ArticleBMC emergency medicine2022
The effects of an emergency department length-of-stay management system on severely ill patients' treatment outcomes.
Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
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- Factors Influencing Non-urgent Emergency Department Visits: A Review of the Causes and Impact.Cureus · 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
- 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
- NeuroICU FastTrack: Rapid Disposition of Patients with Intracerebral Hemorrhage from the Emergency Department to Neuro-ICU.Neurocritical care · 2025Article
- Effects of emergency department length of stay on inpatient utilization and mortality.Health economics review · 2025Article
- Inter-regional disparities in emergency department utilization among critically ill patients: A nationwide study from South Korea.PloS one · 2025Article
- Injury epidemiology and emergency department length of stay in trauma hospital in Addis Ababa, Ethiopia.PloS one · 2024Article
- Current patterns of care at adult emergency department in Ethiopian tertiary university hospital.International journal of emergency medicine · 2023Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to compare the length of stay (LOS) and treatment outcomes based on the application and achievement of a newly developed emergency department (ED) LOS management system for severely ill patients.
methodsData were retrospectively collected from electronic medical records (EMRs) for the system evaluation and research purpose. The study subjects are severely ill patients whose diagnosis codes are designated by the Ministry of Health and Welfare and who visited the ED of a tertiary hospital from January to December 2019. The control group (Group 1) refers to those who have neither applied nor achieved the goal (5 hours or less) of the ED LOS management system even after it was applied, and the experimental group (Group 2) refers to those who have achieved the 5-hour goal after applying the system.
resultsA total of 2034 severely ill patients applied the ED LOS management system. Group 1 included 837 patients and Group 2 included 1197 patients. Thirty days in-hospital mortality corresponded to 10.6% in Group 1 and 6.6% in Group 2 (χ2 = 10.58, p = .001). The total duration of hospitalization was 14.66 ± 18.26 days in Group 1 and 10.19 ± 16.00 days in Group 2 (t = 9.03, p < .001). Six hundred forty-two patients (76.6%) in Group 1 were discharged to their home (normal discharge) and 979 patients (81.7%) were discharged to their home in Group 2, but the discharge-as-death rate was 14.1% in Group 1 and 7.5% in Group 2 (χ2 = 29.80, p < .001).
conclusionWith the application and attainment of the ED LOS management system for severely ill patients, we have concluded the new system produced a lower LOS in the ED, 30 days in-hospital mortality, length of the hospitalization, mortality rate, and a higher rate of normal discharge.
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