10 research outputs found
ED discharge diagnosis and hospital discharge diagnosis.
<p>A. The diagnosis after workup at the ED and B. diagnosis at discharge from the hospital (NSC = 198 and SC = 1059) (ICD-10 classification). The “other” group includes ICD-10 diseases of the: nervous system, musculoskeletal and connective tissue, skin & subcutaneous tissue, eye and adnexa, ear and mastoid, mental, and injury and poising. NEC = Not Elsewhere Classified. NSC = Non-Specific Complaints. SC = Specific Complaints. * = P<0.05.</p
Elderly emergency patients presenting with non-specific complaints: Characteristics and outcomes
<div><p>Background</p><p>Non-specific complaints (NSC) are common at the emergency department, but only a few studies have shown evidence that these complaints are associated with a poor prognosis in elderly emergency patients.</p><p>Objective</p><p>To describe patient characteristics and outcomes in a cohort of elderly emergency patients presenting with NSC. Outcomes were: patient characteristics, hospitalization, 90-day ED-return visits, and 30-day mortality.</p><p>Method</p><p>A retrospective cohort study was conducted amongst elderly patients present to the Internal Medicine Emergency Department (ED) between 01-09-2010 and 31-08-2011. NSC were defined as indefinable complaints that lack a pre-differential diagnosis needed to initiate of a standardized patient evaluation. Cox regression was performed to calculate Hazard Ratios (HR) and corrected for confounders such as comorbidity.</p><p>Results</p><p>In total, 1784 patients were enrolled; 244 (13.7%) presented with NSC. Compared to those with SC, comorbidity was higher in the NSC-group (Charlson comorbidity index 3.0 vs. 2.4, p<0.001). The triage level did not differ, but ED-length of stay was longer in the NSC-group (188 vs. 178 minutes, p = 0.004). Hospitalization was more frequent (84.0 vs. 71.1%, p<0.001) and the length of hospital stay (9 vs. 6 days, p<0.001 was longer in the NSC- than in the SC-group. The number of ED-return visits were comparable between both groups (HR 0.8, 95%CI 0.6–1.1). Mortality within 30-days was higher in the NSC- (20.1%) than in the SC-group (11.0%, HR 1.7 95%CI 1.2–2.4).</p><p>Conclusion</p><p>Elderly patients present with NSC at the ED regularly. These patients are more often hospitalized and have a substantially higher 30-day mortality than patients with SC.</p></div
The association between type of complaint and clinical outcomes.
<p>The association between type of complaint and clinical outcomes.</p
Inclusion of vaccinated cases (% of population) over study period.
<p>Inclusion of vaccinated cases (% of population) over study period.</p
Inclusion of GBS cases (DK, FI, FR, NL, NO, SE, UK), influenza A(H1N1)pdm09 immunization period (influenza A(H1N1)vac), and percentage of flu positive cases among all tested per country (Flu pos. DK, …, Flu pos. UK; Source: ECDC 2011) over total study period.
<p>Inclusion of GBS cases (DK, FI, FR, NL, NO, SE, UK), influenza A(H1N1)pdm09 immunization period (influenza A(H1N1)vac), and percentage of flu positive cases among all tested per country (Flu pos. DK, …, Flu pos. UK; Source: ECDC 2011) over total study period.</p
Sources of cases, exposure and covariate information per country.
<p>Sources of cases, exposure and covariate information per country.</p
Guillain-Barré syndrome occurrence during follow-up and during the 6-week (42 days) risk periods following influenza A(H1N1)pdm09 vaccination and infection.
<p>Guillain-Barré syndrome occurrence during follow-up and during the 6-week (42 days) risk periods following influenza A(H1N1)pdm09 vaccination and infection.</p