Pub Date : 2026-03-23DOI: 10.1186/s12873-026-01539-2
Laura De Rijck Muhl, Anthony Demont, Laurent Pitance
{"title":"Perceptions regarding the relevance of integrating an advanced practice physiotherapist into emergency department settings in Belgium: a qualitative exploratory study.","authors":"Laura De Rijck Muhl, Anthony Demont, Laurent Pitance","doi":"10.1186/s12873-026-01539-2","DOIUrl":"https://doi.org/10.1186/s12873-026-01539-2","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-23DOI: 10.1186/s12873-026-01547-2
Qian Su, Jie Yu, Shuangjun He, Chenyu Fan, Yi Chen, Wei Zhou, MinJie Qiao
{"title":"Serial assessment of serum HMGB1 and ΔSOFA for predicting 28-day mortality in sepsis patients: a prospective cohort study in the emergency department.","authors":"Qian Su, Jie Yu, Shuangjun He, Chenyu Fan, Yi Chen, Wei Zhou, MinJie Qiao","doi":"10.1186/s12873-026-01547-2","DOIUrl":"https://doi.org/10.1186/s12873-026-01547-2","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-20DOI: 10.1186/s12873-026-01543-6
Dietmar Ausserhofer, Arian Zaboli, Angelika Mahlknecht, Barbara Plagg, Verena Barbieri, Pasqualina Marino, Sarah Niederbacher, Marion Arnold, Michael Mian, Giuliano Piccoliori, Adolf Engl, Christian J Wiedermann
Introduction: Emergency departments (EDs) suffer from crowding due to patients with low urgency, whose treatment is often inappropriate. This study aimed to describe the proportion of avoidable, non-urgent ED visits and explore the factors associated with these visits in Italy.
Methods and analysis: This multicentre cross-sectional study was conducted in the EDs of seven public hospitals in the South Tyrolean Health Service in the northern Italian Province of Bolzano-Bozen; Data were collected in each ED over two full consecutive weeks (24 h, weekdays, and weekends) between September 1, 2024, and November 30, 2024. Data on 574 adult patients (≥ 18 years) with clinical conditions that were triaged as "non-urgent" (i.e. Manchester Triage System priority level 'blue' or 'green'), and who consented to participate were analysed. Descriptive and logistic regression analyses were performed to explore the factors associated with avoidable non-urgent ED visits.
Results: Of the 574 non-urgent patients attending the ED, 288 (50.2%) were categorised by physicians and nurses as avoidable and 286 (49.8%) as unavoidable. Only 39.0% (n = 215) had been in contact with their GP before attending the ED, either by phone or by having a visit. The main reasons for attending the ED were better diagnostic options (45.1%, n = 259), positive past experiences (34.1%, n = 196), and faster access to specialist consultation (30.7%, n = 176). Patients living within 10 km of the ED (OR = 1.82, 95% CI: 1.20-2.77, P = 0.005), who presented with general and unspecific symptoms (OR = 2.29, 95% CI: 1.25-4.30, P = 0.008), and who were assigned a blue code, were more likely to be assessed as avoidable ED visits by healthcare professionals.
Conclusions: This study shows the proportion and characteristics of avoidable non-urgent ED visits. As the current primary care structures may not fully match contemporary expectations of accessibility, diagnostic reassurance, and patient-centred responsiveness, system-level interventions to reduce avoidable ED use must address reforms in primary care. Considering the structural reforms in Italy's primary care system and the establishment of community health centres, our findings provide a valuable evidence base for guiding local implementation strategies aimed at enhancing primary care responsiveness and reducing unnecessary ED utilisation.
