ArticleBMC emergency medicine2025
Length of stay in the emergency department and its associated input-, throughput-, and output factors at two hospitals in Sweden.
Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Association between prolonged Emergency Department stay and Intensive Care Unit mortality among patients at a tertiary hospital in Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Continuous Increase in Both Waiting and Process Time in the Emergency Rooms of Abruzzo, Italy.Epidemiologia (Basel, Switzerland) · 2026Article
- Factors Associated with Length of Stay Among Patients in the Emergency Department of an Indonesian Tertiary Hospital: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Patient-level, Temporal, and Dynamic Operational Indicators of Emergency Department Prolonged Length of Stay: A Retrospective Cohort Study.Archives of academic emergency medicine · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProlonged emergency department length of stay (EDLOS) is a worldwide issue associated with increased mortality, decreased patient satisfaction and poor quality of care. The factors influencing EDLOS have not been comprehensively studied in the context of Swedish EDs. This study’s objective is to determine the input-, throughput- and output factors associated with EDLOS, at two urban EDs in Sweden.
methodsData was collected from two hospitals. All patient visits during the two-year study period were included. Patients who left without being seen by a physician were excluded. The explanatory factors included patient characteristics, medical data, and hospital bed occupancy data. Multi-variable linear regression analysis was used to test the associations between the factors and EDLOS.
resultsThe top contributors to prolonged EDLOS were diagnostic imaging, which added between 64 and 149 min of EDLOS, diagnostic testing at central laboratory (53–99 min), followed by intra-ED zone transfer (46–94 min). Arriving during crowding or being admitted during high hospital bed occupancy had a significant but relatively small absolute effect on the outcome.
conclusionsThroughput factors had far greater impact on EDLOS than both input- and output factors. Adapting strategies to the structural and procedural characteristics of each setting may enhance the effectiveness of improvement efforts. CLINICAL TRIAL NUMBER: Not applicable.
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