ArticlePediatric emergency care2019
Factors Associated With Length of Stay in Emergency Departments for Pediatric Patients With Psychiatric Problems.
Article in Pediatric emergency care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
7 citing papers in PubMed, 22 citations in OpenAlex.
- Shortening the Stay for Youths in Acute Care Hospitals: A Scoping Review of Interventions.Psychiatric services (Washington, D.C.) · 2026Article
- Pediatric Mental Health Boarding in US Emergency Departments, 2018-2022.Journal of the American College of Emergency Physicians open · 2025Article
- Factors associated with extended length of stay for paediatric mental health presentations to EDs in South Western Sydney, Australia.Emergency medicine Australasia : EMA · 2025Article
- Mental health help-seeking behaviours among children and young people from culturally and linguistically diverse communities in a multicultural urban Australian population.The Australian and New Zealand journal of psychiatry · 2025Article
- Association of Race/Ethnicity and Social Determinants with Rehospitalization for Mental Health Conditions at Acute Care Children's Hospitals.The Journal of pediatrics · 2022Article
- Prolonged Emergency Department Length of Stay for US Pediatric Mental Health Visits (2005-2015).Pediatrics · 2021Observational
- Which Factors Predict Hospital Length-of-Stay for Children Admitted to the Neonatal Intensive Care Unit and Pediatric Ward? A Hospital-Based Prospective Study.Global pediatric health · 2020Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesLength of stay (LOS) and boarding for pediatric psychiatric patients presenting in the emergency department (ED) have been understudied, despite evidence that children with psychiatric disorders experience longer LOS relative to those without. This investigation examined correlates of LOS and boarding among youth with psychiatric disorders presenting to the ED in a large, statewide database.
methodsUsing the 2010 to 2013 Florida ED discharge database, generalized linear mixed models were used to examine for associations between LOS and patient and hospital characteristics among pediatric patients (<18 years) who presented with a primary psychiatric diagnosis (N = 44,328).
resultsPatients had an overall mean ± SD ED LOS of 5.96 ± 8.64 hours. Depending on the definition used (ie, 12 or 6 hours), between 23% and 58% of transferred patients were boarded. Patient characteristics associated with a longer LOS included female sex, being 15 to 17 years old, Hispanic ethnicity, having Medicaid or VA/TriCare insurance, having impulse control problems, having mood or psychotic disorders, and exhibiting self-harm behaviors. Patient transfer, large hospital size, and rural designation were associated with longer LOS. Teaching hospital status and profit status were not significantly associated with LOS.
conclusionsThese data suggest that LOS for pediatric psychiatry patients in the ED varies significantly by psychiatric presentation, patient disposition, and hospital factors. Such findings have implications for quality of care, patient safety, and health outcomes.
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