{"title":"Factors associated with avoidable non-urgent emergency department visits in South Tyrol (Italy): a multicentre cross-sectional study.","authors":"Dietmar Ausserhofer, Arian Zaboli, Angelika Mahlknecht, Barbara Plagg, Verena Barbieri, Pasqualina Marino, Sarah Niederbacher, Marion Arnold, Michael Mian, Giuliano Piccoliori, Adolf Engl, Christian J Wiedermann","doi":"10.1186/s12873-026-01543-6","DOIUrl":"https://doi.org/10.1186/s12873-026-01543-6","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency departments (EDs) suffer from crowding due to patients with low urgency, whose treatment is often inappropriate. This study aimed to describe the proportion of avoidable, non-urgent ED visits and explore the factors associated with these visits in Italy.</p><p><strong>Methods and analysis: </strong>This multicentre cross-sectional study was conducted in the EDs of seven public hospitals in the South Tyrolean Health Service in the northern Italian Province of Bolzano-Bozen; Data were collected in each ED over two full consecutive weeks (24 h, weekdays, and weekends) between September 1, 2024, and November 30, 2024. Data on 574 adult patients (≥ 18 years) with clinical conditions that were triaged as \"non-urgent\" (i.e. Manchester Triage System priority level 'blue' or 'green'), and who consented to participate were analysed. Descriptive and logistic regression analyses were performed to explore the factors associated with avoidable non-urgent ED visits.</p><p><strong>Results: </strong>Of the 574 non-urgent patients attending the ED, 288 (50.2%) were categorised by physicians and nurses as avoidable and 286 (49.8%) as unavoidable. Only 39.0% (n = 215) had been in contact with their GP before attending the ED, either by phone or by having a visit. The main reasons for attending the ED were better diagnostic options (45.1%, n = 259), positive past experiences (34.1%, n = 196), and faster access to specialist consultation (30.7%, n = 176). Patients living within 10 km of the ED (OR = 1.82, 95% CI: 1.20-2.77, P = 0.005), who presented with general and unspecific symptoms (OR = 2.29, 95% CI: 1.25-4.30, P = 0.008), and who were assigned a blue code, were more likely to be assessed as avoidable ED visits by healthcare professionals.</p><p><strong>Conclusions: </strong>This study shows the proportion and characteristics of avoidable non-urgent ED visits. As the current primary care structures may not fully match contemporary expectations of accessibility, diagnostic reassurance, and patient-centred responsiveness, system-level interventions to reduce avoidable ED use must address reforms in primary care. Considering the structural reforms in Italy's primary care system and the establishment of community health centres, our findings provide a valuable evidence base for guiding local implementation strategies aimed at enhancing primary care responsiveness and reducing unnecessary ED utilisation.</p>","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-20DOI: 10.1186/s12873-026-01550-7
Dorien Venema, Laurien Kanis, Babiche E J M Driesen, Nienke Bleijenberg, Lisette Schoonhoven, Marielle Emmelot-Vonk, Wietske H W Blom-Ham
{"title":"Emergency department culture and the care of older patients with frailty: a focused ethnography.","authors":"Dorien Venema, Laurien Kanis, Babiche E J M Driesen, Nienke Bleijenberg, Lisette Schoonhoven, Marielle Emmelot-Vonk, Wietske H W Blom-Ham","doi":"10.1186/s12873-026-01550-7","DOIUrl":"https://doi.org/10.1186/s12873-026-01550-7","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-19DOI: 10.1186/s12873-026-01538-3
Durmus Ali Ersahin, Ismail Erkan Aydin, Tugce Ersahin, Nalan Kozaci
{"title":"Ultrasound guidance versus conventional technique for radial arterial puncture in patients with shock in the emergency department: a randomized controlled trial.","authors":"Durmus Ali Ersahin, Ismail Erkan Aydin, Tugce Ersahin, Nalan Kozaci","doi":"10.1186/s12873-026-01538-3","DOIUrl":"https://doi.org/10.1186/s12873-026-01538-3","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-19DOI: 10.1186/s12873-026-01545-4
Muammer O Kandabas, Mehmet Ergin, Habibe S Ozensoy, Selahattin Guru, Merve N Celik, Mustafa Donmez, Selcuk Parlak
{"title":"Comparison of the diagnostic values of MASS, RIPASA, AIR, and AAS scores in adult patients presenting to the emergency department with suspected appendicitis.","authors":"Muammer O Kandabas, Mehmet Ergin, Habibe S Ozensoy, Selahattin Guru, Merve N Celik, Mustafa Donmez, Selcuk Parlak","doi":"10.1186/s12873-026-01545-4","DOIUrl":"https://doi.org/10.1186/s12873-026-01545-4","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-19DOI: 10.1186/s12873-026-01552-5
Baihui Xu, Sushan Wang, Pranav Tewari, Esther Choo Li Wen, Peihong Guo, Kelvin Bryan Tan, John Abisheganaden, Steve H L Yim, Borame Lee Dickens, Jue Tao Lim, Chen Chen
{"title":"Nocturnal warming and emergency department admissions: a nationwide association and projection study in Singapore.","authors":"Baihui Xu, Sushan Wang, Pranav Tewari, Esther Choo Li Wen, Peihong Guo, Kelvin Bryan Tan, John Abisheganaden, Steve H L Yim, Borame Lee Dickens, Jue Tao Lim, Chen Chen","doi":"10.1186/s12873-026-01552-5","DOIUrl":"https://doi.org/10.1186/s12873-026-01552-5","url":null,"abstract":"","PeriodicalId":9002,"journal":{"name":"BMC Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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