Association Between Emergency Department-to-ICU Transfer Time and Hospital Mortality Across ICU Admission Diagnoses: A Post Hoc Subgroup Analysis | Synapse

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Key Points

Assess the relationship between emergency department-to-ICU transfer time and hospital mortality across common ICU diagnoses.
Secondary analysis of a Dutch retrospective cohort from 2009-2020 including 18,798 patients from 12 hospitals.
Logistic regression was used to evaluate the association between ED-to-ICU time quintiles and hospital mortality.
Patients analyzed included those diagnosed with out-of-hospital cardiac arrest, nonoperative trauma, and others.
In OHCA patients at academic hospitals, longer ED-to-ICU times increased mortality (OR 1.48 at 1.1-1.6 hr, OR 2.94 at >3.4 hr, p < 0.001).
In NACT hospitals for OHCA patients, longer ED-to-ICU times were associated with lower mortality (OR < 1.0 across quintiles, p < 0.001).
For nonoperative trauma patients, increased ED-to-ICU time correlated with higher mortality in the overall cohort (OR 1.90 at >3.4 hr, p = 0.05).

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Implication

Post hoc analysis examines how transfer times affect hospital mortality in various ICU diagnoses, suggesting tailored interventions.

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Cite This Study

Herwerden et al. (2026) studied this question.

synapsesocial.com/papers/6a363147db0793dc1a5382a3 https://doi.org/10.1097/ccm.0000000000007207

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