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

Said Laribi*, Gerben Keijzers, Oene Van Meer, Sharon Klim, Justina Motiejunaite, Win Sen Kuan, Richard Body, Peter Jones, Simon Craig, Mehmet Karamercan, Veli Pekka Harjola, Anna Holdgate, Adela Golea, Colin Graham, Franck Verschuren, Jean Capsec, Michael Christ, Leslie Grammatico-Guillon, Cinzia Barletta, Luis Garcia-CastrilloAnne Maree Kelly, AANZDEM and EuroDEM Study Groups

*Corresponding author for this work

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10 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)345-349
Number of pages5
JournalEuropean Journal of Emergency Medicine
Volume26
Issue number5
DOIs
Publication statusPublished - 1 Oct 2019

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    Laribi, S., Keijzers, G., Van Meer, O., Klim, S., Motiejunaite, J., Kuan, W. S., Body, R., Jones, P., Craig, S., Karamercan, M., Harjola, V. P., Holdgate, A., Golea, A., Graham, C., Verschuren, F., Capsec, J., Christ, M., Grammatico-Guillon, L., Barletta, C., ... AANZDEM and EuroDEM Study Groups (2019). Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region. European Journal of Emergency Medicine, 26(5), 345-349. https://doi.org/10.1097/MEJ.0000000000000571