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Effects of emergency department length of stay on inpatient utilization and mortality

Author

Listed:
  • Kai-Jie Ma

    (China Medical University)

  • Yi-Chen Hsu

    (China Medical University Hospital)

  • Wei-Wen Pan

    (Taipei Medical University Hospital)

  • Ming-Hsien Chou

    (Taichung Armed Forces General Hospital)

  • Wei‑Sheng Chung

    (Taichung Hospital)

  • Jong-Yi Wang

    (China Medical University)

Abstract

Introduction The annual increase in emergency department (ED) visits in Taiwan has led to overcrowding in major hospitals and extended patient stays in the ED. International studies suggest that prolonged ED stays may influence healthcare costs and clinical outcomes for hospitalized patients. However, such investigations are scarce in Taiwan. This study aims to explore the effects of ED stay duration on inpatient medical utilization and mortality risk. Methods This study analyzed data from 42,139 patients at a central Taiwan medical center, using generalized estimating equations (GEE) to evaluate hospital stay duration and costs. Logistic regression assessed mortality risks after hospitalization. Results GEE analysis showed longer ED stays led to increased hospital stays: patients with 24–48 h in the ED had an additional 2.27 days (P

Suggested Citation

  • Kai-Jie Ma & Yi-Chen Hsu & Wei-Wen Pan & Ming-Hsien Chou & Wei‑Sheng Chung & Jong-Yi Wang, 2025. "Effects of emergency department length of stay on inpatient utilization and mortality," Health Economics Review, Springer, vol. 15(1), pages 1-8, December.
    • Handle: RePEc:spr:hecrev:v:15:y:2025:i:1:d:10.1186_s13561-025-00598-8
    DOI: 10.1186/s13561-025-00598-8
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