Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit*

By D. Chalfin, S. Trzeciak, A. Likourezos, B. Baumann, R. Dellinger. Critical Care Medicine, 2007

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The effect of emergency department crowding on clinically oriented outcomes. (2009, background): “In the United States, patients admitted to the intensive care unit (ICU) suffer higher hospital mortality rates when their ED boarding times exceed 6 hours after the decision to admit.(12) Excessive ED boarding times were associated with an adjusted odds ratio (OR) of 0.”
Considering complexity in healthcare systems (2011, background): “[5] investigated the association between the length of ED boarding and outcomes for critically ill patients.”
Novel model for predicting inpatient mortality after emergency admission to hospital in Singapore: retrospective observational study (2019, background): “Even a delay of a few hours in transferring critically ill patients to the intensive care unit results in increased mortality.(6) Several studies have shown that physiological deterioration or abnormal vital signs before cardiac arrest or death were common, making it possible to predict the progress”