Respiratory failure & ventilation
Association of Prolonged Emergency Department Length of Stay With Process of Care Measures for Critically Ill Patients
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
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