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March 26, 2026Critical Care Medicine0 citations

Impact Of Time In The Emergency Department On Mortality In ICU Patients

104: Impact of Time in the Emergency Department on Mortality in Patients Admitted to the Icu

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Authors

FSFarid SadakaRSRichard F. SchmidtAKAnup Katyal

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Overview

Observational study reveals increased mortality with longer emergency department stays in ICU patients, suggesting earlier transfers may save lives.

Key Points

  • This research aims to assess how prolonged stays in the emergency department affect hospital mortality rates of patients later admitted to the ICU.
  • Analyzed data from a large community hospital's electronic health records and APACHE outcome database.
  • Evaluated Acute Physiology and Chronic Health Evaluation (APACHE IV) scores, acute physiologic scores, and emergency department length of stay (TED).
  • Divided patients into three groups based on TED duration: <3.5 hours, 3.5-6 hours, and 6-24 hours.
  • 3538 patients were studied with an average TED of 5.5 hours.
  • Increased mortality rates were observed in patients with longer TED: Group 1 (6.7%), Group 2 (11%), and Group 3 (13%).
  • Statistical analysis showed significant differences in mortality rates across groups with longer ED stays.

Cite This Study

Sadaka et al. (2026) studied this question.

synapsesocial.com/papers/69c4ccd6fdc3bde448918824https://doi.org/10.1097/01.ccm.0001182412.40574.99
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