Respiratory failure & ventilation

Association of Prolonged Emergency Department Length of Stay With Process of Care Measures for Critically Ill Patients

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

In this multicenter study of critically ill adult patients, a prolonged ED stay was not associated with a significant difference in the deployment of evidence-based process of care measures for critically ill adult patients.

Study context

Population
Mechanically ventilated adults directly admitted to the ICU from the emergency department (ED), 8 academic ICUs in Toronto, June 2014 to February 2023
Participants
7,072 participants
Exposure
Prolonged vs short ED LOS
  • Prolonged ED stayn = 1,462
Outcome
Process of care measures
Follow-up
Day 2 after ICU admission
Methodological detailsmulticentre, propensity score methods, multivariable logistic regression
  • Multicentre
  • Propensity score methods
  • Multivariable logistic regression

Main finding

As reported in the abstract

Prolonged ED stay vs Short ED stayAdjusted odds ratio (95% CI)
Low tidal volume ventilation
0.92(0.68–1.22)
SBT
1.12(0.92–1.35)
Extubation among those eligible
0.78(0.55–1.12)
DVT prophylaxis
1.13(0.95–1.34)
Continuous sedation
0.92(0.81–1.06)

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association of Prolonged Emergency Department Length of Stay With Process of Care Measures for Critically Ill Patients. Crit Care Med. Published 7 January 2026. doi:10.1097/ccm.0000000000007028

Composed by AI from the published abstract and checked against it. How Briefs are made →

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