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Waiting to die: the hidden pandemic of ED crowding and excess mortality

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References

  1. The Royal College of Emergency Medicine, “Health and social care select committee: addendum to the topical session on A&E”. https://rcem.ac.uk/wp-content/uploads/2023/01/Topical_Session_on_AE.pdf. Accessed 1 Feb 2023.

  2. “How many deaths in England are associated with A&E delays?” The Economist, January 11, 2023. https://www.economist.com/britain/2023/01/11/how-many-excess-deaths-in-england-are-associated-with-a-and-e-delays. Accessed 1 Feb 2023.

  3. Checchi F, Roberts L (2005) Interpreting and using mortality data in humanitarian emergencies. Humanitarian Practice Network, 52

  4. McCusker J, et al. Increases in emergency department occupancy are associated with adverse 30-day outcomes. Acad Emerg Med. 2014;21(10):1092–100. https://doi.org/10.1111/acem.12480.

    Article  PubMed  Google Scholar 

  5. Singer AJ, et al. The association between length of emergency department boarding and mortality. Acad Emerg Med. 2011;18:1324–9. https://doi.org/10.1111/j.1553-2712.2011.01236.x.

    Article  PubMed  Google Scholar 

  6. Sun BC, et al. Effect of emergency department crowding on outcomes of admitted patients. Ann Emerg Med. 2012;61(6):605–11. https://doi.org/10.1016/j.annemergmed.2012.10.026.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Richardson DB. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust. 2006;184(5):213–6. https://doi.org/10.5694/j.1326-5377.2006.tb00204.x.

    Article  PubMed  Google Scholar 

  8. Lauque D, et al. Length-of-stay in the emergency department and in-hospital mortality: a systematic review and meta-analysis. J Clin Med. 2023;12(1):32. https://doi.org/10.3390/jcm12010032.

    Article  Google Scholar 

  9. Atkinson P, McGeorge K, Innes G. Saving emergency medicine: is less more? Can J Emerg Med. 2022;24:9–11. https://doi.org/10.1007/s43678-021-00237-1.

    Article  Google Scholar 

  10. Health Quality Ontario. System Performance: Time spent in emergency departments. https://www.hqontario.ca/system-performance/time-spent-in-emergency-departments. Accessed 6 Feb 2023.

  11. Kalen GD, et al. Emergency department crowding: the canary in the health care system. NEJM Catal Innov Care Deliv. 2021 Sept 28. https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0217. Accessed 6 Feb 2023.

  12. Black, Matt. Misunderstanding the causes of the 2013 performance crisis in English A&E departments. https://policyskeptic.blogspot.com/2015/06/another-analysis-i-wrote-during-2013.html. Accessed 25 Apr 2023.

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Correspondence to James Worrall.

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Communicated by Simon Berthelot.

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Worrall, J., Atkinson, P. Waiting to die: the hidden pandemic of ED crowding and excess mortality. Can J Emerg Med 25, 722–723 (2023). https://doi.org/10.1007/s43678-023-00571-6

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  • DOI: https://doi.org/10.1007/s43678-023-00571-6

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