ArticleEmergency medicine Australasia : EMA2020
Impact of patient isolation on emergency department length of stay: A retrospective cohort study using the Registry for Emergency Care.
Article in Emergency medicine Australasia : EMA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 27 citations in OpenAlex.
- Impact of negative-pressure room utilization in the emergency department on hospitalized pneumonia patients during the COVID-19 pandemic in Thailand.Acute and critical care · 2026Article
- Diagnostic accuracy of visual triage checklist in early recognition of COVID-19 cases in the pediatric population: A retrospective cohort study.BMC pediatrics · 2025Article
- Emergency Department Clinical Quality Registries: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Association of Emergency Department Length of Stay and Hospital Mortality in Patients Under Investigation for COVID-19.Open access emergency medicine : OAEM · 2024Article
- The impact of the COVID-19 pandemic on in-hospital mortality in patients admitted through the emergency department.Clinical and experimental emergency medicine · 2023Article
- Impact of COVID-19 pandemic on emergency department patient volume and flow: Two countries, two hospitals.Emergency medicine Australasia : EMA · 2023Observational
- Impact of COVID-19 Pandemic on Management and Outcomes in Patients with Septic Shock in the Emergency Department.Journal of personalized medicine · 2022Article
- Observational
- Effect of fever or respiratory symptoms on leaving without being seen during the COVID-19 pandemic in South Korea.Clinical and experimental emergency medicine · 2022Article
- Isolation precautions cause minor delays in diagnostics and treatment of non-COVID patients.Infection prevention in practice · 2021Article
- Outcomes for emergency department patients with suspected and confirmed COVID-19: An analysis of the Australian experience in 2020 (COVED-5).Emergency medicine Australasia : EMA · 2021Article
- Adverse events and preventive measures related to COVID-19 vaccines.Clinical and experimental emergency medicine · 2021Article
- Epidemiology and clinical features of emergency department patients with suspected and confirmed COVID-19: A multisite report from the COVID-19 Emergency Department Quality Improvement Project for July 2020 (COVED-3).Emergency medicine Australasia : EMA · 2021Article
- Correlation Analysis Between Serum Uric Acid, Prealbumin Level, Lactate Dehydrogenase, and Severity of COVID-19.Frontiers in molecular biosciences · 2021Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveThe number of patients with suspected COVID-19 presenting to Australian EDs continues to impose a burden on healthcare services. Isolation is an important aspect of infection prevention and control, but has been associated with undesirable consequences among hospital inpatients. The aim of the present study was to determine if isolation is associated with an increased length of stay (LOS) in the ED.
methodsThe Registry for Emergency Care Project is a prospective cohort study with a series of nested sub-studies. The present study was a retrospective analysis of adult patients allocated an Australasian Triage Scale category of 1 or 2 who presented to a tertiary ED between 18 and 31 May 2020. The primary outcome was ED LOS. Regression methods were used to determine the independent association between ED isolation and LOS.
resultsThere were 447 patients who met inclusion criteria, of which 123 (28%) were managed in isolation. The median (interquartile range) ED LOS was 259 (210-377) min for the isolation group and 204 (126-297) min for the non-isolation group, a difference in median ED LOS of 55 min (P < 0.001). Isolation was independently associated with a 23% increase in ED LOS (P = 0.002) and doubled the odds of an ED stay of more than 4 h (adjusted odds ratio 2.2 [1.4-3.4], P = 0.001).
conclusionConsistent with the anecdotal experience of Australian ED clinicians, the present study demonstrated an increased ED LOS for patients managed in isolation. Enhanced infection prevention and control precautions will be required during and beyond the current pandemic, creating significant ongoing challenges for emergency care systems.
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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.