ReviewArchives of academic emergency medicine2019
Outcomes of Crowding in Emergency Departments; a Systematic Review.
Review in Archives of academic emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
66 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic models for predicting intensive care unit admission or mortality in critically ill adults not yet been admitted to the intensive care unit.The Cochrane database of systematic reviews · 2026Pooled it
- Impact of Physician Patient Load on Imaging Use in the Emergency Department.The western journal of emergency medicine · 2026Article
- Article
- Assessment of Sydney Triage to Admission Risk Tool (START) on Egyptian Emergency Department performance.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Particulate matter concentration is associated with increased utilization of the emergency department: a single-centre time-series analysis.Internal and emergency medicine · 2026Article
- Evaluating an AI Decision Support System for the Emergency Department: Retrospective Study.JMIR AI · 2026Article
- Risk Factors and Liability Distribution in Medical Disputes Related to Spinal Diseases: A Six-Year Retrospective Study in Beijing.Journal of multidisciplinary healthcare · 2026Article
- Evidence-Based Patient Triage: Optimizing Healthcare Delivery Through Appropriate Site-of-Care Selection.Cureus · 2026Article
- AI-powered models for overcrowding prediction at TUMS hospitals.Scientific reports · 2025Article
- Emergency Department Boarding, Crowding, and Error.Journal of the American College of Emergency Physicians open · 2025Article
- Length of stay in the emergency department and its associated input-, throughput-, and output factors at two hospitals in Sweden.BMC emergency medicine · 2025Article
- "A banana in the tailpipe": a qualitative study of patient flow in the healthcare system.BMC health services research · 2025Article
- Racial and Socioeconomic Disparities in California Ambulance Patient Offload Times.JAMA network open · 2025Article
- Factors associated with delayed order-to-administration time in the emergency department: a retrospective analysis.BMC emergency medicine · 2025Article
- Avoidable visits to the paediatric emergency department: associated factors and lessons learned from the pandemic.BMC pediatrics · 2025Article
- Characteristics, clinical care, and outcomes of sepsis among patients boarding in the emergency department.Journal of hospital medicine · 2025Article
- Emergency department crowding in the Netherlands; evaluation of a real-time ambulance diversion dashboard.International journal of emergency medicine · 2025Article
- Outreach acute care for nursing homes: an observational study on the quality and cost-effectiveness of the Mobile Hospital.Age and ageing · 2025Observational
- Article
- Correlation Between Emergency Department Crowding and Adverse Occurrences in an Academic Hospital: A Retrospective Cohort Study.Risk management and healthcare policy · 2025Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEmergency Department (ED) crowding is a global public health phenomenon affecting access and quality of care. In this study, we seek to conduct a systematic review concerning the challenges and outcomes of ED crowding.
methodsThis systematic review utilized original research articles published from 1st January 2007, to 1st January 2019. Relevant articles from the PubMed (MEDLINE), EMBASE, and Google scholar databases were extracted using predesigned keywords. Following the PRISMA guidelines, two reviewers independently evaluated the quality of the studies using Critical Appraisal Skills Programme for cohort studies and qualitative studies, and Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument for studies.
resultsOut of the total of 73 articles in the final record, we excluded 15 of them because of poor quality. This systematic review synthesized the reports of 58 original articles. The outcomes of multiple individual patients and healthcare-related challenges are comprehensively assessed.
conclusionsED crowding affects individual patients, healthcare systems and communities at large. The negative influences of crowding on healthcare service delivery result in delayed service delivery, poor quality care, and inefficiency; all negatively affecting the emergency patients' healthcare outcomes, in turn.
Indexed as
Identifiers
31602435PMC6785211What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.