Narrative Review of Emergency Medicine Clinical Research Examining Exclusion by Language.
Introduction: Over 20% of the United States population speaks a language other than English, and many use the emergency department (ED) to access healthcare. However, there remains concern that patients preferring languages other than English are under-represented in clinical research. Thus, our goa...
| Published in: | Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 26; no. 5; pp. 1260 - 1265 |
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| Main Authors: | , , , , |
| Format: | research systematic review tables/charts Journal Article |
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Sep2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188664037&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188664037 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1936900X 8B61 jtl: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health issn: 1936900X maglogo: N pubinfo: dt: Sep2025 vid: 26 iid: 5 pid: 29816 pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health place: Orange, California artinfo: ui: 188664037 188664037 188664037 10.5811/westjem.46547 188664037 ppf: 1260 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Narrative Review of Emergency Medicine Clinical Research Examining Exclusion by Language. aug: au: Curt, Alexa M. Kahn-Boesel, Olivia Lydston, Melis Meeker, Melissa A. Samuels-Kalow, Margaret E. affil: Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts sug: subj: Clinical Research United States Emergency Service United States Patient Selection Research Subject Recruitment Language Human Systematic Review Descriptive Statistics Data Analysis Software Emergency Medicine United States Medline PubMed Embase Cochrane Library ab: Introduction: Over 20% of the United States population speaks a language other than English, and many use the emergency department (ED) to access healthcare. However, there remains concern that patients preferring languages other than English are under-represented in clinical research. Thus, our goal was to assess the proportion of ED studies that excluded patients for recruitment due to language. Methods: We conducted a narrative review using seven search engines for 2018-2023. We included studies if they mentioned language of participants and prospectively enrolled patients in an ED or prehospital setting. We excluded studies if they only included patients <18 years and/or were conducted exclusively outside the US. Two independent reviewers reviewed studies. Analyses included descriptive statistics. Results: Of the 10,513 studies we identified, 281 were eligible for review; 163 (58%) excluded non-English language preferred (NELP) patients. Among the 107 interventional studies, 69% excluded NELP patients. Of the 135 studies focused on health equity/social emergency medicine, 47% excluded NELP patients. Conclusion: We found 163 (58%) studies conducted in the ED that mention language and excluded NELP patients. Additional work is needed to encourage and support inclusive study designs. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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