Diagnosis and mortality of emergency department patients in the North Denmark region.
Diagnosis and mortality of emergency department patients in the North Denmark region.
复制标题
DOI：
10.1186/s12913-018-3361-x
复制
发表时间：
2018-07-13
影响因子：
2.8
通讯作者：
Christensen EF
中科院分区：
文献类型：
--
作者：
Søvsø MB;Hermansen SB;Færk E;Lindskou TA;Ludwig M;Møller JM;Jonciauskiene J;Christensen EF
急诊科处理了很大一部分急性病人。2007年，有人建议集中丹麦的医疗保健系统，建立急诊科，作为急诊病人的主要公共入口。自从这次重组以来，很少有研究描述这种新环境下的急诊患者人群，没有一项研究描述诊断和死亡率。因此，我们旨在调查2014-2016年期间北丹麦地区急诊科患者的诊断和1天和30天死亡率。2014-2016年期间在北丹麦地区（580，000名居民）接触急诊科的患者中进行的基于人群的历史队列研究。该研究包括由全科医生（白天和非工作时间）、急诊医疗服务或自我转诊的患者。从区域患者管理系统检索初步诊断（ICD-10）。对于非特异性诊断（ICD-10章节“症状和体征”和“其他因素”），我们检索了同一住院时间的特定诊断，并使用此诊断（如果给出）。我们进行了描述性分析，报告诊断的分布和频率。此外，使用Kaplan-Meier估计值进行1天和30天死亡率估计。我们纳入了290，590名患者接触者，相当于每年每1000名居民中有166名艾德就诊。ICD-10中最常使用的三个章节是“损伤和中毒”（38.3%，n = 111，274）、“症状和体征”（16.1%，n = 46，852）和“其他因素”（14.52%，n = 42，195）。这些章节第30天的死亡率（95%置信区间）分别为0.86%（0.81-0.92）、3.95%（3.78-4.13）和2.84%（2.69-3.00）。30天死亡率最高的章节是“新生儿”（14.22%（12.07-16.72））、“内分泌疾病”（8.95%（8.21-9.75））和“呼吸系统疾病”（8.44%（8.02-8.88））。与急诊科接触的患者在ICD-10的所有章节中都得到了广泛的诊断，其中三分之一的诊断是非特异性的。在非特异性章节中，我们发现30天死亡率超过了几个器官特异性ICD-10章节。观察性研究-未进行试验注册。本文的在线版本（10.1186/s12913-018-3361-x）包含补充材料，可供授权用户使用。
Emergency departments handle a large proportion of acute patients. In 2007, it was recommended centralizing the Danish healthcare system and establishing emergency departments as the main common entrance for emergency patients. Since this reorganization, few studies describing the emergency patient population in this new setting have been carried out and none describing diagnoses and mortality. Hence, we aimed to investigate diagnoses and 1- and 30-day mortality of patients in the emergency departments in the North Denmark Region during 2014–2016. Population-based historic cohort study in the North Denmark Region (580,000 inhabitants) of patients with contact to emergency departments during 2014–2016. The study included patients who were referred by general practitioners (daytime and out-of-hours), by emergency medical services or who were self-referred. Primary diagnoses (ICD-10) were retrieved from the regional Patient Administrative System. For non-specific diagnoses (ICD-10 chapter ‘Symptoms and signs’ and ‘Other factors’), we searched the same hospital stay for a specific diagnosis and used this, if one was given. We performed descriptive analysis reporting distribution and frequency of diagnoses. Moreover, 1- and 30-day mortality rate estimates were performed using the Kaplan-Meier estimator. We included 290,590 patient contacts corresponding to 166 ED visits per 1000 inhabitants per year. The three most frequent ICD-10 chapters used were ‘Injuries and poisoning’ (38.3% n = 111,274), ‘Symptoms and signs’ (16.1% n = 46,852) and ‘Other factors’ (14.52% n = 42,195). Mortality at day 30 (95% confidence intervals) for these chapters were 0.86% (0.81–0.92), 3.95% (3.78–4.13) and 2.84% (2.69–3.00), respectively. The highest 30-day mortality were within chapters ‘Neoplasms’ (14.22% (12.07–16.72)), ‘Endocrine diseases’ (8.95% (8.21–9.75)) and ‘Respiratory diseases’ (8.44% (8.02–8.88)). Patients in contact with the emergency department receive a wide range of diagnoses within all chapters of ICD-10, and one third of the diagnoses given are non-specific. Within the non-specific chapters, we found a 30-day mortality, surpassing several of the more organ specific ICD-10 chapters. Observational study - no trial registration was performed. The online version of this article (10.1186/s12913-018-3361-x) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
8
作者：
Vest-Hansen, Betina;Riis, Anders Hammerich;Christiansen, Christian Fynbo
通讯作者：
Christiansen, Christian Fynbo
DOI：
10.1186/1757-7241-21-53
发表时间：
2013-07-09
期刊：
Scandinavian journal of trauma, resuscitation and emergency medicine
影响因子：
--
作者：
Andersen MS;Johnsen SP;Sørensen JN;Jepsen SB;Hansen JB;Christensen EF
通讯作者：
Christensen EF
影响因子：
2.9
作者：
Christensen, Erika Frischknecht;Larsen, Thomas Mulvad;Christiansen, Christian Fynbo
通讯作者：
Christiansen, Christian Fynbo
影响因子：
3.9
作者：
Schmidt M;Schmidt SA;Sandegaard JL;Ehrenstein V;Pedersen L;Sørensen HT
通讯作者：
Sørensen HT
影响因子：
--
作者：
OLESEN, F;JOLLEYS, JV
通讯作者：
JOLLEYS, JV