SynthesisPloS one2020
Association between boarding in the emergency department and in-hospital mortality: A systematic review.
Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07532564 (Cost of Emergency Department Boarding for Hospitalized Patients in a Statewide Medical System), which is not on this map. Cited by 48 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.
Cost of Emergency Department Boarding for Hospitalized Patients in a Statewide Medical System
Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Delayed Admission to the Intensive Care Unit and Mortality of Critically Ill Adults: Systematic Review and Meta-analysis.BioMed research international · 2022Pooled it
- Boarding times of patients admitted to the Emergency Department of an Ethiopian hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Developing and validating an artificial intelligence-based electronic triage model for predicting clinical outcomes among cardiac-suspected patients in the emergency department.European heart journal. Digital health · 2026Article
- What emergency department length of stay reveals about aging-related vulnerability and declining resilience.GeroScience · 2026Article
- Unpredictable emergency department cardiac arrest: clinical features and the limits of early warning scores and triage acuity.BMC emergency medicine · 2026Article
- Determinants of Emergency Department Length of Stay and the Mediation Effect of Disposition Among Injury Patients in South Korea: A Nationwide Retrospective Study.Healthcare (Basel, Switzerland) · 2026Article
- Prospective comparison of econometric, machine learning, and foundation models for forecasting emergency department boarding patients.npj health systems · 2025Article
- Impact of Boarding Time on In-Hospital Mortality in Patients Presenting to an Oncologic Emergency Department of a Comprehensive Cancer Center.Journal of the American College of Emergency Physicians open · 2025Article
- Emergency department pathway for pain management using DELPHI approach and criticality analysis.Scientific reports · 2025Article
- Article
- Is a Prolonged Emergency Department Stay a Risk for Patient Safety?Journal of the American College of Emergency Physicians open · 2025Article
- Cost effectiveness of imaging strategies in the emergency department for the diagnostic workup of community-acquired pneumonia: a real-life retrospective study.Health economics review · 2025Article
- Streamlining emergency nursing care post-pandemic: A lean approach for reducing wait times and improving patient and staff satisfaction in the hospital.BMC nursing · 2025Article
- Pediatric head trauma algorithm for head CT decision-making in the emergency department.Journal of anesthesia, analgesia and critical care · 2025Article
- Emergency Care Access Based on a Proposed CMS National Quality Measure.JAMA health forum · 2025Article
- Article
- Effect of Emergency Department Boarding on ICU Length of Stay and In-Hospital Mortality; A Retrospective Cohort Study.Archives of academic emergency medicine · 2025Article
- Reducing emergency department length of stay for hematology patients of tikur anbessa specialized hospital: An improvement initiative.PloS one · 2025Article
- The impact of emergency department crowding and patient boarding on resident point-of-care ultrasound education.Journal of the American College of Emergency Physicians open · 2024Article
- Geriatric Population Triage: The Risk of Real-Life Over- and Under-Triage in an Overcrowded ED: 4- and 5-Level Triage Systems Compared: The CREONTE (Crowding and R E Organization National TriagE) Study.Journal of personalized medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
importanceBoarding in the emergency department (ED) is a critical indicator of quality of care for hospitals. It is defined as the time between the admission decision and departure from the ED. As a result of boarding, patients stay in the ED until inpatient beds are available; moreover, boarding is associated with various adverse events. STUDY
objectiveThe objective of our systematic review was to determine whether ED boarding (EDB) time is associated with in-hospital mortality (IHM).
methodsA systematic search was conducted in academic databases to identify relevant studies. Medline, PubMed, Scopus, Embase, Cochrane, Web of Science, Cochrane, CINAHL and PsychInfo were searched. We included all peer-reviewed published studies from all previous years until November 2018. Studies performed in the ED and focused on the association between EDB and IHM as the primary objective were included. Extracted data included study characteristics, prognostic factors, outcomes, and IHM. A search update in PubMed was performed in May 2019 to ensure the inclusion of recent studies before publishing.
resultsFrom the initial 4,321 references found through the systematic search, the manual screening of reference lists and the updated search in PubMed, a total of 12 studies were identified as eligible for a descriptive analysis. Overall, six studies found an association between EDB and IHM, while five studies showed no association. The last remaining study included both ICU and non-ICU subgroups and showed conflicting results, with a positive association for non-ICU patients but no association for ICU patients. Overall, a tendency toward an association between EDB and IHM using the pool random effect was observed.
conclusionOur systematic review did not find a strong evidence for the association between ED boarding and IHM but there is a tendency toward this association. Further well-controlled, international multicenter studies are needed to demonstrate whether this association exists and whether there is a specific EDB time cut-off that results in increased IHM.
Indexed as
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What 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.