急诊科非特异性主诉最终诊断结果与呼吸困难和疼痛的比较。

Q3 Medicine Acute Medicine Pub Date : 2023-01-01

R Conway, D Byrne, D O'Riordan, B Silke

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引用次数: 0

摘要

目的：比较急诊科（ED）最终诊断为（非特异性主诉）NSC、呼吸困难和疼痛的结果：我们对 6 年内（2015-2020 年）所有急诊科最终诊断为非特异性主诉、呼吸困难和疼痛的病例进行了研究。结果：共收治 49965 人次：结果：共收治了 49965 例患者。与NSC的4.2%（95%CI为3.8%，4.7%）和呼吸困难的4.6%（95%CI为4.2%，5.0%）相比，疼痛的30天院内死亡率明显较低，为3.0%（95%CI为2.4%，3.6%）。NSC不能预测30天的院内死亡率--单变量OR为1.05（95%CI为0.93，1.19），多变量OR为1.07（95%CI为0.93，1.23）。合并症和急性病严重程度评分与30天院内死亡率呈曲线关系：结论：急诊室最终诊断为NSC并不能预测30天的院内死亡率。

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Outcomes for Emergency Department Final Diagnosis of Non-specific Complaint compared to Dyspnoea and Pain.

Aim: To compare outcomes in Emergency Department (ED) final diagnoses of (non-specific complaint) NSC, dyspnoea and pain.

Methods: We studied all ED final diagnoses of NSC, dyspnoea, and pain over 6 years (2015-2020). Multivariable logistic regression was performed.

Results: There were 49,965 admissions. 30-day in-hospital mortality was significantly lower for pain, 3.0% (95%CI 2.4%, 3.6%), compared to NSC, 4.2% (95%CI 3.8%, 4.7%), and dyspnoea, 4.6% (95%CI 4.2%, 5.0%). NSC did not predict 30-day in-hospital mortality- univariate OR 1.05 (95%CI 0.93, 1.19), multivariable OR 1.07 (95%CI 0.93, 1.23). Comorbidity and Acute Illness Severity Scores demonstrated a curvilinear relationship with 30-day in-hospital mortality.

Conclusion: An ED final diagnosis of NSC did not predict 30-day in-hospital mortality.

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来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.