Quantitative resource utilisation of patients with limited English proficiency (LEP) at a community hospital emergency department (ED) observational controlled study (LEP-ED2 study).

Matthew Mo Kin Kwok, Rupinder Thandi, Arshpreet Singh Manku, Rebecca Zhu, Janice Castillo

Abstract readObservational Study

In one paragraph

Observational study in BMJ open quality, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Matthew Mo Kin KwokVancouver Coastal Health, Vancouver, British Columbia, Canada Matthew.kwok@vch.ca.ORCID 0000-0003-3689-1071

Rupinder ThandiFaculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0009-0005-0103-6712

Arshpreet Singh MankuFaculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.

Rebecca ZhuVancouver Coastal Health, Vancouver, British Columbia, Canada.ORCID 0009-0006-8893-8002

Janice CastilloVancouver Coastal Health, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with limited English proficiency (LEP) face communication barriers that can impact clinical assessment, prolong triage and affect diagnostic decision-making. Our Canadian community teaching hospital serves a linguistically diverse population and sought to understand the operational impact of LEP on emergency department (ED) workflow and resource use.We conducted a prospective observational controlled study (LEPED2) involving adult patients presenting to the ED with chest pain. 31 patients with LEP, identified as needing professional interpreter services, were compared with 43 patients with non-LEP. All patients with LEP received interpretation via a virtual video device. The primary outcome was triage time. Secondary outcomes included the utilisation of CT scans and hospital admission rates. Statistical analyses included one-tailed t-tests and χ

Indexed as

Emergency Service, HospitalLimited English ProficiencyAdultAgedCommunication BarriersEmergency Room VisitsFemaleHospitals, CommunityHumansMaleMedical InterpretingMiddle AgedProspective StudiesTriageEmergency departmentHealth EquityHealth policyPatient AdvocacyStandards of care

Identifiers

PMID41927324

DOI10.1136/bmjoq-2025-003720

PMCPMC13052675

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC

Read underepoch 390

Registered trials

None linked

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.