Symptoms at presentation to the emergency department: Predicting outcomes and changing clinical practice?

International Journal of Clinical Practice
Karin WeigelRoland Bingisser

Abstract

The type and number of symptoms in emergency patients differ widely. It remains unclear, if outcomes can be predicted by the number of symptoms. Furthermore, it is unknown, whether clinical practice could be influenced by presenting symptoms. Prospective observational study, performed in the emergency department of the University Hospital Basel, a tertiary hospital. A consecutive sample of patients was interviewed at presentation for a predefined set of 35 symptoms. The number of symptoms was correlated with outcomes using linear and logistic regression models. Clinical practice was observed using prospective data on disease severity ratings, triage category, use of resources, length-of-stay and follow-up presentations. Data of 3472 patients were analysed. The number of symptoms ranged between 1 and 25, the mean being 2.74. Women reported more symptoms than men. Age and comorbidity indices were not associated with the number of symptoms. After adjusting for age and gender, there was no correlation between the number of symptoms and adverse outcomes, such as ICU-admission or in-hospital mortality (OR: 1.03, CI: 0.88-1.18, P = .68). The number of symptoms at presentation was associated with hospitalisation, disease severity ratin...Continue Reading

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Citations

Mar 29, 2020·Journal of Clinical Medicine·Isabelle OsterwalderRoland Bingisser
May 18, 2020·QJM : Monthly Journal of the Association of Physicians·L Wasingya-KaserekaUNKNOWN Kitovu Hospital Study Group
Aug 19, 2020·Journal of Clinical Medicine·Nadja HandschinRoland Bingisser
Mar 16, 2019·Journal of Clinical Medicine·Tobias KusterRoland Bingisser
Aug 19, 2021·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Wouter RavenBas de Groot

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