Predicting the Impact of Emergency Room Boarding Duration on Intensive Care Unit Patient Outcomes: A Systematic Review

Glaisa Angeles Claveria

doi:10.36948/ijfmr.2025.v07i03.49181

Predicting the Impact of Emergency Room Boarding Duration on Intensive Care Unit Patient Outcomes: A Systematic Review

Author(s)	Dr. Glaisa Angeles Claveria
Country	Philippines
Abstract	Emergency room (ER) boarding, which involves the prolonged stay of patients in the ER awaiting transfer to inpatient units like the Intensive Care Unit (ICU), is a critical issue affecting healthcare systems globally. This delay in transfers can lead to worsened clinical outcomes, increased mortality, and prolonged hospital stays. Studies have shown that delays in ICU admissions, often due to overcrowding and limited ICU capacity, exacerbate patient conditions and increase the risk of adverse events such as organ failure, sepsis, and respiratory failure. The economic impact of these delays is also significant, as they lead to increased healthcare costs due to prolonged care and inefficient resource utilization. This systematic review synthesizes evidence from cohort studies and clinical trials to assess the impact of ER boarding on ICU outcomes, specifically mortality, ICU length of stay, and morbidity. A comprehensive search of multiple databases and grey literature was conducted to capture relevant studies. The review found strong correlations between longer boarding times and negative outcomes in critically ill patients, highlighting the need for improved patient flow management and timely transfers. Recommendations include optimizing ICU capacity, utilizing predictive analytics, and enhancing interdepartmental coordination to streamline patient transfers. Future research should explore longitudinal studies to assess the long-term impact of these interventions on both clinical outcomes and healthcare costs. These findings offer actionable insights for healthcare policies and practices to mitigate the adverse effects of ER boarding and improve patient care in critical care settings.
Keywords	Emergency room boarding, ICU transfer delays, patient outcomes, ICU mortality, healthcare overcrowding, critical care, patient flow
Field	Medical / Pharmacy
Published In	Volume 7, Issue 3, May-June 2025
Published On	2025-06-25
DOI	https://doi.org/10.36948/ijfmr.2025.v07i03.49181
Short DOI	https://doi.org/g9rskx

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Predicting the Impact of Emergency Room Boarding Duration on Intensive Care Unit Patient Outcomes: A Systematic Review

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