Evidence map›Paper›PMID 35207769›Full record

ReviewJournal of personalized medicine2022

Emergency Department Overcrowding: Understanding the Factors to Find Corresponding Solutions.

Gabriele Savioli, Iride Francesca Ceresa, Nicole Gri, Gaia Bavestrello Piccini, Yaroslava Longhitano, Christian Zanza, Andrea Piccioni, Ciro Esposito, Giovanni Ricevuti, Maria Antonietta Bressan

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06157073 (A Randomized, Controlled Trial to Evaluate the Efficacy and Safety of Fully Automated Closed-loop Ventilator Versus Conventional Open-loop Ventilator in Ventilated Patients in the Emergency Department), which is not on this map. Cited by 138 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT06157073 naunknown statusnot on this mapstarted 2024, after this paper: background citation

A Randomized, Controlled Trial to Evaluate the Efficacy and Safety of Fully Automated Closed-loop Ventilator Versus Conventional Open-loop Ventilator in Ventilated Patients in the Emergency Department

TypeinterventionalSponsorUniversity of MalayaRan2024 to 2025Enrolled132ConditionsVentilator Lung, Mechanical Ventilation Complication, Ventilator-Induced Lung Injury, ARDSArmsClosed-loop ventilator, Open-loop ventilator
3 · Its place in the literature

Who cites it

138 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Assessing Decision-Making Tools for Meaningful Discussions About Transfer Decisions From Long-Term Care to Hospital: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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78 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Gabriele SavioliEmergency Medicine and Surgery, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Iride Francesca CeresaEmergency Department, Ospedale Civile Vigevano, 27029 Vigevano, Italy.
Nicole GriDepartment of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy.
Gaia Bavestrello PicciniDepartment of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-5618-7404
Yaroslava LonghitanoFoundation "Ospedale Alba-Bra Onlus", Department of Emergency Medicine, Anesthesia and Critical Care Medicine, Michele and Pietro Ferrero Hospital, 12060 Verduno, Italy.ORCID 0000-0001-8831-1361
Christian ZanzaFoundation "Ospedale Alba-Bra Onlus", Department of Emergency Medicine, Anesthesia and Critical Care Medicine, Michele and Pietro Ferrero Hospital, 12060 Verduno, Italy.
Andrea PiccioniDepartment of Emergency Medicine, Policlinico Agostino Gemelli, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0001-5703-8737
Ciro EspositoUnit of Nephrology and Dialysis, ICS Maugeri, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-7906-1097
Giovanni RicevutiSchool of Pharmacy, Department of Drug Sciences, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0003-3422-2747
Maria Antonietta BressanEmergency Medicine and Surgery, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is certain and established that overcrowding represents one of the main problems that has been affecting global health and the functioning of the healthcare system in the last decades, and this is especially true for the emergency department (ED). Since 1980, overcrowding has been identified as one of the main factors limiting correct, timely, and efficient hospital care. The more recent COVID-19 pandemic contributed to the accentuation of this phenomenon, which was already well known and of international interest. Considering what would appear to be a trivial definition of overcrowding, it may seem simple for the reader to hypothesize solutions for what seems to be one of the most avoidable problems affecting the hospital system. However, proposing solutions to overcrowding, as well as their implementation, cannot be separated from a correct and precise definition of the issue, which must consider the main causes and aggravating factors. In light of the need of finding solutions that can put an end to hospital overcrowding, this review aims, through a review of the literature, to summarize the triggering factors, as well as the possible solutions that can be proposed.

Indexed as

ambulance diversioned patient flowemergency departmentemergency outpatient unithospital emergency servicesinpatient boardinglength of stayovercrowdingpatient safetytriagewaiting time

Identifiers

PMID35207769
PMCPMC8877301

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.