NICU admission (P = .029), and evening shift presentation (P = .035) were associated with a good 90-day outcome.
conclusionsIn contrast to prior studies, a shorter ED-LOS was associated with a worse 90-day functional outcome, possibly reflecting prioritized admission of more severely affected patients who are at high risk of a poor functional outcome.
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