May 5, 2026 · Annals of emergency medicine · DOI: 10.1016/j.annemergmed.2026.03.011

Emergency Department Boarding for Older Adults: The Impact of Geography, Temporal Trends, and Dementia Status

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The authors aimed to investigate trends in emergency department (ED) boarding for older adults, particularly those with Alzheimer's disease-related dementia, from 2015 to 2022, while examining geographic variation and rurality. Their findings reveal that ED boarding rates have worsened over time, with significant increases in both the percentage of patients experiencing prolonged boarding and the duration of boarding, particularly among older adults with dementia in metropolitan areas. This highlights the need for targeted interventions to address the growing challenges of ED boarding in vulnerable populations.

Sangil Lee, Satheesh Gunaga, Shan W Liu, Qi Luo, Thomas A Bayer, James L Rudolph, Ryan M Carnahan

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