Systematically assessed symptoms as outcome predictors in emergency patients

European Journal of Internal Medicine
Roland BingisserChristian H Nickel

Abstract

It is known that symptoms are predictive of mortality in "nonsurgical" emergency patients. It is unknown whether a prospective, systematic, and "unscreened" assessment of all symptoms is of any prognostic value. Therefore, we aimed to examine the association between symptoms and outcomes in an all-comer population. Data were acquired during 6weeks at the ED of the University Hospital Basel, a tertiary hospital. Consecutive patients presenting to the ED were included. Symptoms at presentation were systematically assessed using a comprehensive questionnaire. A consecutive sample of 3960 emergency patients with a median age of 51years (51.7% male) was studied. The median number of symptoms was two. In the group of patients with the most prevalent symptoms, the median number of symptoms ranged between two and five. Overall, hospitalisation rate was 31.2%, referral to intensive care was 5.5%, in-hospital-mortality was 1.4%, and one-year mortality was 5.8%. In-hospital mortality ranged from 0% to 4.3%, and one-year mortality from 0% to 14.4% depending on the presenting symptoms. Dyspnoea and weakness were significant predictors of one-year mortality (14.4% and 9.2%, respectively). Most emergency patients indicated two or more symptom...Continue Reading

Citations

Mar 29, 2019·Journal of the American Geriatrics Society·Vera PedersenRoland Bingisser
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
May 21, 2020·Journal of Clinical Medicine·Olivier PeyronySylvie Chevret
Oct 11, 2020·Journal of Clinical Medicine·Gregory MansellaChristian H Nickel
Nov 17, 2020·The American Journal of Emergency Medicine·Alexander D GinsburgFernanda Bellolio
Apr 18, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Renato OliveiraMiguel Oliveira Santos
Apr 22, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Stine IbsenMorten Breinholt Søvsø
Jun 11, 2021·Internal and Emergency Medicine·Torgny WessmanToralph Ruge
Jul 6, 2021·Resuscitation Plus·Lucien Wasingya-KaserekaUNKNOWN Kitovu Hospital Study Group
Jun 22, 2021·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Ricardo Nieves-OrtegaChristian H Nickel
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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