ED crowding is associated with inpatient mortality among critically ill patients admitted via the ED: post hoc analysis from a retrospective study

The American Journal of Emergency Medicine
Sion JoBoyoung Park

Abstract

Adverse effects of emergency department (ED) crowding among critically ill patients are not well known. We evaluated the association between ED crowding and inpatient mortality among critically ill patients admitted via the ED, and analyzed subsets of patients according to admission diagnosis. We performed a post hoc analysis using data from a previous retrospective study. We enrolled admitted patients via the ED with an initial systolic blood pressure of 90 mm Hg or lower when presenting to the ED. The ED occupancy ratio was used as a measure of crowding. The primary outcome was inpatient mortality. Multivariable logistic regression models adjusted for potential confounding variables were constructed for the entire cohort and for subsets according to admission diagnosis (infection, cardiac and vascular disease, trauma, gastrointestinal bleeding, and other factors). A total of 1801 patients were enrolled, with a mortality rate of 14.6% (262 patients). The mortality rate by ED occupancy ratio quartile was 9.7% for the first quartile, 15.9% for the second quartile, 18.2% for the third quartile, and 14.4% for the fourth quartile. This resulted in adjusted odds ratios of 1.95, 2.51, and 1.93 and corresponding 95% confidence interva...Continue Reading

References

Mar 1, 1994·Annals of Emergency Medicine·J VaronR L Levine
Mar 1, 1996·Annals of Emergency Medicine·E H GilbertJ Steiner
Dec 6, 2000·JAMA : the Journal of the American Medical Association·D C AngusUNKNOWN Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS)
Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J A GordonK V Rhodes
Sep 20, 2002·Annals of Emergency Medicine·Lynne D RichardsonRobert A Lowe
Dec 31, 2004·The Journal of Trauma·Charles E BegleyArlo Weltge
May 24, 2006·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Masazumi AkahoshiKatsusuke Yano
Jun 13, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJoshua P Metlay
Apr 19, 2007·Critical Care Medicine·Donald B ChalfinUNKNOWN DELAY-ED study group
Feb 17, 2010·International Journal of Emergency Medicine·Latha G SteadWyatt W Decker
Jan 20, 2011·Critical Care : the Official Journal of the Critical Care Forum·Lucienne T Q CardosoAna M Bonametti
Feb 12, 2011·Stroke; a Journal of Cerebral Circulation·Pia ChatterjeeJesse M Pines
Jun 18, 2011·BMJ : British Medical Journal·T SathyapalanS L Atkin
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesMichael J Schull
Oct 26, 2012·Current Opinion in Clinical Nutrition and Metabolic Care·Christopher K Rayner, Michael Horowitz
Nov 20, 2012·The American Journal of Emergency Medicine·Ki Jeong HongJin Seong Cho
Dec 12, 2012·Annals of Emergency Medicine·Benjamin C SunSteven M Asch
Sep 3, 2013·The Journal of Emergency Medicine·Sion JoBoyoung Park
Oct 8, 2013·Critical Care : the Official Journal of the Critical Care Forum·Tae Gun ShinYeon Kwon Jeong
May 27, 2014·International Journal of Emergency Medicine·Erin O'ConnorLisa Calder

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Citations

Nov 2, 2019·BMC Emergency Medicine·Hamid Reza RasouliMohsen Abbasi Farajzadeh
Feb 17, 2017·Journal of the Chinese Medical Association : JCMA·I-Hsin LeeUeng-Cheng Yang
Aug 28, 2020·PloS One·Filipe Rissieri LuciniBeatriz D'Agord Schaan
Jun 9, 2020·Critical Care : the Official Journal of the Critical Care Forum·June-Sung KimDong-Woo Seo
Aug 4, 2020·World Journal of Clinical Cases·Shuang WangZhen Wang
Feb 2, 2021·Journal of the American College of Emergency Physicians Open·Nathan R HootKimberly A Chambers
Nov 28, 2020·World Journal of Gastroenterology : WJG·Yura AhnSeon-Ok Kim
Mar 2, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Nicholas M MohrPeter J Kaboli
Jul 4, 2020·Emergency Medicine Clinics of North America·James F KennyKeith C Hemmert
May 19, 2021·Hospital Pediatrics·Sarah Corey BauerMichael C Weisgerber
Jul 1, 2021·Journal of the American College of Emergency Physicians Open·Anthony LuceroGregg Miller
Jul 22, 2021·Revista brasileira de enfermagem·Ana Paula Santos de JesusRuth Ester Assayag Batista

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