Evidence map›Paper›PMID 36614835›Full record

ReviewJournal of clinical medicine2022

Length-of-Stay in the Emergency Department and In-Hospital Mortality: A Systematic Review and Meta-Analysis.

Dominique Lauque, Anna Khalemsky, Zoubir Boudi, Linda Östlundh, Chang Xu, Mohammed Alsabri, Churchill Onyeji, Jacqueline Cellini, Geroge Intas, Kapil Dev Soni and 22 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical 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 NCT07532564 (Cost of Emergency Department Boarding for Hospitalized Patients in a Statewide Medical System), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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.

NCT07532564 completednot on this map

Cost of Emergency Department Boarding for Hospitalized Patients in a Statewide Medical System

TypeobservationalSponsorUniversity of Maryland, BaltimoreRan2022 to 2025Enrolled30,486ConditionsStroke (CVA) or TIA, Diabetes, Asthma (Diagnosis), COPD (Chronic Obstructive Pulmonary Disease)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
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  10. Review
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  12. Review
  13. Is a Prolonged Emergency Department Stay a Risk for Patient Safety?Journal of the American College of Emergency Physicians open · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
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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

32 authors.

Dominique LauqueDepartment of Emergency Medicine, Purpan Hospital and Toulouse III University, 31300 Toulouse, France.
Anna KhalemskyManagement Department, Hadassah Academic College, Jerusalem 91010, Israel.ORCID 0000-0002-0817-6575
Zoubir BoudiDepartment of Emergency Medicine, Dr Sulaiman Alhabib Hospital, Dubai 2542, United Arab Emirates.ORCID 0000-0002-7851-5130
Linda ÖstlundhÖrebro University Library, Örebro University, 70182 Örebro, Sweden.
Chang XuMinistry of Education, Key Laboratory for Population Health Across-Life Cycle, Anhui Medical University, Hefei 230032, China.
Mohammed AlsabriDepartment of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA.
Churchill OnyejiDepartment of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA.
Jacqueline CelliniCountway Library, Harvard Medical School, Boston, MA 02115, USA.
Geroge IntasDepartment of Critical Care, General Hospital of Nikaia Agios Panteleimon, 18454 Athens, Greece.
Kapil Dev SoniJai Prakash Narayan Apex Trauma Center, Ring Road, New Delhi 110029, India.ORCID 0000-0003-1214-4119
Detajin JunhasavasdikulDepartment of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.ORCID 0000-0002-0300-407X
Jose Javier Trujillano CabelloIntensive Care Unit, Hospital Universitari Arnau de Vilanova, 25198 Lleida, Spain.
Niels K RathlevDepartment of Emergency Medicine, University of Massachusetts Medical School, Baystate, Springfield, MA 01199, USA.
Shan W LiuDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.ORCID 0000-0002-5071-7654
Anna SlagmanDivision of Emergency and Acute Medicine, Campus Virchow Klinikum and Charité Campus Mitte, Charité Universitätsmedizin, 10117 Berlin, Germany.ORCID 0000-0003-2608-0347
Michael ChristDepartment of Emergency Medicine, 6000 Lucerne, Switzerland.
Adam J SingerDepartment of Emergency Medicine, Renaissance Scholl of Medicine at Stony Brook University, Stony Brook, NY 11794, USA.
Charles-Henri Houze-CerfonDepartment of Emergency Medicine, Purpan Hospital and Toulouse III University, 31300 Toulouse, France.
Elhadi H AburawiDepartment of Pediatrics, College of Medicine and Health Sciences, UAE University, Al Ain P.O. BOX 15551, United Arab Emirates.ORCID 0000-0001-5200-9048
Karim TazarourteDepartment of Health Quality, University Hospital, Hospices Civils, 69002 Lyon, France.
Lisa KurlandDepartment of Medical Sciences, Örebro University, 70182 Örebro, Sweden.
Phillip D LevyDepartment of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA.ORCID 0000-0001-7306-5620
James H PaxtonDepartment of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA.ORCID 0000-0003-2154-4472
Dionyssios TsilimingrasDepartment of Family Medicine & Public Health Sciences, Wayne State University School of Medicine, Detroit, MI 48201, USA.ORCID 0000-0001-5589-1283
Vijaya Arun KumarDepartment of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA.
David G SchwartzInformation Systems Department, Graduate School of Business Administration, Bar-Ilan University, Ramat-Gan 529002, Israel.ORCID 0000-0002-2125-2069
Eddy LangDepartment of Emergency Medicine, Emergency Medicine Cumming School of Medicine, University of Calgary, Alberta Health Services, Calgary, AB T2N 1N4, Canada.
David W BatesDepartment of Healthcare Quality, Brigham and Women Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0001-6268-1540
Gabriele SavioliEmergency Department, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Shamai A GrossmanDepartment of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA.
Abdelouahab BellouDepartment of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0003-3457-5585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of emergency department (ED) length of stay (EDLOS) on in-hospital mortality (IHM) remains unclear. The aim of this systematic review and meta-analysis was to determine the association between EDLOS and IHM. We searched the PubMed, Medline, Embase, Web of Science, Cochrane Controlled Register of Trials, CINAHL, PsycInfo, and Scopus databases from their inception until 14−15 January 2022. We included studies reporting the association between EDLOS and IHM. A total of 11,337 references were identified, and 52 studies (total of 1,718,518 ED patients) were included in the systematic review and 33 in the meta-analysis. A statistically significant association between EDLOS and IHM was observed for EDLOS over 24 h in patients admitted to an intensive care unit (ICU) (OR = 1.396, 95% confidence interval [CI]: 1.147 to 1.701; p < 0.001, I2 = 0%) and for low EDLOS in non-ICU-admitted patients (OR = 0.583, 95% CI: 0.453 to 0.745; p < 0.001, I2 = 0%). No associations were detected for the other cut-offs. Our findings suggest that there is an association between IHM low EDLOS and EDLOS exceeding 24 h and IHM. Long stays in the ED should not be allowed and special attention should be given to patients admitted after a short stay in the ED.

Indexed as

emergency departmentin-hospital mortalityintensive care unitlength-of-staymeta-analysissystematic review

Identifiers

PMID36614835
PMCPMC9821325

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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.