ICU sedation, delirium & recovery
Association Between Emergency Department-to-ICU Transfer Time and Hospital Mortality Across ICU Admission Diagnoses: A Post Hoc Subgroup Analysis
Authors' conclusion
The association between ED-to-ICU time and hospital mortality varied across diagnostic groups and hospital types. In OHCA, opposing associations were observed in academic and NACT hospitals. In nonoperative trauma, a positive association was observed only in the overall cohort.
Study context
- Population
- Adults directly admitted from the emergency department (ED) to the ICU in 12 Dutch hospitals, 2009–2020; seven diagnostic groups (> 1500 patients each)
- Participants
- 18,798 participants · 12 hospitals
- Comparison
- ED-to-ICU transfer time quintiles, by ICU admission diagnosis and hospital type
Methodological detailspost hoc subgroup analysis, multicentre, stratified by hospital type
- Post hoc subgroup analysis
- Multicentre
- Stratified by hospital type
Primary result
As reported in the abstract
Hospital mortality by ED-to-ICU time quintile, OHCA in academic hospitals (subgroup)
Odds ratio (95% CI)P value
1.1-1.6 hr
1.48(1.08–2.02)
Wald χ 2p < 0.001> 3.4 hr
2.94(1.80–4.78)
Wald χ 2p < 0.001Further findings
ED-to-ICU time, all patients
- Median ED-to-ICU time 1.9 hours (IQR 1.2-3.1 hr)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Association Between Emergency Department-to-ICU Transfer Time and Hospital Mortality Across ICU Admission Diagnoses: A Post Hoc Subgroup Analysis. Crit Care Med. Published 19 June 2026. doi:10.
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