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
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.
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
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 10, 2024, https://repository.horizon.ac.id/items/show/1588.
Characteristics, management and outcome of critically ill general medical
patients in the Emergency Department: An observational study,” Repository Horizon University Indonesia, accessed November 10, 2024, https://repository.horizon.ac.id/items/show/1588.