scholarly journals Rapid Emergency Medicine Score Can Predict Long-term Mortality in Nonsurgical Emergency Department Patients

2004 ◽  
Vol 11 (10) ◽  
pp. 1008-1013 ◽  
Author(s):  
T. Olsson
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Emergency Department Patients ◽  
Long Term Mortality

scholarly journals Feasibility and Reliability of a Multisource Feedback Tool for Emergency Medicine Residents

2011 ◽  
Vol 3 (3) ◽  
pp. 356-360 ◽  
Author(s):  
Gregory Garra ◽  
Andrew Wackett ◽  
Henry Thode
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Correlation Coefficients ◽  
Multisource Feedback ◽  
Resident Performance ◽  
Self Evaluation ◽  
Evaluation Of Performance ◽  
Interclass Correlation ◽  
The Mean ◽  
Emergency Department Patients

Abstract Background While the Accreditation Council for Graduate Medical Education recommends multisource feedback (MSF) of resident performance, there is no uniformly accepted MSF tool for emergency medicine (EM) trainees, and the process of obtaining MSF in EM residencies is untested. Objective To determine the feasibility of an MSF program and evaluate the intraclass and interclass correlation of a previously reported resident professionalism evaluation, the Humanism Scale (HS). Methods To assess 10 third-year EM residents, we distributed an anonymous 9-item modified HS (EM-HS) to emergency department nursing staff, faculty physicians, and patients. The evaluators rated resident performance on a 1 to 9 scale (needs improvement to outstanding). Residents were asked to complete a self-evaluation of performance, using the same scale. Analysis Generalizability coefficients (Eρ2) were used to assess the reliability within evaluator classes. The mean score for each of the 9 questions provided by each evaluator class was calculated for each resident. Correlation coefficients were used to evaluate correlation between rater classes for each question on the EM-HS. Eρ2 and correlation values greater than 0.70 were deemed acceptable. Results EM-HSs were obtained from 44 nurses and 12 faculty physicians. The residents had an average of 13 evaluations by emergency department patients. Reliability within faculty and nurses was acceptable, with Eρ2 of 0.79 and 0.83, respectively. Interclass reliability was good between faculty and nurses. Conclusions An MSF program for EM residents is feasible. Intraclass reliability was acceptable for faculty and nurses. However, reliable feedback from patients requires a larger number of patient evaluations.

Predicting Long-Term Mortality of Older Adults After Acute Care Discharge: Results From the Geriatric Emergency Department Elderly populatioN Cohort Study

2016 ◽  
Vol 64 (1) ◽  
pp. 215-216 ◽  
Author(s):  
Frédéric Scholastique ◽  
Elodie Joly ◽  
Anastasiia Kabeshova ◽  
Olivier Beauchet ◽  
Cyrille Patrice Launay
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Cohort Study ◽  
Acute Care ◽  
Elderly Population ◽  
Population Cohort ◽  
Population Cohort Study ◽  
Long Term Mortality

scholarly journals Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2

2021 ◽  
Vol 22 (6) ◽  
pp. 1262-1269
Author(s):  
Elizabeth Goldberg ◽  
Kohei Hasegawa ◽  
Alexis Lawrence ◽  
Jeffrey Kline ◽  
Carlos Camargo
Keyword(s):  
Emergency Department ◽  
Retrospective Cohort ◽  
Cohort Analysis ◽  
Long Term Outcomes ◽  
Viral Pathogens ◽  
Improved Outcomes ◽  
Retrospective Cohort Analysis ◽  
Short And Long Term ◽  
Emergency Department Patients

Introduction: Coinfection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) and another virus may influence the clinical trajectory of emergency department (ED) patients. However, little empirical data exists on the clinical outcomes of coinfection with SARS-CoV-2 Methods: In this retrospective cohort analysis, we included adults presenting to the ED with confirmed, symptomatic coronavirus 2019 who also underwent testing for additional viral pathogens within 24 hours. To investigate the association between coinfection status with each of the outcomes, we performed logistic regression. Results: Of 6,913 ED patients, 5.7% had coinfection. Coinfected individuals were less likely to experience index visit or 30-day hospitalization (odds ratio [OR] 0.57; 95% confidence interval [CI], 0.36-0.90 and OR 0.39; 95% CI, 0.25–0.62, respectively). Conclusion: Coinfection is relatively uncommon in symptomatic ED patients with SARS-CoV-2 and the clinical short- and long-term outcomes are more favorable in coinfected individuals.

P-328: Predictors of long-term mortality in oldest old patients (90+) hospitalized in medical wards via the emergency department

2015 ◽  
Vol 6 ◽  
pp. S119
Author(s):  
P. de Boissieu ◽  
R. Mahmoudi ◽  
J.-L. Novella ◽  
F. Blanchard ◽  
D. Jolly ◽  
...  
Keyword(s):  
Emergency Department ◽  
Oldest Old ◽  
Old Patients ◽  
Medical Wards ◽  
Long Term Mortality
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