G307 A novel approach to recognizing community-acquired paediatric sepsis in an emergency department: a cross-sectional observational study

2019 ◽  
Author(s):  
S Gomes ◽  
D Wood ◽  
N Haliasos ◽  
D Roland
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Cross Sectional ◽  
Novel Approach

scholarly journals Patient Satisfaction, Needs and Preferences Concerning Information Dispensation at the Emergency Department; A Cross-Sectional Observational Study

2021 ◽  
Author(s):  
Marank de Steenwinkel ◽  
Juanita A Haagsma ◽  
Esther C.M. van Berkel ◽  
Lotte Rozema ◽  
Pleunie P.M. Rood ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Observational Study ◽  
Medical Information ◽  
General Information ◽  
Cross Sectional ◽  
Patient Satisfaction Score ◽  
Important Indicator ◽  
Practical Information ◽  
To Receive

Abstract Background Patient satisfaction is an important indicator of emergency care quality and has been associated with information dispensation at the Emergency Department (ED). Optimal information dispensation could improve patient experience and expectations. Knowing what kind of information patients want to receive and the preferred way of information dispensation are essential to optimize information delivery at the ED. The purpose of this cross-sectional observational study was to evaluate patient satisfaction concerning information dispensation (including general, medical and practical information), the need for additional information and preferences with regards to the way of information dispensation at the ED of a teaching hospital in the Netherlands. Results423 patients (patients ≥18 years with Glasgow Coma Scale 15) were enrolled (response rate 79%). The median patient satisfaction score concerning the overall information dispensation at the ED was 7.5 on a rating scale 0-10. Shorter length of ED stay was associated with higher patient satisfaction in multivariate analysis (P<0.001). The majority of respondents was satisfied regarding medical (N=328; 78%) and general information (N =233; 55%). Patients were less satisfied regarding practical information (N =180; 43%). Respondents who indicated that they received general, medical and practical information were significantly more often satisfied compared to patients who did not receive this information (P<0.001). Two thirds (N=260; 62%) requested more general information. Half of the respondents (N=202; 48%) requested more practical information and a third (N=152; 36%) requested more medical information. The preferred way for receiving information was orally (N=189; 44.7%) or by leaflets (N=108; 25.5%).ConclusionThe majority of respondents were satisfied concerning information dispensation at the ED, especially regarding medical information. Respondents requested more general and practical information and preferred to receive the information orally or by leaflets.

scholarly journals Socioenvironmental criteria and postoperative complications in ambulatory surgery in a French university hospital: a prospective cross-sectional observational study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e036795
Author(s):  
Sorina-Dana Mihailescu ◽  
Isabelle Maréchal ◽  
Denis Thillard ◽  
André Gillibert ◽  
Vincent Compère
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Postoperative Complications ◽  
Observational Study ◽  
Emergency Department Visit ◽  
Public Transportation ◽  
Ambulatory Surgery ◽  
University Hospital ◽  
Complication Rates ◽  
Cross Sectional

BackgroundAmbulatory surgery lowers hospitalisation costs, shortens the time to return to work but requires caution regarding socioenvironmental risk factors for complications and rehospitalisation.MethodsThis was a single-centre prospective cross-sectional observational study conducted in a university hospital centrein January 2017. The primary objective was to assess the rate of conversion from ambulatory surgery to conventional hospitalisation or emergency department visit within 30 days following discharge from ambulatory unit. Secondary objectives were to describe the socioenvironmental characteristics of outpatients and to identify risk factors for severe postoperative complications.Results598 outpatients were included. The most represented surgical specialties were ophthalmology (23.5%), gynaecology (19%) and orthopaedics (17.7%). Patients’ mean age was 50.8 years (SD, 19.8) and the male/female sex ratio was 0.68. There were 22 (3.68%, 95% CI 2.32% to 5.52%) severe complications, including 11 (1.84%, 95% CI 0.92% to 3.27%) conversions to conventional hospitalisation and 11 (1.84%) conversions to emergency department visit, 3 of which led to readmission. Regarding socioenvironmental characteristics, 116 outpatients (19.7%) lived alone but were not isolated and 15 (2.6%) lived alone and were socially isolated. Following ambulatory surgery, 9 outpatients (1.6%) returned home on foot, 20 (3.4%) by public transportation and 8 (1.4%) drove home; 133 outpatients (13.7%) were alone the first night following surgery. Severe complication rates were not significantly different according to socioenvironmental subgroups.ConclusionIn our study, the prevalence of severe complications was low, conforming to the literature. The study was underpowered to estimate the effect of socioenvironmental variables.

