ArticleInternal and emergency medicine2025
Association between emergency department length of stay and outcomes among patients admitted to internal medicine wards.
Article in Internal and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although emergency department length of stay (ED-LOS) is an important parameter of ED performance, its relationship with patient outcomes remains unclear. This study investigated the association between prolonged ED-LOS and clinical outcomes, and explored disease-specific effects. From January, 2016 to September, 2022, adult patients admitted to the internal medicine wards via the ED of a tertiary hospital were retrospectively categorized into two groups: prolonged ED-LOS group (> 48 h) and reference group (≤ 48 h). The primary outcomes included hospital-LOS, in-hospital mortality, 30-day mortality, and intensive care unit (ICU)-LOS. Of a total of 30,753 eligible patients, 4554 (14.8%) had prolonged ED-LOS. Factors associated with prolonged ED-LOS included older patients and those with higher Charlson comorbidity index scores (CCIS). In-hospital and 30-day all-cause mortality were 259 (6%) and 296 (7%), respectively, in the prolonged ED-LOS group versus 2021 (8%) and 2066 (8%), respectively, in the reference group. The hospital-LOS and ICU-LOS were 10.8 ± 9.9 and 9.3 ± 7.4 days, respectively, in the prolonged ED-LOS versus 10.9 ± 11.9 and 7.7 ± 8.2 days, respectively, in the reference group. Compared to the reference group, patients with prolonged ED-LOS had lower in-hospital and 30-day mortality, and longer ICU-LOS. Subgroup analysis revealed lower mortality rate and shorter hospital-LOS in the Chest medicine ward. Prolonged ED-LOS (> 48 h) was associated with longer ICU-LOS, it was paradoxically linked to lower mortality rates. The choice of optimal cut-off timing for assessing ED efficiency and specific patient populations who may benefit from expedited hospitalization remain to be elucidated.
Indexed as
Identifiers
40715940What OpenQuestion holds
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.