急诊科非特异性主诉最终诊断结果与呼吸困难和疼痛的比较。

Q3 Medicine

Acute Medicine Pub Date : 2023-01-01

R Conway, D Byrne, D O'Riordan, B Silke

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引用次数: 0

摘要

目的：比较急诊科（ED）最终诊断为（非特异性主诉）NSC、呼吸困难和疼痛的结果：我们对 6 年内（2015-2020 年）所有急诊科最终诊断为非特异性主诉、呼吸困难和疼痛的病例进行了研究。结果：共收治 49965 人次：结果：共收治了 49965 例患者。与NSC的4.2%（95%CI为3.8%，4.7%）和呼吸困难的4.6%（95%CI为4.2%，5.0%）相比，疼痛的30天院内死亡率明显较低，为3.0%（95%CI为2.4%，3.6%）。NSC不能预测30天的院内死亡率--单变量OR为1.05（95%CI为0.93，1.19），多变量OR为1.07（95%CI为0.93，1.23）。合并症和急性病严重程度评分与30天院内死亡率呈曲线关系：结论：急诊室最终诊断为NSC并不能预测30天的院内死亡率。

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本刊更多论文

Outcomes for Emergency Department Final Diagnosis of Non-specific Complaint compared to Dyspnoea and Pain.

Aim: To compare outcomes in Emergency Department (ED) final diagnoses of (non-specific complaint) NSC, dyspnoea and pain.

Methods: We studied all ED final diagnoses of NSC, dyspnoea, and pain over 6 years (2015-2020). Multivariable logistic regression was performed.

Results: There were 49,965 admissions. 30-day in-hospital mortality was significantly lower for pain, 3.0% (95%CI 2.4%, 3.6%), compared to NSC, 4.2% (95%CI 3.8%, 4.7%), and dyspnoea, 4.6% (95%CI 4.2%, 5.0%). NSC did not predict 30-day in-hospital mortality- univariate OR 1.05 (95%CI 0.93, 1.19), multivariable OR 1.07 (95%CI 0.93, 1.23). Comorbidity and Acute Illness Severity Scores demonstrated a curvilinear relationship with 30-day in-hospital mortality.

Conclusion: An ED final diagnosis of NSC did not predict 30-day in-hospital mortality.

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来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

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