Identifying Characteristics of Frequent and Highly Frequent Users of the Emergency Department: A Cross-Sectional Observational Study

2020 ◽  
Author(s):  
Byeung Ki An ◽  
Tiffany Jane Lee ◽  
Sang Mi Kim ◽  
Suck Ju Cho ◽  
Joonbum Park
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Observational Study ◽  
Care Program ◽  
Future Research ◽  
Cross Sectional ◽  
Frequent Users ◽  
Logistic Regression Models ◽  
Ed Overcrowding ◽  
Ed Visits

Abstract Introduction: Since the characteristics of frequent emergency department (ED) users are heterogeneous, it is impossible to mitigate the overcrowding of the ED without the basic data of diagnoses and risk factors of frequent ED users. Our study will provide invaluable information that will help predict patient demand for medical resources while also providing important information that can be used to improve emergency medical services. Methods This is the cross-sectional observational study using records from The Korea Health Insurance Review Agency. Frequent ED users were defined as patients who visited an ED more than 7–17 times per calendar year and highly frequent ED users were defined as patients who visited an ED eighteen or more times during the same period. The diseases were ranked by prevalence in each of the three ED frequency groups (less frequent, frequent, and highly frequent ED user groups). Our study then developed two logistic regression models comparing frequent users with less frequent users and highly frequent users with frequent users. Standardized ß values were used to rank risk factor importance. Results Although less frequent ED users composed 98.98% of all patients, they only consisted of 92.27% of all ED visits. Compared with less frequent users, a greater proportion of frequent ED users were aged 65 years or older and were insured by Medicaid or Veterans Affair Health Care Program. Frequent ED users were also most strongly defined by wound dressing follow-up visits and liver diseases (standardized ß value of 3.29 and 2.31). However, this study did not show highly frequent ED users differed from frequent ED users in regard to the different disease categories. Conclusion The diagnoses and risk factors related to frequent ED visits in Korea identified in this study will be an important reference for future research aimed at reducing ED overcrowding. By further analyzing the risk factors associated with frequent ED use, non-emergency administrative systems or medical facilities can be utilized to reduce the overload on the ED.

scholarly journals Comparison of balance assessment modalities in emergency department elders: a pilot cross-sectional observational study

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Jeffrey M Caterino ◽  
Rowan Karaman ◽  
Vinay Arora ◽  
Jacqueline L Martin ◽  
Brian C Hiestand
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Balance Assessment ◽  
Cross Sectional

scholarly journals External validation and comparison of the Glasgow-Blatchford bleeding score, the Rockall score and the AIMS65 score in upper gastro-intestinal hemorrhage: A cross-sectional observational study in Western Switzerland

2021 ◽  
Author(s):  
Sirio Rivieri ◽  
Pierre-Nicolas Carron ◽  
Alain Schoepfer ◽  
Francois-Xavier Ageron
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Primary Outcome ◽  
Characteristic Curve ◽  
External Validation ◽  
Secondary Outcome ◽  
Hospital Death ◽  
Intestinal Bleeding ◽  
Cross Sectional ◽  
Rockall Score

Abstract Background: Upper gastro-intestinal bleeding presents a high incidence in Emergency department. This study aims to externally validate and determine the performance of the Rockall score, the Glasgow-Blatchford bleeding, the modified Glasgow Blatchford score (mGBS) and the AIMS65 score in an Emergency department.Methods: We performed a retrospective cross-sectional observational study between January 1, 2015 and December 31, 2019. We performed Receiver-Operating Characteristic curve and area under the curve (AUROC) to compare discrimination for each scores. The primary outcome was need for intervention or death, including transfusion, endoscopic or surgery intervention. The secondary outcome was in-hospital death.Results: We enrolled 1,521 patients with UIGB. Mean age was 68 [52 – 81] years old, 62 % were men. Melena and/or hematemesis were the most common complain at ED (73%). Primary outcome was positive for 422 patients (27.7%), 76 patients (5%) were positive for our secondary outcome. The Glasgow-Blatchford score and the modified Glasgow-Blatchford score shown the highest area AUROC, respectively 0.774 (95% CI=0.750-0.798) and 0.782 (95% CI=0.759-0.805). AIMS-65 and Pre-endoscopic Rockall score shown lower discrimination, respectively, 0.684 (95% CI=0.657-0.711) and 0.647 (95% CI=0.618-0.675).Conclusion: Regarding our primary outcome, the modified Glasgow-Blatchford score and the Glasgow-Blatchford score presented a good performance. A GBS or mGBS of 0 is safe to rule-out patients with UIGB from ED. Performance of AIMS-65 score and Pre-endoscopic Rockall score were moderate.

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