scholarly journals Profile of the Population Cared for in a Referral Emergency Unit

2011 ◽  
Vol 19 (3) ◽  
pp. 548-556 ◽  
Author(s):  
Gabriella Novelli Oliveira ◽  
Michele de Freitas Neves Silva ◽  
Izilda Esmenia Muglia Araujo ◽  
Marco Antonio Carvalho-Filho
Keyword(s):  
Emergency Department ◽  
Young Adults ◽  
Back Pain ◽  
Retrospective Study ◽  
Chest Pain ◽  
Young Women ◽  
Adult Population ◽  
Low Complexity ◽  
University Hospital ◽  
Emergency Unit

Acquiring knowledge concerning the characteristics of the population that seeks an emergency department can support the planning of health actions. This study identifies the socio-demographic profile and the main complaints of the adult population cared for in a Referral Emergency Unit (RECU). This descriptive and retrospective study was conducted in the RECU of a university hospital in the State of Sao Paulo, Brazil. The sample was composed of the service’s care forms generated for the period between January and December 2008. The instrument was based on data contained in the care forms. Young women (14 to 54 years old), residents of neighborhoods near the RECU, spontaneously sought the service during the week from 7am to 7pm. The most frequent complaints were headache, back pain, abdominal and chest pain. The conclusion is that most of the sample was young adults, of productive age, female, who spontaneously sought the service on weekdays during the day. Most complaints were of low complexity.

scholarly journals Characteristics and Outcomes of Young Adults Who Present to the Emergency Department with Chest Pain

2001 ◽  
Vol 8 (7) ◽  
pp. 703-708 ◽  
Author(s):  
Nicole J. Walker ◽  
Frank D. Sites ◽  
Frances S. Shofer ◽  
Judd E. Hollander
Keyword(s):  
Emergency Department ◽  
Young Adults ◽  
Chest Pain

scholarly journals Diagnostic anticipation to reduce emergency department length of stay: a cohort study in Ferrara University Hospital, Italy

2020 ◽  
Author(s):  
Andrea Strada ◽  
Niccolò Bolognesi ◽  
Lamberto Manzoli ◽  
Giorgia Valpiani ◽  
Chiara Morotti ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Abdominal Pain ◽  
Chest Pain ◽  
Length Of Stay ◽  
Diagnostic Algorithm ◽  
University Hospital ◽  
Blood Tests ◽  
Traumatic Bleeding ◽  
Ed Crowding

Abstract Background : Emergency Department (ED) crowding reduces staff satisfaction and healthcare quality and safety, which in turn increase costs. Despite a number of proposed solutions, ED length of stay (LOS) - a main cause of overcrowding - remains a major issue worldwide. This cohort study was aimed at evaluating the effectiveness on ED LOS of a procedure called “diagnostic anticipation”, which consisted in anticipating the ordering of blood tests by nurses, at triage, following a diagnostic algorithm approved by physicians. Methods : In the second half of 2019, the ED of the University Hospital of Ferrara, Italy, adopted the diagnostic anticipation protocol on alternate weeks for all patients with chest pain, abdominal pain, and non-traumatic bleeding. Using ED electronic data, LOS independent predictors were evaluated through multiple regression. Results : During the weeks when diagnostic anticipation was adopted, as compared to control weeks, the mean LOS was shorter by 18.2 minutes for chest pain, but longer by 15.7 minutes for abdominal pain, and 33.3 for non-traumatic bleeding. At multivariate analysis, adjusting for age, gender, triage priority and ED crowding, the difference in visit time was significant for chest pain only (p<0.001). Conclusions : The effectiveness of the anticipation of blood testing by nurses varied by patients' condition, being significant for chest pain only. Further research is needed before the implementation, estimating the potential proportion of inappropriate blood tests and ED crowding status

Prognosis of Low-Risk Young Women Presenting to the Emergency Department With Chest Pain

2016 ◽  
Vol 117 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Stacey M. Stauber ◽  
Aleksander Teleten ◽  
Zhongmin Li ◽  
Sandhya Venugopal ◽  
Ezra A. Amsterdam
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Young Women ◽  
Low Risk

Posterior Vertebral Endplate Fractures: A Retrospective Study on a Rare Etiology of Back Pain in Youth and Young Adults

