Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region

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http://hdl.handle.net/10138/325688

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AANZDEM Study Grp , EURODEM Study Grp , Laribi , S & Harjola , V-P 2019 , ' Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region ' , European Journal of Emergency Medicine , vol. 26 , no. 5 , pp. 345-349 . https://doi.org/10.1097/MEJ.0000000000000571

Title: Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region
Author: AANZDEM Study Grp; EURODEM Study Grp; Laribi, Said; Harjola, Veli-Pekka
Contributor: University of Helsinki, HUS Emergency Medicine and Services
Date: 2019-10
Language: eng
Number of pages: 5
Belongs to series: European Journal of Emergency Medicine
ISSN: 0969-9546
URI: http://hdl.handle.net/10138/325688
Abstract: Objective The primary objective of this study was to describe the epidemiology and management of dyspneic patients presenting to emergency departments (EDs) in an international patient population. Our secondary objective was to compare the EURODEM and AANZDEM patient populations. Patients and methods An observational prospective cohort study was carried out in Europe and the Asia-Pacific region. The study included consecutive patients presenting to EDs with dyspnea as the main complaint. Data were collected on demographics, comorbidities, chronic treatment, clinical signs and investigations, treatment in the ED, diagnosis, and disposition from ED. Results A total of 5569 patients were included in the study. The most common ED diagnoses were lower respiratory tract infection (LRTI) (24.9%), heart failure (HF) (17.3%), chronic obstructive pulmonary disease (COPD) exacerbation (15.8%), and asthma (10.5%) in the overall population. There were more LRTI, HF, and COPD exacerbations in the EURODEM population, whereas asthma was more frequent in the AANZDEM population. ICU admission rates were 5.5%. ED mortality was 0.6%. The overall in-hospital mortality was 5.0%. In-hospital mortality rates were 8.7% for LRTI, 7.6% for HF, and 5.6% for COPD patients. Conclusion Dyspnea as a symptom in the ED has high ward and ICU admission rates. A variety of causes of dyspnea were observed in this study, with chronic diseases accounting for a major proportion.
Subject: dyspnea
emergency department
epidemiology
management
outcome
ACUTE HEART-FAILURE
STATEMENT
OUTCOMES
3126 Surgery, anesthesiology, intensive care, radiology
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