ArticleInternal and emergency medicine2022
Length of stay as quality indicator in emergency departments: analysis of determinants in the German Emergency Department Data Registry (AKTIN registry).
Article in Internal and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Emergency department crowding in the modern era: a systematic review (2018-2025).Clinical and experimental emergency medicine · 2026Pooled it
- Prolonged length of stay and associated factors among emergency department patients in Ethiopia: systematic review and meta-analysis.BMC emergency medicine · 2024Pooled it
- [Structured triage in the emergency department via intelligent assistant service OPTINOFA : Results of a multicenter, cluster-randomized and controlled interventional study in Germany].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Trial
- Overcrowding Indicators in Emergency Departments Across Countries: Scoping Review.Interactive journal of medical research · 2026Review
- Continuous Increase in Both Waiting and Process Time in the Emergency Rooms of Abruzzo, Italy.Epidemiologia (Basel, Switzerland) · 2026Article
- Effects of the medical professional shortage caused by a resident walkout on scene-to-door time: a retrospective cohort study at a trauma center.Journal of trauma and injury · 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
- Impact of government pyrotechnics ban on emergency department usage rates around the turn of the years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- A novel rapid rule-out protocol for acute chest pain using H-FABP point-of-care testing.Scientific reports · 2025Article
- Emergency Department Clinical Quality Registries: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Factors associated with delayed order-to-administration time in the emergency department: a retrospective analysis.BMC emergency medicine · 2025Article
- Comparison of Standardized Mortality Ratios in seven Dutch EDs based on presenting complaints.BMC emergency medicine · 2025Observational
- Implementation report on pioneering federated data access for the German National Emergency Department Data Registry.NPJ digital medicine · 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
- Degree of Compliance of Hospital Emergency Departments With the Recommended Standards and Their Evolution During the SARS-CoV-2 Pandemic.Journal of nursing management · 2025Observational
- Length of stay and associated factors among pediatric patients in the pediatric emergency unit of the Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia.BMC emergency medicine · 2024Article
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- Exploring the tradeoff between data privacy and utility with a clinical data analysis use case.BMC medical informatics and decision making · 2024Article
- The Effects of Displaying the Time Targets of the Manchester Triage System to Emergency Department Personnel: Prospective Crossover Study.Journal of medical Internet research · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Several indicators reflect the quality of care within emergency departments (ED). The length of stay (LOS) of emergency patients represents one of the most important performance measures. Determinants of LOS have not yet been evaluated in large cohorts in Germany. This study analyzed the fixed and influenceable determinants of LOS by evaluating data from the German Emergency Department Data Registry (AKTIN registry). We performed a retrospective evaluation of all adult (age ≥ 18 years) ED patients enrolled in the AKTIN registry for the year 2019. Primary outcome was LOS for the whole cohort; secondary outcomes included LOS stratified by (1) patient-related, (2) organizational-related and (3) structure-related factors. Overall, 304,606 patients from 12 EDs were included. Average LOS for all patients was 3 h 28 min (95% CI 3 h 27 min-3 h 29 min). Regardless of other variables, patients admitted to hospital stayed 64 min longer than non-admitted patients. LOS increased with patients' age, was shorter for walk-in patients compared to medical referral, and longer for non-trauma presenting complaints. Relevant differences were also found for acuity level, day of the week, and emergency care levels. We identified different factors influencing the duration of LOS in the ED. Total LOS was dependent on patient-related factors (age), disease-related factors (presentation complaint and triage level), and organizational factors (weekday and admitted/non-admitted status). These findings are important for the development of management strategies to optimize patient flow through the ED and thus to prevent overcrowding.
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