Differences in long-term mortality for different emergency department presenting complaints

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Urban SafwenbergL Lind

Abstract

To characterize long-term mortality based on previous emergency department (ED) presenting complaints. The authors followed, for 10 years, all of the 12,667 nonsurgical patients visiting an ED during 1995/1996. Differences in standardized mortality ratio (SMR) depending on presenting complaints were then investigated. During follow-up, 5,324 deaths occurred (mortality rate 6.6 per 100 person-years at risk), giving a SMR of 1.33 (95% CI = 1.30 to 1.37, p < 0.001) when compared with the expected mortality in the catchment area. Different presenting complaints were associated with different long-term mortality rates, independent of age and gender (p < 0.0001). The subjects with seizures had the highest SMR (2.62, 95% CI = 2.13 to 3.22) followed by intoxications (2.51, 95% CI = 2.11 to 2.98), asthmalike symptoms (1.84, 95% CI = 1.65 to 2.06), and hyperglycemia (1.67, 95% CI = 1.42 to 1.95). The largest complaint group, chest pain, had a 20% higher mortality rate than the background population (95% CI = 1.13 to 1.26). Patients with a discharge diagnosis of myocardial infarction, but without chest pain as the presenting complaint, had an increased long-term mortality (hazard ratio [HR] 1.70, 95% CI = 1.15 to 2.42) compared to the gro...Continue Reading

References

Oct 1, 1978·The American Journal of Cardiology·M SzkloJ A Tonascia
Jan 1, 1989·Scandinavian Journal of Social Medicine·D Vågerö, S E Norell
Sep 23, 2003·Stroke; a Journal of Cerebral Circulation·Yutaka KiyoharaMitsuo Iida
Mar 17, 2004·Current Opinion in Neurology·Pierre Jallon
May 15, 2004·Stroke; a Journal of Cerebral Circulation·Andreas Terént
May 3, 2005·The European Respiratory Journal·T RingbaekK Viskum
Nov 9, 2006·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Jolande Elshove-BolkArie B van Vugt
Mar 14, 2007·Archives of Internal Medicine·Robert J GoldbergFrederick A Spencer

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Citations

Jul 2, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Nasim FarrohkniaKatarina E Göransson
Nov 28, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Tomi MalmströmRaija Malmström
Mar 20, 2010·The Clinical Respiratory Journal·Gene Raymond PesolaHabibul Ahsan
May 19, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stephen F DeroseBenjamin C Sun
Jul 30, 2014·The Clinical Respiratory Journal·Gene R Pesola, Habibul Ahsan
Oct 8, 2015·Annals of Emergency Medicine·Simon BerthelotHenry T Stelfox
Jan 30, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kirsi KempMaaret Castren
Aug 19, 2020·Journal of Clinical Medicine·Nadja HandschinRoland Bingisser
Mar 16, 2019·Journal of Clinical Medicine·Tobias KusterRoland Bingisser
Aug 28, 2019·Computers in Biology and Medicine·Mohammad Samie TootooniMustafa Y Sir

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