In this issue of The Journal, Stern et al1 compare hospital charges and lengths of stay for patients admitted through the emergency department with charges and lengths of stay for patients admitted through other routes to any of five Massachusetts hospitals. Even with adjustments for diagnosis related group, severity of illness, age, and income, patients admitted through the emergency department incurred hospital charges 13% higher and hospital stays 27% longer than other patients.
Olson CM. Hospital Admission Through the Emergency DepartmentThe Obstructed Pathway. JAMA. 1991;266(16):2274. doi:10.1001/jama.1991.03470160106043