ArticleClinical and experimental emergency medicine2022
The effect of COVID-19 pandemic on the length of stay and outcomes in the emergency department.
Article in Clinical and experimental emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The Vigilance Gradient: Nine Years of Adverse Event Trends in Pediatric Critical Care.Critical care explorations · 2026Observational
- 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
- Does Calm Always Follow the Storm? A Comprehensive Temporal Analysis of Emergency Department Visits in Northern Italy Before and After the COVID-19 Pandemic.Epidemiologia (Basel, Switzerland) · 2025Article
- Factors that predict emergency department length of stay in analysis of national data.Clinical and experimental emergency medicine · 2025Article
- Impact of Point-of-Care Lactate Testing for Sepsis on Bundle Adherence and Clinical Outcomes in the Emergency Department: A Pre-Post Observational Study.Journal of clinical medicine · 2024Article
- Regional variation in length of stay for stroke inpatient rehabilitation in traditional Medicare and Medicare Advantage.Health affairs scholar · 2024Article
- Predictability of the emergency department triage system during the COVID-19 pandemic.Clinical and experimental emergency medicine · 2024Article
- Process Improvement Initiative to Reduce Average Length of Stay in a Community Hospital - A Preliminary Report.Journal of Maine Medical Center · 2024Article
- Impact of an Emergency Department Isolation Policy for Patients With Suspected COVID-19 on Door-to-Electrocardiography Time and Clinical Outcomes in Patients With Acute Myocardial Infarction.Journal of Korean medical science · 2023Article
- Characteristics of pediatric emergency department visits before and during the COVID-19 pandemic: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.Clinical and experimental emergency medicine · 2023Article
- Impact of COVID-19 outbreak on acute gallbladder disease in the emergency department.Clinical and experimental emergency medicine · 2023Article
- The impact of the COVID-19 pandemic on in-hospital mortality in patients admitted through the emergency department.Clinical and experimental emergency medicine · 2023Article
- The pattern of emergency department length of stay in Saudi Arabia: an epidemiological Nationwide analyses of secondary surveillance data.Frontiers in public health · 2023Article
- Door to Disposition Key Performance Indicator in Three Saudi Arabian Hospitals' Emergency Departments during COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2022Article
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3 authors.
Funding
Abstract
objectiveThis study aimed to evaluate the change in length of stay (LOS) in the emergency department (ED) and outcomes during the coronavirus disease 2019 (COVID-19) pandemic.
methodsThis is a single-center, retrospective observational study. We compared ED LOS and outcomes in patients aged ≥19 years who presented to the ED of Soonchunhyang University Bucheon Hospital, a single tertiary university hospital, between January and December in 2018, 2019, and 2020. We included patients who were diagnosed with fever, pneumonia, and sepsis in the ED, based on the International Statistical Classification of Diseases and Related Health Problems 10th Revision. We also compared the LOS and outcomes of overall ED patients in 2019 (before COVID-19) and in 2020 (after COVID-19).
resultsA total of 5,061 patients with fever, pneumonia, and sepsis were analyzed. The LOS in the ED in 2020 significantly increased compared with 2018 and 2019 (177.0±115.0 minutes in 2018, 154.0±85.0 minutes in 2019, and 208.0±239.0 minutes in 2020). The proportion of patients who were transferred to other hospitals in 2020 (2.1%) increased compared with 2018 (0.8%) and 2019 (0.7%). Intensive care unit admission significantly increased in 2020 (13.7%) compared with 2019 (10.3%). Among all ED patients, ED LOS in 2020 was longer than in 2019, particularly in patients who were admitted and then transferred to another hospital. Intensive care unit admission (4.4% vs. 5.0%), transfer rate (0.7% vs. 0.9%), and ED mortality (0.6% vs. 0.7%) also significantly increased.
conclusionThe ED LOS, time to intensive care unit admissions, time to transfer to other hospitals, and ED mortality significantly increased during the COVID-19 pandemic.
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