Seasonal variations of patients presenting dyspnea to emergency departments in Europe: Results from the EURODEM Study
Age Factors
Aged
Aged, 80 and over
Ambulances
/ statistics & numerical data
Anti-Bacterial Agents
/ therapeutic use
Bronchodilator Agents
/ therapeutic use
Cohort Studies
Comorbidity
Diuretics
/ therapeutic use
Dyspnea
/ epidemiology
Emergency Service, Hospital
Europe
/ epidemiology
Female
Hospitalization
/ statistics & numerical data
Humans
Male
Middle Aged
Oxygen Inhalation Therapy
/ methods
Prospective Studies
Seasons
Dyspnea
emergency department
older patient
seasonal variations
Journal
Turkish journal of medical sciences
ISSN: 1303-6165
Titre abrégé: Turk J Med Sci
Pays: Turkey
ID NLM: 9441758
Informations de publication
Date de publication:
17 12 2020
17 12 2020
Historique:
received:
27
02
2020
accepted:
18
06
2020
entrez:
21
6
2020
pubmed:
21
6
2020
medline:
12
10
2021
Statut:
epublish
Résumé
To describe seasonal variations in epidemiology, management, and short-term outcomes of patients in Europe presenting to an emergency department (ED) with a main complaint of dyspnea. Anobservational prospective cohort study was performed in 66 European EDs which included consecutive patients presenting to EDs with dyspnea as the main complaint during 3 72-h study periods. Data were collected on demographics, comorbidities, chronic treatment, prehospital treatment, mode of arrival of patient to ED, clinical signs at admission, treatment in the ED, ED diagnosis, discharge from ED, and in-hospital outcome. The study included 2524 patients with a median age of 69 (53–80) years old. Of the patients presented, 991 (39.3%) were in autumn, 849 (33.6%) were in spring, and 48 (27.1%) were in winter. The winter population was significantly older (P < 0.001) and had a lower rate of ambulance arrival to ED (P < 0.001). In the winter period, there was a higher rate for lower respiratory tract infection (35.1%), and patients were more hypertensive, more hypoxic, and more hyper/hypothermic compared to other seasons. The ED mortality was about 1% and, in hospital, mortality for admitted patients was 7.4%. The analytic method and the outcome of this study may help to guide the allocation of ED resources more efficiently and to recommend seasonal ED management protocols based on the seasonal trend of dyspneic patients.
Sections du résumé
Background/aim
To describe seasonal variations in epidemiology, management, and short-term outcomes of patients in Europe presenting to an emergency department (ED) with a main complaint of dyspnea.
Materials and methods
Anobservational prospective cohort study was performed in 66 European EDs which included consecutive patients presenting to EDs with dyspnea as the main complaint during 3 72-h study periods. Data were collected on demographics, comorbidities, chronic treatment, prehospital treatment, mode of arrival of patient to ED, clinical signs at admission, treatment in the ED, ED diagnosis, discharge from ED, and in-hospital outcome.
Results
The study included 2524 patients with a median age of 69 (53–80) years old. Of the patients presented, 991 (39.3%) were in autumn, 849 (33.6%) were in spring, and 48 (27.1%) were in winter. The winter population was significantly older (P < 0.001) and had a lower rate of ambulance arrival to ED (P < 0.001). In the winter period, there was a higher rate for lower respiratory tract infection (35.1%), and patients were more hypertensive, more hypoxic, and more hyper/hypothermic compared to other seasons. The ED mortality was about 1% and, in hospital, mortality for admitted patients was 7.4%.
Conclusion
The analytic method and the outcome of this study may help to guide the allocation of ED resources more efficiently and to recommend seasonal ED management protocols based on the seasonal trend of dyspneic patients.
Identifiants
pubmed: 32562519
doi: 10.3906/sag-2002-221
pmc: PMC7775711
doi:
Substances chimiques
Anti-Bacterial Agents
0
Bronchodilator Agents
0
Diuretics
0
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1879-1886Informations de copyright
This work is licensed under a Creative Commons Attribution 4.0 International License.
Déclaration de conflit d'intérêts
none declared
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