The association between length of emergency department boarding and mortality.

@article{Singer2011TheAB,
  title={The association between length of emergency department boarding and mortality.},
  author={Adam J. Singer and Henry C. Thode and Peter Viccellio and Jesse M. Pines},
  journal={Academic emergency medicine : official journal of the Society for Academic Emergency Medicine},
  year={2011},
  volume={18 12},
  pages={
          1324-9
        }
}
  • A. Singer, H. Thode, +1 author J. Pines
  • Published 1 December 2011
  • Medicine, Political Science
  • Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
OBJECTIVES Emergency department (ED) boarding has been associated with several negative patient-oriented outcomes, from worse satisfaction to higher inpatient mortality rates. [] Key MethodMETHODS This was a retrospective cohort study set at a suburban academic ED with an annual ED census of 90,000 visits. Consecutive patients admitted to the hospital from the ED and discharged between October 2005 and September 2008 were included.
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401 Citations
Highly Influential Citations
13
Background Citations
99
Methods Citations
7
Results Citations
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401 Citations

Citation Type

Citation Type

Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service
Impact on Length of Stay of a Hospital Medicine Emergency Department Boarder Service.
TLDR
Among boarded patients, coverage by a hospital medicine-led EDB service was associated with a reduced hospital LOS, and admitted patients who were not boarders had the shortest LOS.
Association between long boarding time in the emergency department and hospital mortality: a single-center propensity score-based analysis
TLDR
In this single-center propensity score-based cohort analysis, patients experiencing an ED boarding time longer than 4 h before being transferred to an in-patient bed were at increased risk of hospital death.
Emergency Department Length of Stay for Critical Care Admissions. A Population-based Study.
TLDR
In this population-based study, less than half of adult ED patients were admitted to an ICU 6 hours or less after arrival to an ED, an internationally recognized performance indicator for ED care quality.
The association between length of stay in the emergency department and short-term mortality
TLDR
The data suggest that increased ED-LOS could be associated with slightly increased short-term mortality in patients with lower clinical urgency and dismissed from the ED, and for patients with highest triage priority level the opposite was at hand.
Association between emergency department length of stay and patient outcomes: A systematic review.
TLDR
Overall, there were variable associations of time spent in the ED and mortality, IPLOS, time-to-treatment and adverse events, however, findings indicated that older people are at risk for longer ED stays and may also experience higher mortality.
The cost of waiting: Association of ED boarding with hospitalization costs.
Emergency short-stay wards and boarding time in emergency departments: A propensity-score matching study.
Factors associated with emergency department length of stay of internal medicine patients
TLDR
To shorten ED-LOS, it is recommended to anticipate need for admission for older patients who arrive by ambulance and to create time slots in the radiology program and to restructure the morning report.
Association between boarding in the emergency department and in-hospital mortality: A systematic review
TLDR
A systematic review of peer-reviewed published studies to determine whether ED boarding (EDB) time is associated with in-hospital mortality (IHM) found no strong evidence for the association but there is a tendency toward this association.
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