Asia, Australia and New Zealand dyspnoea in emergency departments (AANZDEM) study: Rationale, design and analysis

Anne Maree Kelly, Gerben Keijzers, Sharon Klim, Colin A. Graham, Simon Craig, Win Sen Kuan, Peter Jones, Anna Holdgate, Charles Lawoko, Said Laribi, Dane Chalkley, AANZDEM Study Group

Research output: Contribution to journalArticleResearchpeer-review

6 Citations (Scopus)

Abstract

Objectives: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. Methods/Design: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. Discussion: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.

Original languageEnglish
Pages (from-to)187-191
Number of pages5
JournalEMA - Emergency Medicine Australasia
Volume27
Issue number3
DOIs
Publication statusPublished - 1 Jun 2015

Fingerprint

New Zealand
Dyspnea
Hospital Emergency Service
Epidemiology
Therapeutics
Far East
Quality of Health Care
Malaysia
Singapore
Hong Kong
Comorbidity
Heart Diseases
Cohort Studies
Demography
Guidelines

Cite this

Kelly, A. M., Keijzers, G., Klim, S., Graham, C. A., Craig, S., Kuan, W. S., ... AANZDEM Study Group (2015). Asia, Australia and New Zealand dyspnoea in emergency departments (AANZDEM) study: Rationale, design and analysis. EMA - Emergency Medicine Australasia, 27(3), 187-191. https://doi.org/10.1111/1742-6723.12397
Kelly, Anne Maree ; Keijzers, Gerben ; Klim, Sharon ; Graham, Colin A. ; Craig, Simon ; Kuan, Win Sen ; Jones, Peter ; Holdgate, Anna ; Lawoko, Charles ; Laribi, Said ; Chalkley, Dane ; AANZDEM Study Group. / Asia, Australia and New Zealand dyspnoea in emergency departments (AANZDEM) study : Rationale, design and analysis. In: EMA - Emergency Medicine Australasia. 2015 ; Vol. 27, No. 3. pp. 187-191.
@article{9cabb984859c4eac9d2f40b3f95074d2,
title = "Asia, Australia and New Zealand dyspnoea in emergency departments (AANZDEM) study: Rationale, design and analysis",
abstract = "Objectives: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. Methods/Design: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. Discussion: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.",
author = "Kelly, {Anne Maree} and Gerben Keijzers and Sharon Klim and Graham, {Colin A.} and Simon Craig and Kuan, {Win Sen} and Peter Jones and Anna Holdgate and Charles Lawoko and Said Laribi and Richard McNulty and Cowell, {David Lord} and Nitin Jain and Kendall Lee and Dane Chalkley and Lydia Lozzi and Stephen Asha and Martin Duffy and Gina Watkins and David Rosengren and Jae Thone and Shane Martin and Ulrich Orda and Ogilvie Thom and Frances Kinnear and Rob Eley and Alison Ryan and Douglas Morel and Jeremy Furyk and Simon Smith and Richard Smith and Michelle Grummisch and Robert Meek and Pamela Rosengarten and Barry Chan and Helen Haythorne and Peter Archer and Kathryn Wilson and Jonathan Knott and Peter Ritchie and Stephen MacDonald and Mlungisi Mahlangu and David Mountain and Michael Scott and Thomas Cheri and Mai Nguyen and Wong, {Tai Wai} and Man, {Chan Ka} and Saiboon, {Ismail Mohd} and Rahman, {Nik Hisamuddin} and Lee, {Wee Yee} and Lee, {Francis Chun Yue} and Kerrie Russell and {AANZDEM Study Group}",
year = "2015",
month = "6",
day = "1",
doi = "10.1111/1742-6723.12397",
language = "English",
volume = "27",
pages = "187--191",
journal = "Emergency Medicine",
issn = "1742-6723",
publisher = "Wiley-Academy",
number = "3",

}

Kelly, AM, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Holdgate, A, Lawoko, C, Laribi, S, Chalkley, D & AANZDEM Study Group 2015, 'Asia, Australia and New Zealand dyspnoea in emergency departments (AANZDEM) study: Rationale, design and analysis' EMA - Emergency Medicine Australasia, vol. 27, no. 3, pp. 187-191. https://doi.org/10.1111/1742-6723.12397

Asia, Australia and New Zealand dyspnoea in emergency departments (AANZDEM) study : Rationale, design and analysis. / Kelly, Anne Maree; Keijzers, Gerben; Klim, Sharon; Graham, Colin A.; Craig, Simon; Kuan, Win Sen; Jones, Peter; Holdgate, Anna; Lawoko, Charles; Laribi, Said; Chalkley, Dane; AANZDEM Study Group.

In: EMA - Emergency Medicine Australasia, Vol. 27, No. 3, 01.06.2015, p. 187-191.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Asia, Australia and New Zealand dyspnoea in emergency departments (AANZDEM) study

T2 - Rationale, design and analysis

AU - Kelly, Anne Maree

AU - Keijzers, Gerben

AU - Klim, Sharon

AU - Graham, Colin A.

AU - Craig, Simon

AU - Kuan, Win Sen

AU - Jones, Peter

AU - Holdgate, Anna

AU - Lawoko, Charles

AU - Laribi, Said

AU - McNulty, Richard

AU - Cowell, David Lord

AU - Jain, Nitin

AU - Lee, Kendall

AU - Chalkley, Dane

AU - Lozzi, Lydia

AU - Asha, Stephen

AU - Duffy, Martin

AU - Watkins, Gina

AU - Rosengren, David

AU - Thone, Jae

AU - Martin, Shane

AU - Orda, Ulrich

AU - Thom, Ogilvie

AU - Kinnear, Frances

AU - Eley, Rob

AU - Ryan, Alison

AU - Morel, Douglas

AU - Furyk, Jeremy

AU - Smith, Simon

AU - Smith, Richard

AU - Grummisch, Michelle

AU - Meek, Robert

AU - Rosengarten, Pamela

AU - Chan, Barry

AU - Haythorne, Helen

AU - Archer, Peter

AU - Wilson, Kathryn

AU - Knott, Jonathan

AU - Ritchie, Peter

AU - MacDonald, Stephen

AU - Mahlangu, Mlungisi

AU - Mountain, David

AU - Scott, Michael

AU - Cheri, Thomas

AU - Nguyen, Mai

AU - Wong, Tai Wai

AU - Man, Chan Ka

AU - Saiboon, Ismail Mohd

AU - Rahman, Nik Hisamuddin

AU - Lee, Wee Yee

AU - Lee, Francis Chun Yue

AU - Russell, Kerrie

AU - AANZDEM Study Group

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Objectives: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. Methods/Design: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. Discussion: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.

AB - Objectives: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. Methods/Design: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. Discussion: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.

UR - http://www.scopus.com/inward/record.url?scp=84929605970&partnerID=8YFLogxK

U2 - 10.1111/1742-6723.12397

DO - 10.1111/1742-6723.12397

M3 - Article

VL - 27

SP - 187

EP - 191

JO - Emergency Medicine

JF - Emergency Medicine

SN - 1742-6723

IS - 3

ER -