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Introduction: Prolonged boarding of critically ill patients in the emergency department ED may be associated with worse clinical outcomes. However, whether this association would exist in settings that have implemented a critical care consultation model in the ED remains unknown. We thus sought to explore the association between prolonged ED length of stay LOS and the deployment of evidence-based processes of care measures for critically ill patients in hospitals implementing a critical care consultation model in the ED.
Multivariable models were adjusted for age, sex, comorbidities, severity, study site, and diagnosis.
Results: We included patients, of whom Both groups had comparable severity at baseline. In the long ED LOS group, more patients had cardiovascular, chronic respiratory, and chronic kidney disease as comorbidities and fewer patients were admitted due to trauma. There was no difference in the deployment of processes of care measures on day 2 after admission to the ICU between the two groups, as shown in the Table. Conclusions: In this multicenter study of ICUs in Toronto where a critical care consultation model has been implemented in the ED, long ED LOS was not associated with a decrease in the deployment of evidence-based processes of care measures for critically ill adult patients.
This article aims to present and analyse the results of the first year of ICS support to the ED in a central hospital in this region. Methods: The analysis of records was conducted using the ED application, covering the period from June 1, , to July 31, Records made in the ED were considered, as well as data related to all patients transferred to intensive care units ICU.