PM&R ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 619-630
Author(s):  
Erin M. Conlee ◽  
Sherilyn W. Driscoll ◽  
Krista A. Coleman Wood ◽  
Amy L. McIntosh ◽  
Mark L. Dekutoski ◽  
...  
Keyword(s):  
Young Adults ◽  
Back Pain ◽  
Retrospective Study ◽  
Vertebral Endplate ◽  
Youth And Young Adults

EVALUATION AND DOCUMENTATION OF NONTRAU-MATIC CHEST PAIN IN A UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT

1998 ◽  
Vol 91 (Supplement) ◽  
pp. S30
Author(s):  
Benjamin A. Youdelman ◽  
Ezekiel Fink ◽  
Alison L. Taich ◽  
Chris B. Brooks
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
University Hospital ◽  
Hospital Emergency Department ◽  
Hospital Emergency

scholarly journals A Comparison of Emergency Department Admission Diagnoses and Discharge Diagnoses: Retrospective Study

2003 ◽  
Vol 10 (2) ◽  
pp. 70-75 ◽  
Author(s):  
HS Chiu ◽  
KF Chan ◽  
CH Chung ◽  
K Ma ◽  
KW Au
Keyword(s):  
Emergency Department ◽  
Young Adults ◽  
Retrospective Study ◽  
Diagnostic Accuracy ◽  
Diagnostic Tools ◽  
Admission Diagnosis ◽  
Discharge Diagnosis ◽  
Emergency Department Admission ◽  
Hospital Discharge Diagnosis ◽  
Male Sex

Objective To study the accuracy of emergency department admission diagnosis and the effect of investigations on diagnostic accuracy. Design Retrospective study in a two-month period. Setting Accident & Emergency Department of a public general hospital, which had four in-patient specialties – Medicine, Surgery, Paediatrics and Orthopaedics. Subjects All cases admitted through the emergency department in the study period. Main outcome measures Degree of correlation between emergency department admission diagnosis and hospital discharge diagnosis. Results Of all admission diagnoses, 71.4% fully or partially matched the final discharge diagnoses. The accuracy of diagnosis was statistically better in traumatic cases, the male sex and young adults. Diagnostic accuracy varied with the specialty involved and investigations taken. Conclusion History and physical examination remained the most important diagnostic tools in the emergency department. In general, simple investigations available at the emergency department were not helpful in improving diagnostic accuracy.

scholarly journals Previously undiagnosed scoliosis presenting as pleuritic chest pain in the emergency department – a case series and a validating retrospective audit

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gabor Xantus ◽  
Derek Burke ◽  
Peter Kanizsai
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Chest Wall ◽  
Adult Population ◽  
Case Series ◽  
Sudden Onset ◽  
Pleuritic Chest Pain ◽  
Record System ◽  
Diverse Range ◽  
Retrospective Audit

Abstract Background Chest pain is one of the commonest presenting complaints in urgent/emergency care, with a lifelong prevalence of up to 25% in the adult population. Pleuritic chest pain is a subset of high investigation burden because of a diverse range of possible causes varying from simple musculoskeletal conditions to pulmonary embolism. Case series Among otherwise fit and healthy adult patients presenting in our emergency department with sudden onset of unilateral pleuritic chest pain, within 1 month we identified a cohort of five patients with pin-point tenderness in one specific costo-sternal joint often with referred pain to the back. All cases had apparent and, previously undiagnosed mild/moderate scoliosis. Methods To confirm and validate the observed association between scoliosis and pleuritic chest pain, a retrospective audit was designed and performed using the hospital’s electronic medical record system to reassess all consecutive adult chest pain patients. Results The Odds Ratio for having chest pain with scoliosis was 30.8 [95%CI 1.71–553.37], twenty times higher than suggested by prevalence data. Discussion In scoliosis the pathologic lateral curvature of the spine adversely affects the functional anatomy of both the spine and ribcage. In our hypothesis the chest wall asymmetry enables minor slip/subluxation of a rib either in the costo-sternal and/or costovertebral junction exerting direct pressure on the intercostal nerve causing pleuritic pain. Conclusion Thorough physical examination of the anterior and posterior chest wall is key to identify underlying scoliosis in otherwise fit patients presenting with sudden onset of pleuritic pain. Incorporating assessment for scoliosis in the low-risk chest pain protocols/tools may help reducing the length of stay in the emergency department and, facilitate speedy but safe discharge with increased patient satisfaction.

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