Asthma (Diagnosis), Chest Pain, COPD (Chronic Obstructive Pulmonary Disease), Diabetes, Heart Failure, Hypertension, Pneumonia, Psychiatric Disorder, Sepsis, Sickle Cell Disease (SCD), Stroke (CVA) or TIA, Urinary Tract Infection (Diagnosis)
Conditions
Keywords
emergency department boarding, health care costs, emergency department operations, health services research
Brief summary
The goal of this observational study is to learn about the risk factors, costs, and operational impacts of emergency department boarding (patients admitted to the hospital but remaining in the emergency department awaiting placement on an inpatient floor) The main questions it aims to answer is: 1. What characteristics of patients make them more likely to experience ED boarding? 2. What is the impact of ED boarding on costs of health care? 3. How do high-boarding environments affect the clinical care of all patients in the emergency department, including those that do not board themselves. Data will be secondary in nature, collected in the regular Participants already taking intervention A as part of their regular medical care for RA will answer online survey questions about their joint pain for 5 years.
Interventions
None listed
Sponsors
University of Maryland, Baltimore
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* adults (\> 18 years old) presenting to UMMS system hospitals ED * Patients hospitalized by inpatient or observation status over study period (2022-2025) * Admitted to a service that directly manages boarding patient in the ED. At UMMC, patient should be admitted to an internal medicine team Med 1-4, Med 6, Med 5, med/surg/tele level (no IMC/ICU) and neurology floor level.
Exclusion criteria
* Patients admitted to cardiology, cancer center, surgical services * Patients admitted to not floor level status (IMC/ICU)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Boarding Time | During enrollment hospital encounter, up to 300 days | Time between admission order placement and ED departure. Only patients admitted to services that routinely take primary care responsibility for boarding patients in the ED will be classified as boarders |
Countries
United States
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 58 years |
| Commercial Payor | 2682 Participants |
| Race/Ethnicity, Customized Asian | 239 Participants |
| Race/Ethnicity, Customized Black | 12216 Participants |
| Race/Ethnicity, Customized Other | 778 Participants |
| Race/Ethnicity, Customized White | 5293 Participants |
| Region of Enrollment United States | 18526 Participants |
| Sex: Female, Male Female | 9323 Participants |
| Sex: Female, Male Male | 9203 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 18,526 |
| other Total, other adverse events | 0 / 18,526 |
| serious Total, serious adverse events | 0 / 18,526 |
Outcome results
None listed