ArticleArchives of academic emergency medicine2025
Effect of Emergency Department Boarding on ICU Length of Stay and In-Hospital Mortality; A Retrospective Cohort Study.
Article in Archives of academic emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers in PubMed.
- Combined lactate, base excess, and MEWS score as predictors of ICU transfer from the emergency department: a retrospective cohort study.Frontiers in medicine · 2026Article
- Construction of an integrated treatment and management model for psychiatric emergency and intensive care units in a specialized psychiatric hospital: practice of subspecialty development.Frontiers in health services · 2025Review
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
Introduction: One of the main contributing factors of emergency department (ED) crowding is ED patient boarding. This study aimed to assess the factors influencing length of stay (LOS) in intensive care unit (ICU) and in-hospital mortality (IHM) among ICU-admitted ED boarded cases. Methods: A retrospective cohort study was conducted on adult patients at a tertiary care hospital in Lebanon who required ICU admission and stayed for 6+ hours in the ED during one year. The independent predictive factors of LOS in ICU and IHM were studied using multivariable logistic regression analysis. Results: Out of 583 patients (mean age 69.5 years; 61.6% male), 12.8% died in hospital. 25.5% had a prolonged ICU stay (≥7 days) with a median LOS of 3 days. Prolonged ICU LOS was associated with previous cancer diagnosis (adjusted odds ratio (aOR)=1.66), prehospital bedridden status (>5 days, aOR=4.41), ED vasopressor use (aOR=1.86), extended ED boarding (aOR=1.03), IHM (aOR=3.37), and not being married (aOR=2.0). IHM was associated with abnormal Modified Shock Index at ED triage (aOR=7.35), ED mechanical ventilation use (aOR=6.07), ED triage Shock Index ≥1.3 (aOR=18.25), and long ICU stay (aOR=7.48). ED-triage Saturation of Peripheral Oxygen (SPO Conclusion: It seems that, ED boarding of ICU patients is associated with an increase in ICU LOS, which is associated with an increase in IHM. Hospitals should allocate resources to reduce ED boarding and improve outcomes for critically ill patients.
Indexed as
Identifiers
What 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.