Evidence map›Paper›PMID 39533205›Full record

SynthesisBMC emergency medicine2024

Prolonged length of stay and associated factors among emergency department patients in Ethiopia: systematic review and meta-analysis.

Temesgen Ayenew, Mihretie Gedfew, Mamaru Getie Fetene, Animut Takele Telayneh, Fentahun Adane, Baye Tsegaye Amlak, Belayneh Shetie Workneh, Mengistu Abebe Messelu

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Emergency Department length of stay: a mixed-methods study in four Ethiopian public hospitals.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  2. Article
  3. Article
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

8 authors.

Temesgen AyenewDepartment of Nursing, College of Health Sciences, Debre Markos University, Po. Box. 269, Debre Markos, Ethiopia. teme31722@gmail.com.
Mihretie GedfewDepartment of Nursing, College of Health Sciences, Debre Markos University, Po. Box. 269, Debre Markos, Ethiopia.
Mamaru Getie FeteneDepartment of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Animut Takele TelaynehDepartment of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Fentahun AdaneDepartment of Biomedical Science, School of Medicine, Debre Markos University, Debre Markos, Ethiopia.
Baye Tsegaye AmlakDepartment of Nursing, College of Health Sciences, Debre Markos University, Po. Box. 269, Debre Markos, Ethiopia.
Belayneh Shetie WorknehDepartment of Emergency Medicine and Critical Care Nursing, University of Gondar, Gondar, Ethiopia.
Mengistu Abebe MesseluDepartment of Nursing, College of Health Sciences, Debre Markos University, Po. Box. 269, Debre Markos, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe duration between a patient's arrival at the Emergency Department (ED) and their actual departure, known as the Emergency Department Length of Stay (EDLOS), can have significant implications for a patient's health. In Ethiopia, various studies have investigated EDLOS, but a comprehensive nationwide pooled prevalence of prolonged EDLOS, which varies across different locations, is currently lacking. Therefore, the objective of this systematic review and meta-analysis is to provide nationally representative pooled prevalence of prolonged EDLOS and identify associated factors.

methodsIn this study, we conducted a comprehensive systematic review and meta-analysis using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 checklist. We conducted a thorough search of numerous international databases, including PubMed/Medline, SCOPUS, Web of Science, and Google Scholar. The primary outcome was the prevalence of prolonged EDLOS. The secondary outcome was factors affecting the EDLOS. Random-effects model was used to since there was high heterogeneity. We also conducted subgroup analysis and meta-regression to investigate heterogeneity within the included studies. To assess publication bias, we used Egger's regression test and funnel plots. All statistical analyses were performed using STATA version 17.0 software to ensure accurate and reliable findings.

resultWe have identified eight articles that met our inclusion criteria with a total sample size of 8,612 participants. The findings of this systematic review and meta-analysis indicate that the pooled estimate for the prevalence of prolonged EDLOS is 63.67% (95% CI = 45.18, 82.16, I

conclusionIn this review, the EDLOS was found to be very high. Overcrowding, delays in laboratory test findings, and delays in radiology test results make up the factors that have a statistically significant association with prolonged EDLOS. Given the high prevalence of prolonged EDLOS in this review, stakeholders should work to increase the timeliness of ED services in Ethiopia by proper disposition of non-emergency palliative patients to the appropriate destination, and implementing point-of-care testing and imaging.

Indexed as

Emergency Service, HospitalLength of StayEthiopiaHumansPrevalenceAssociated factorsEmergency DepartmentEthiopiaLength of Stay

Identifiers

PMID39533205
PMCPMC11559234

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Registered trials

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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.