Annals of Emergency Medicine
Volume 54, Issue 6 , Pages 794-804 , December 2009

Disequilibrium Between Admitted and Discharged Hospitalized Patients Affects Emergency Department Length of Stay

  • Marian J. Vermeulen, MHSc

      Affiliations

    • Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    • Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Joel G. Ray, MD, MSc, FRCPC

      Affiliations

    • Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
    • Department of Medicine, University of Toronto, Toronto, Ontario, Canada
    • St. Michael's Hospital, Toronto, Canada
    • ,
  • Chaim Bell, MD, PhD, FRCPC

      Affiliations

    • Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
    • Department of Medicine, University of Toronto, Toronto, Ontario, Canada
    • St. Michael's Hospital, Toronto, Canada
    • ,
  • Barry Cayen, MD, MSc, MPH

      Affiliations

    • Scholarship in Surgery Program, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Therese A. Stukel, PhD

      Affiliations

    • Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    • Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
    • Clinical Epidemiology Unit, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
    • ,
  • Michael J. Schull, MD, MSc, FRCPC

      Affiliations

    • Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    • Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
    • Department of Medicine, University of Toronto, Toronto, Ontario, Canada
    • Department of Emergency Services, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
    • Clinical Epidemiology Unit, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
    • Corresponding Author InformationAddress for reprints: Michael J. Schull, MD, MSc, FRCPC, G-106, Institute for Clinical Evaluative Sciences, 2075 Bayview Ave, Toronto, Ontario, Canada, M4N 3M5; 416-480-6100 ext 3793, fax 416-480-6048

Received 8 January 2009 ,Revised 18 March 2009 ,Accepted 15 April 2009.

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 Provide feedback on this article at the journal's Web site, www.annemergmed.com.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Supported by a grant from the Peter Lougheed Medical Research Foundation. Drs. Ray and Bell are supported by Canadian Institutes for Health Research New Investigator Awards.

 Supervising editor: Donald M. Yealy, MD

 Author contributions: MJV, JGR, CB, BC, and MJS participated in the design of the study. TAS took primary responsibility for the design of the analysis. All authors contributed to the article and take responsibility for the content. MJV and MJS take responsibility for the paper as a whole.

 Publication date: Available online June 25, 2009.

PII: S0196-0644(09)00465-X

doi: 10.1016/j.annemergmed.2009.04.017

Annals of Emergency Medicine
Volume 54, Issue 6 , Pages 794-804 , December 2009

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