TY - JOUR
T1 - Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region
AU - Laribi, Said
AU - Keijzers, Gerben
AU - Van Meer, Oene
AU - Klim, Sharon
AU - Motiejunaite, Justina
AU - Kuan, Win Sen
AU - Body, Richard
AU - Jones, Peter
AU - Craig, Simon
AU - Karamercan, Mehmet
AU - Harjola, Veli Pekka
AU - Holdgate, Anna
AU - Golea, Adela
AU - Graham, Colin
AU - Verschuren, Franck
AU - Capsec, Jean
AU - Christ, Michael
AU - Grammatico-Guillon, Leslie
AU - Barletta, Cinzia
AU - Garcia-Castrillo, Luis
AU - Kelly, Anne Maree
AU - AANZDEM and EuroDEM Study Groups
PY - 2019/10/1
Y1 - 2019/10/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85065834130&partnerID=8YFLogxK
U2 - 10.1097/MEJ.0000000000000571
DO - 10.1097/MEJ.0000000000000571
M3 - Article
C2 - 30169464
AN - SCOPUS:85065834130
SN - 0969-9546
VL - 26
SP - 345
EP - 349
JO - European Journal of Emergency Medicine
JF - European Journal of Emergency Medicine
IS - 5
ER -