Association Between Emergency Room Boarding Duration and Patient Outcomes for ICU Admissions at a Tertiary  Government Hospital

Author(s)	Dr. Glaisa Angeles Claveria, Mark John F. Festin
Country	Philippines
Abstract	Emergency Room (ER) boarding, defined as the time patients spend in the ER after a decision to admit them to the Intensive Care Unit (ICU), is a critical challenge in healthcare systems. This retrospective cohort study aimed to examine the impact of ER boarding duration on ICU outcomes at Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium. Using 232 patient records from January to December 2024, the study analyzed demographics, clinical characteristics, ER boarding duration, and ICU outcomes. Statistical analysis revealed that ER boarding was associated with increased risk of sepsis and nosocomial infections, but had limited power in predicting ICU stay length and mortality. The Charlson Comorbidity Index Score (CCIS) and APACHE II Score were stronger predictors of patient outcomes. Age influenced conditions like ARDS and AKI, while the Glasgow Coma Scale was not a significant predictor.
Keywords	ER Boarding, ICU Outcomes, Patient Mortality, Critical Care, Sepsis, APACHE II Score, Charlson Index
Field	Medical / Pharmacy
Published In	Volume 7, Issue 3, May-June 2025
Published On	2025-06-23

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