Predictors of emergency department death for patients presenting with ruptured abdominal aortic aneurysms.

Journal of Vascular Surgery
Matthew W MellTina Hernandez-Boussard

Abstract

Ruptured abdominal aortic aneurysm (rAAA) is a critically time-sensitive condition with outcomes dependent on rapid diagnosis and definitive treatment. Emergency department (ED) death reflects the hemodynamic stability of the patient upon arrival and the ability to mobilize resources before hemodynamic stability is lost. The goals of this study were to determine the incidence and predictors of ED death for patients presenting to EDs with rAAAs. Data for patients presenting with International Classification of Disease, 9th Revision, Clinical Modification codes for rAAA from 2006 to 2008 were extracted from discharge data using the Nationwide Emergency Department Sample (NEDS), Healthcare Cost and Utilization Project, and Agency for Healthcare Research and Quality. The NEDS is the largest stratified weighted sample of US hospital-based ED visits with links to inpatient files. We compared those transferred to those admitted and treated. Sample weights were applied to produce nationally representative estimates. Patient and hospital factors associated with transfer were identified using multivariate logistic regression. These factors were then analyzed for a relationship with ED deaths. A total of 18,363 patients were evaluated for...Continue Reading

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Citations

Oct 30, 2013·Proceedings of the National Academy of Sciences of the United States of America·Hui-fang ZhouChristine T N Pham
Nov 13, 2012·Journal of Vascular Surgery·Kevin C ChunEugene S Lee
May 31, 2016·The American Journal of Emergency Medicine·M MalthaE Ter Avest
Mar 16, 2016·Vascular and Endovascular Surgery·Jaclyn N Portelli TremontSaum A Rahimi
Mar 15, 2013·Annals of the Royal College of Surgeons of England·R J Hinchliffe, J T Powell
Jul 18, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Noëlle P M DirksDennis G Barten
Mar 2, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hiroyuki NakayamaYukihito Sato

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