{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:49:03Z","timestamp":1791985743883,"version":"4.4.0"},"reference-count":73,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100009192","name":"Alberta Innovates","doi-asserted-by":"publisher","award":["Summer Studentship"],"award-info":[{"award-number":["Summer Studentship"]}],"id":[{"id":"10.13039\/501100009192","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emergency departments (EDs) increasingly serve linguistically diverse populations. Professional interpretation improves care, yet its use remains variable. Quantifying the prevalence of use and understanding disparities can inform policies and interventions. We conducted a systematic review and meta\u2010analysis to estimate the prevalence of professional interpreter use in English\u2010speaking EDs and compare use across patient populations and countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eight databases were searched from inception to May 15, 2025. We screened full texts included in a prior scoping review to identify studies reporting the prevalence of professional interpreter use among patients requiring interpretation in English\u2010speaking EDs. We pooled prevalence overall and stratified by population (adult vs. children) and country (United States vs. other), with 95% prediction intervals and confidence intervals (CIs). Meta\u2010regression assessed associations between study year and prevalence. Risk of bias was evaluated using the JBI checklist for prevalence studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010two studies spanning 1997\u20132025 involving 65,736 participants were included. Professional interpreters were used in 29% (CI, 20%, 38%) of encounters with patients requiring interpretation. Use was higher with children (49%; CI, 41%, 58%) than adults (16%; CI, 11%, 22%), and higher in the United States (33%; CI, 24%, 43%) than other countries (14%; CI, 4%, 30%). There was no significant association between study year and interpreter use (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.38).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite known benefits, professional interpreter use in EDs remains low, particularly among adults and outside the United States. Addressing this gap will require coordinated efforts from clinicians, health system leaders, and policymakers to improve access to and accountability for language\u2010concordant care in EDs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acem.70427","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:13:17Z","timestamp":1791983597000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of Professional Interpreter Use in Emergency Departments: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1594-347X","authenticated-orcid":false,"given":"Henry","family":"Li","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"},{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Ramirez","sequence":"additional","affiliation":[{"name":"MD Program, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8341-3991","authenticated-orcid":false,"given":"Lisa","family":"Hartling","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"},{"name":"Women and Children's Health Research Institute, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"},{"name":"Alberta Research Centre for Health Evidence, Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaspreet","family":"Khangura","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-5411","authenticated-orcid":false,"given":"Liz","family":"Dennett","sequence":"additional","affiliation":[{"name":"Geoffrey and Robyn Sperber Health Sciences Library University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7154-238X","authenticated-orcid":false,"given":"Victor","family":"Do","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"},{"name":"Women and Children's Health Research Institute, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayathiri","family":"Ganeshamoorthy","sequence":"additional","affiliation":[{"name":"Provincial Interpretation and Translation Services Alberta Health Services  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0595-364X","authenticated-orcid":false,"given":"Samina","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"},{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"},{"name":"Women and Children's Health Research Institute, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Bureau UC Language Use in the United States: 2019 https:\/\/www.census.gov\/library\/publications\/2022\/acs\/acs\u201050.html."},{"key":"e_1_2_11_3_1","unstructured":"Government of Canada SC Language Spoken Most Often at Home by Age: Canada Provinces and Territories 2022 https:\/\/www150.statcan.gc.ca\/t1\/tbl1\/en\/tv.action?pid=9810022601."},{"issue":"1","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1001\/jamapediatrics.2023.4890","article-title":"Race, Ethnicity, Language, and the Treatment of Low\u2010Risk Febrile Infants","volume":"178","author":"Gutman C. 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