Implementation of the ESC 0 H/1 H Algorithm and the Heart Score in the Emergency Department: A Prospective Cohort Study

2022 ◽  
Author(s):  
Goaris WA Aarts ◽  
Cyril Camaro ◽  
Nina Vermaas ◽  
Jacky Kamps ◽  
Antonius E. van Herwaarden ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Heart Score

scholarly journals Cessation of Driving is Rare in Older Drivers Seen in the Emergency Department After a Motor Vehicle Collision: A Prospective Cohort Study

2015 ◽  
Vol 63 (1) ◽  
pp. 183-185 ◽  
Author(s):  
Natalie L. Richmond ◽  
Sean A. Flannigan ◽  
Lukas G. Keil ◽  
Marian E. Betz ◽  
Timothy F. Platts-Mills
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Motor Vehicle ◽  
Older Drivers ◽  
Motor Vehicle Collision ◽  
Vehicle Collision

Prevalence of Pulmonary Embolism Among Emergency Department Patients With Syncope: A Multicenter Prospective Cohort Study

2019 ◽  
Vol 73 (5) ◽  
pp. 500-510 ◽  
Author(s):  
Venkatesh Thiruganasambandamoorthy ◽  
Marco L.A. Sivilotti ◽  
Brian H. Rowe ◽  
Andrew D. McRae ◽  
Muhammad Mukarram ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pulmonary Embolism ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Emergency Department Patients ◽  
Multicenter Prospective Cohort Study ◽  
Multicenter Prospective Cohort

scholarly journals The prevalence of alcohol and illicit drug use among injured patients presenting to the emergency department of a national hospital in Tanzania: a prospective cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Müller M. Mundenga ◽  
Hendry R. Sawe ◽  
Michael S. Runyon ◽  
Victor G. Mwafongo ◽  
Juma A. Mfinanga ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Drug Use ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
National Hospital ◽  
Injured Patients

scholarly journals P143: A prospective cohort study characterizing 30-day recurrent emergency department visits for hyperglycemia

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S116
Author(s):  
J. Yan ◽  
D. Azzam ◽  
M. Columbus ◽  
K. Van Aarsen
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Diabetes Management ◽  
Care Delivery ◽  
Tertiary Care ◽  
Emergency Department Visits ◽  
Local Health

Introduction: Hyperglycemic emergencies, including diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS), often recur in patients who have poorly controlled diabetes. Identification of those at risk for recurrent hyperglycemia visits may improve health care delivery and reduce ED utilization for these patients. The objective of this study was to prospectively characterize patients re-presenting to the emergency department (ED) for hyperglycemia within 30 days of an initial ED visit. Methods: This is a prospective cohort study of patients ≥18 years presenting to two tertiary care EDs (combined annual census 150,000 visits) with a discharge diagnosis of hyperglycemia, DKA or HHS from Jul 2016-Nov 2018. Trained research personnel collected data from medical records, telephoned patients at 10-14 days after the ED visit for follow-up, and completed an electronic review to determine if patients had a recurrent hyperglycemia visit to any of 11 EDs within our local health integration network within 30 days of the initial visit. Descriptive statistics were used where appropriate to summarize the data. Results: 240 patients were enrolled with a mean (SD) age of 53.9 (18.6) years and 126 (52.5%) were male. 77 (32.1%) patients were admitted from their initial ED visit. Of the 237 patients (98.8%) with 30-day data available, 55 (23.2%) had a recurrent ED visit for hyperglycemia within this time period. 21 (8.9%) were admitted on this subsequent visit, with one admission to intensive care and one death within 30 days. For all patients who had a recurrent 30-day hyperglycemia visit, 22/55 (40.0%) reported having outpatient follow-up with a physician for diabetes management within 10-14 days of their index ED visit. 7/21 (33.3%) patients who were admitted on the subsequent visit had received follow-up within the same 10-14 day period. Conclusion: This prospective study builds on our previous retrospective work and describes patients who present recurrently for hyperglycemia within 30 days of an index ED visit. Further research will attempt to determine if access to prompt follow-up after discharge can reduce recurrent hyperglycemia visits in patients presenting to the ED.

scholarly journals A prospective cohort study to refine and validate thePanic Screening Scorefor identifying panic attacks associated with unexplained chest pain in the emergency department

BMJ Open ◽  
2013 ◽  
Vol 3 (10) ◽  
pp. e003877 ◽  
Author(s):  
Guillaume Foldes-Busque ◽  
Isabelle Denis ◽  
Julien Poitras ◽  
Richard P Fleet ◽  
Patrick Archambault ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Chest Pain ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Panic Attacks

Biphasic Reactions in Emergency Department Anaphylaxis Patients: A Prospective Cohort Study

2020 ◽  
Vol 8 (4) ◽  
pp. 1230-1238 ◽  
Author(s):  
Xiaowei Liu ◽  
Sangil Lee ◽  
Christine M. Lohse ◽  
Cassandra T. Hardy ◽  
Ronna L. Campbell
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort

scholarly journals Suitability of the German version of the Manchester Triage System to redirect emergency department patients to general practitioner care: a prospective cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e024896 ◽  
Author(s):  
Anna Slagman ◽  
Felix Greiner ◽  
Julia Searle ◽  
Linton Harriss ◽  
Fintan Thompson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
General Practitioner ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
German Version ◽  
Triage System ◽  
Manchester Triage System ◽  
General Practitioner Care ◽  
Triage Category

ObjectivesTo investigate the suitability of the German version of the Manchester Triage System (MTS) as a potential tool to redirect emergency department (ED) patients to general practitioner care. Such tools are currently being discussed in the context of reorganisation of emergency care in Germany.DesignProspective cohort study.SettingSingle centre University Hospital Emergency Department.ParticipantsAdult, non-surgical ED patients.ExposureA non-urgent triage category was defined as a green or blue triage category according to the German version of the MTS.Primary and secondary outcome measuresSurrogate parameters for short-term risk (admission rate, diagnoses, length of hospital stay, admission to the intensive care unit, in-hospital and 30-day mortality) and long-term risk (1-year mortality).ResultsA total of 1122 people presenting to the ED participated in the study. Of these, 31.9% (n=358) received a non-urgent triage category and 68.1% (n=764) were urgent. Compared with non-urgent ED presentations, those with an urgent triage category were older (median age 60 vs 56 years, p=0.001), were more likely to require hospital admission (47.8% vs 29.6%) and had higher in-hospital mortality (1.6% vs 0.8%). There was no significant difference observed between non-urgent and urgent triage categories for 30-day mortality (1.2% [n=4] vs 2.2% [n=15]; p=0.285) or for 1-year mortality (7.9% [n=26] vs 10.5% [n=72]; p=0.190). Urgency was not a significant predictor of 1-year mortality in univariate (HR=1.35; 95% CI 0.87 to 2.12; p=0.185) and multivariate regression analyses (HR=1.20; 95% CI 0.77 to 1.89; p=0.420).ConclusionsThe results of this study suggest the German MTS is unsuitable to safely identify patients for redirection to non-ED based GP care.Trial registration numberU1111-1119-7564; Post-results

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