ArticleJournal of nursing management2025
Determinants of Severely Prolonged Emergency Department Stays Among Older Adults: A Retrospective Comparative Analysis.
Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic accuracy of large language models for emergency department triage: a systematic review and meta-analysis.BMC emergency medicine · 2026Pooled it
- Concentration and Specialty Pair Patterns of Interdepartmental Consultations in Hospitalized Patients Using Real-World Data: Retrospective Cohort Study.Journal of medical Internet research · 2026Article
- Second Victim Trauma Recovery Pathway of Emergency Nurses After Patient Safety Incidents: A Grounded Theory Study.Journal of nursing management · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Prolonged emergency department (ED) stays are linked to adverse outcomes in older adults. This study examined the clinical characteristics and determinants of severely prolonged ED stays in a large tertiary hospital in China. Methods: A retrospective cohort study was conducted at a tertiary hospital in Zhejiang Province, including 652 adult patients with ED boarding ≥ 72 h between January 1 and December 31, 2024. Patients were stratified into geriatric (≥ 60 years) and nongeriatric groups for descriptive comparison. Logistic regression analyses were performed to identify independent predictors of severely prolonged stays (> 96 h) among geriatric patients. Results: Among all included patients, 73.3% were geriatric. Compared with nongeriatric patients, older adults had significantly higher rates of multimorbidity and nutritional risk and were less likely to arrive at night. Multivariate analysis showed that advanced age, nighttime arrival, nutritional risk, and infection were independent risk factors for severely prolonged ED stays, while multidisciplinary consultation significantly reduced risk. Conclusion: Severely prolonged ED stays among older adults are driven by both patient-level vulnerabilities and system-level constraints. Early nutritional screening, timely infection management, and multidisciplinary collaboration may help reduce boarding time and optimize care for aging populations.
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