Length-of-Stay in the Emergency Department and In-Hospital Mortality: A Systematic Review and Meta-Analysis
Issued Date
2023-01-01
Resource Type
eISSN
20770383
Scopus ID
2-s2.0-85145768603
Journal Title
Journal of Clinical Medicine
Volume
12
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Clinical Medicine Vol.12 No.1 (2023)
Suggested Citation
Lauque D., Khalemsky A., Boudi Z., Östlundh L., Xu C., Alsabri M., Onyeji C., Cellini J., Intas G., Soni K.D., Junhasavasdikul D., Cabello J.J.T., Rathlev N.K., Liu S.W., Camargo C.A., Slagman A., Christ M., Singer A.J., Houze-Cerfon C.H., Aburawi E.H., Tazarourte K., Kurland L., Levy P.D., Paxton J.H., Tsilimingras D., Kumar V.A., Schwartz D.G., Lang E., Bates D.W., Savioli G., Grossman S.A., Bellou A. Length-of-Stay in the Emergency Department and In-Hospital Mortality: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine Vol.12 No.1 (2023). doi:10.3390/jcm12010032 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82612
Title
Length-of-Stay in the Emergency Department and In-Hospital Mortality: A Systematic Review and Meta-Analysis
Author(s)
Lauque D.
Khalemsky A.
Boudi Z.
Östlundh L.
Xu C.
Alsabri M.
Onyeji C.
Cellini J.
Intas G.
Soni K.D.
Junhasavasdikul D.
Cabello J.J.T.
Rathlev N.K.
Liu S.W.
Camargo C.A.
Slagman A.
Christ M.
Singer A.J.
Houze-Cerfon C.H.
Aburawi E.H.
Tazarourte K.
Kurland L.
Levy P.D.
Paxton J.H.
Tsilimingras D.
Kumar V.A.
Schwartz D.G.
Lang E.
Bates D.W.
Savioli G.
Grossman S.A.
Bellou A.
Khalemsky A.
Boudi Z.
Östlundh L.
Xu C.
Alsabri M.
Onyeji C.
Cellini J.
Intas G.
Soni K.D.
Junhasavasdikul D.
Cabello J.J.T.
Rathlev N.K.
Liu S.W.
Camargo C.A.
Slagman A.
Christ M.
Singer A.J.
Houze-Cerfon C.H.
Aburawi E.H.
Tazarourte K.
Kurland L.
Levy P.D.
Paxton J.H.
Tsilimingras D.
Kumar V.A.
Schwartz D.G.
Lang E.
Bates D.W.
Savioli G.
Grossman S.A.
Bellou A.
Author's Affiliation
Hadassah Academic College
Renaissance School of Medicine at Stony Brook University
College of Medicine and Health Sciences United Arab Emirates University
Guangdong General Hospital
Athens General Hospital
Mathematica Policy Research Inc.
Université Toulouse III - Paul Sabatier
Fondazione IRCCS Policlinico San Matteo
Charité – Universitätsmedizin Berlin
Wayne State University School of Medicine
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Anhui Medical University
CHU de Lyon
Hospital Universitari Arnau de Vilanova de Lleida
All India Institute of Medical Sciences, New Delhi
Örebro Universitet
Brookdale University Hospital and Medical Center
Bar-Ilan University
Harvard Medical School
University of Massachusetts Chan Medical School
Cumming School of Medicine
Dr. Suliman Alhabib Hospital
Global Network on Emergency Medicine
Renaissance School of Medicine at Stony Brook University
College of Medicine and Health Sciences United Arab Emirates University
Guangdong General Hospital
Athens General Hospital
Mathematica Policy Research Inc.
Université Toulouse III - Paul Sabatier
Fondazione IRCCS Policlinico San Matteo
Charité – Universitätsmedizin Berlin
Wayne State University School of Medicine
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Anhui Medical University
CHU de Lyon
Hospital Universitari Arnau de Vilanova de Lleida
All India Institute of Medical Sciences, New Delhi
Örebro Universitet
Brookdale University Hospital and Medical Center
Bar-Ilan University
Harvard Medical School
University of Massachusetts Chan Medical School
Cumming School of Medicine
Dr. Suliman Alhabib Hospital
Global Network on Emergency Medicine
Other Contributor(s)
Abstract
The effect of emergency department (ED) length of stay (EDLOS) on in-hospital mortality (IHM) remains unclear. The aim of this systematic review and meta-analysis was to determine the association between EDLOS and IHM. We searched the PubMed, Medline, Embase, Web of Science, Cochrane Controlled Register of Trials, CINAHL, PsycInfo, and Scopus databases from their inception until 14–15 January 2022. We included studies reporting the association between EDLOS and IHM. A total of 11,337 references were identified, and 52 studies (total of 1,718,518 ED patients) were included in the systematic review and 33 in the meta-analysis. A statistically significant association between EDLOS and IHM was observed for EDLOS over 24 h in patients admitted to an intensive care unit (ICU) (OR = 1.396, 95% confidence interval [CI]: 1.147 to 1.701; p < 0.001, I2 = 0%) and for low EDLOS in non-ICU-admitted patients (OR = 0.583, 95% CI: 0.453 to 0.745; p < 0.001, I2 = 0%). No associations were detected for the other cut-offs. Our findings suggest that there is an association between IHM low EDLOS and EDLOS exceeding 24 h and IHM. Long stays in the ED should not be allowed and special attention should be given to patients admitted after a short stay in the ED.