International Emergency Nursing Vol. 54 January 2021
Characteristics, management and outcome of critically ill general medical
patients in the Emergency Department: An observational study

Dublin Core

Title

International Emergency Nursing Vol. 54 January 2021
Characteristics, management and outcome of critically ill general medical
patients in the Emergency Department: An observational study

Subject

Emergency Service, Hospital, Critical Care, Internal medicine, Patient Care Management, Hospital Rapid Response Team

Description

Background: Critically ill general medical patients are an increasing group in the Emergency Department (ED). This register-based cohort study aimed to examine these patients’ characteristics, ED management and outcome, and investigate factors associated with ICU admission.
Methods: The study comprised all adult medical triage 1 patients treated by a specialized multidisciplinary team in 2015 and 2016. Univariate and multivariate analysis were used.
Results: 1294 patients were included. Mean age was 59 years, 56% (n = 725) were male, mean National Early Warning Score 2 (NEWS2) was 7, intensive care unit (ICU) admission was 56.8% (n = 735) and mortality rate was 16.8% (n = 217). Median ED length of stay (LOS) was 1.6 h, 1.2 h if admitted to ICU. The most frequent discharge diagnosis was acute poisoning (24.0%, n = 308). Younger age, male gender, arriving at nighttime weekdays, higher NEWS2 at arrival, critical care interventions or medications in the ED was associated with ICU admission.
Conclusion: More than half of the patients were admitted to ICU, and the mortality rate was 16.8%. A large proportion was diagnosed with acute poisoning. Younger age, higher NEWS and critical care in ED were asso-
ciated with ICU admission. The short ED LOS suggests that management by a multidisciplinary team is beneficial.

Creator

Stine Engebretsen , Stig Tore Bogstrand , Dag Jacobsen , Rune Rimstad

Publisher

Elsevier Ltd.

Date

January 2021

Contributor

Sri Wahyuni

Rights

1755-599X

Format

PDF

Language

English

Type

Text

Coverage

International Emergency Nursing Vol. 54 January 2021

Files

Tags

,Repository, Repository Horizon University Indonesia, Repository Universitas Horizon Indonesia, Horizon.ac.id, Horizon University Indonesia, Universitas Horizon Indonesia, HorizonU, Repo Horizon , ,Repository, Repository Horizon University Indonesia, Repository Universitas Horizon Indonesia, Horizon.ac.id, Horizon University Indonesia, Universitas Horizon Indonesia, HorizonU, Repo Horizon , ,Repository, Repository Horizon University Indonesia, Repository Universitas Horizon Indonesia, Horizon.ac.id, Horizon University Indonesia, Universitas Horizon Indonesia, HorizonU, Repo Horizon , ,Repository, Repository Horizon University Indonesia, Repository Universitas Horizon Indonesia, Horizon.ac.id, Horizon University Indonesia, Universitas Horizon Indonesia, HorizonU, Repo Horizon , ,Repository, Repository Horizon University Indonesia, Repository Universitas Horizon Indonesia, Horizon.ac.id, Horizon University Indonesia, Universitas Horizon Indonesia, HorizonU, Repo Horizon , ,Repository, Repository Horizon University Indonesia, Repository Universitas Horizon Indonesia, Horizon.ac.id, Horizon University Indonesia, Universitas Horizon Indonesia, HorizonU, Repo Horizon ,

Citation

Stine Engebretsen , Stig Tore Bogstrand , Dag Jacobsen , Rune Rimstad, “International Emergency Nursing Vol. 54 January 2021
Characteristics, management and outcome of critically ill general medical
patients in the Emergency Department: An observational study,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1588.