ArticleAging clinical and experimental research2022
Emergency department use and length of stay by younger and older adults: Nottingham cohort study in the emergency department (NOCED).
Article in Aging clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Involving patients and caregivers to develop items for a new patient-reported experience measure for older adults attending the emergency department. Findings from a nominal group technique study.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Factors affecting access to palliative care in the emergency department for older adults with serious life- limiting illnesses: a qualitative study.BMC palliative care · 2026Article
- In-hospital Wait Times for Emergency General Surgery: Do Immigrants Wait Longer?Journal of immigrant and minority health · 2026Article
- Frailty Alerts Reduce Waiting Time and Length of Stay in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Observational
- Article
- Patient-level, Temporal, and Dynamic Operational Indicators of Emergency Department Prolonged Length of Stay: A Retrospective Cohort Study.Archives of academic emergency medicine · 2026Article
- Risk factors for frequent unplanned hospital visits in older multimorbid patients after an emergency department visit: a retrospective cohort study.Aging clinical and experimental research · 2025Article
- Acute Care Use and Prognosis in Older Adults Presenting to the Emergency Department.Journal of pain and symptom management · 2025Article
- Determinants of Severely Prolonged Emergency Department Stays Among Older Adults: A Retrospective Comparative Analysis.Journal of nursing management · 2025Article
- Article
- "The stay here is, of course, not appropriate for an old person": the perspective of healthcare providers on older patients in the emergency department.BMC geriatrics · 2024Article
- The effectiveness of a modified Manchester Triage System for geriatric patients: A retrospective quantitative study.Nursing open · 2024Observational
- Does initiating care in alternate care sites decrease time to disposition in the emergency department?Journal of the American College of Emergency Physicians open · 2024Article
- Article
- Decreasing hospitalizations through geriatric hotlines: a prospective French multicenter study of people aged 75 and above.BMC geriatrics · 2023Observational
- Article
- Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I-Interviews with Service Users.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
backgroundYounger and older adults attending the Emergency Department (ED) are a heterogeneous population. Longer length of ED stay is associated with adverse outcomes and may vary by age.
aimsTo evaluate the associations between age and (1) clinical characteristics and (2) length of ED stay among adults attending ED.
methodsThe NOttingham Cohort study in the Emergency Department (NOCED)-a retrospective cohort study-comprises new consecutive ED attendances by adults ≥ 18 years, at a secondary/tertiary care hospital, in 2019. Length of ED stay was dichotomised as < 4 and ≥ 4 h. The associations between age and length of ED stay were analysed by binary logistic regression and adjusted for socio-demographic and clinical factors including triage acuity.
results146,636 attendances were analysed; 75,636 (51.6%) resulted in a length of ED stay ≥ 4 h. Attendances of adults aged 65 to 74 years, 75 to 84 years and ≥ 85 years, respectively, had an increased risk (odds ratio (95% confidence interval) of length of ED stay ≥ 4 h of 1.52 (1.45-1.58), 1.65 (1.58-1.72), and 1.84 (1.75-1.93), compared to those of adults 18 to 64 years (all p < 0.001). These findings remained consistent in the subsets of attendances leading to hospital admission and those leading to discharge from ED. DISCUSSION AND
conclusionIn this real-world cohort study, older adults were more likely to have a length of ED stay ≥ 4 h, with the oldest old having the highest risk. ED target times should take into account age of attendees.
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