ArticleJournal of the American College of Emergency Physicians open2021
Quantifying the impact of patient boarding on emergency department length of stay: All admitted patients are negatively affected by boarding.
Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
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
19 citing papers in PubMed.
- Emergency Department Overcrowding Despite Lower Post-Pandemic Volumes: A Multicenter Study.Journal of clinical medicine · 2026Article
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- Article
- Where's the way out? Access block, boarding and hospital overcrowding: a narrative review.Internal and emergency medicine · 2026Review
- Managing emergency department overcrowding: analysis through a dynamic simulation model of the impact of organizational variables on emergency department processes.Internal and emergency medicine · 2026Article
- Patient and staff safety implications of emergency department boarding: a systematic review.Health affairs scholar · 2026Review
- Predicting emergency department disposition using machine learning and large language models to support proactive capacity management: a multicenter retrospective study.BMC emergency medicine · 2026Article
- Patient-level, Temporal, and Dynamic Operational Indicators of Emergency Department Prolonged Length of Stay: A Retrospective Cohort Study.Archives of academic emergency medicine · 2026Article
- 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
- Patterns in Duration of Emergency Department Boarding and Variation by Sociodemographic Factors.The western journal of emergency medicine · 2025Article
- Stranded in the emergency department: an analysis of boarding trends in older adults in the United States.Health affairs scholar · 2025Article
- The scope of emergency nursing viewed through the lens of complex adaptive systems: A discussion paper.International journal of nursing studies advances · 2025Review
- Emergency Department Boarding, Inpatient Census, and Interhospital Transfer Acceptances.JAMA network open · 2025Article
- Article
- Sepsis in Brazilian emergency departments.Internal and emergency medicine · 2024Article
- The First Observational Study of Acute Medical Unit in Qatar.Avicenna journal of medicine · 2024Article
- Exploring the tradeoff between data privacy and utility with a clinical data analysis use case.BMC medical informatics and decision making · 2024Article
- Emergency Department Overcrowding: Understanding the Factors to Find Corresponding Solutions.Journal of personalized medicine · 2022Review
- Quantifying the impact of patient boarding on emergency department length of stay: All admitted patients are negatively affected by boarding.Journal of the American College of Emergency Physicians open · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients boarding in the emergency department (ED) as a result of delays in bed placement are associated with increased morbidity and mortality. Prior literature on ED boarding does not explore the impact of boarding on patients admitted to the hospital from the ED. The objective of this study was to evaluate the impact of patient boarding on ED length of stay for all patients admitted to the hospital.
methodsThis was an institutional review board-approved, retrospective review of all patients from January 1, 2015, through June 30, 2019, presenting to 2 large EDs in a single health system in Pennsylvania. Quantile regression models were created to estimate the impact of patients boarding in the ED on length of stay for all ED patients admitted to the hospital.
resultsA total number of 466,449 ED encounters were analyzed across two EDs. At one ED, for every patient boarded, the median ED length of stay for all admitted patients increased by 14.0 minutes (
conclusionED boarding impacts length of stay for all patients admitted through the ED and not just those admitted patients who are boarded. This study provides an estimate for the increased ED length of stay experienced by all patients admitted to the hospital as a function of patient boarding.
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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.