ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1999
Emergency medical admissions in Glasgow: general practices vary despite adjustment for age, sex, and deprivation.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Long-term prognostic value of myocardial perfusion scintigraphy in patients with suspected coronary artery disease: systematic review and meta-analysis.Open heart · 2025Pooled it
- Treatment efficacy for non-cardiovascular chest pain: a systematic review and meta-analysis.PloS one · 2014Pooled it
- Diagnostic indicators of non-cardiovascular chest pain: a systematic review and meta-analysis.BMC medicine · 2013Pooled it
- Impact of serum troponin measurement on triage of chest pain in a district hospital.The Ulster medical journal · 2003Trial
- Intramural Health Care Through Video Consultations and the Need for Referrals and Hospital Admissions: Retrospective Quantitative Subanalysis of an Evaluation Study.Interactive journal of medical research · 2024Article
- Variation in general practice referral rate to acute medicine services and association with hospital admission. A retrospective observational study.Family practice · 2023Observational
- How do we identify acute medical admissions that are suitable for same day emergency care?Clinical medicine (London, England) · 2022Review
- Percutaneous coronary intervention and 30-day unplanned readmission with chest pain in the United States (Nationwide Readmissions Database).Clinical cardiology · 2021Article
- The impact of an acute chest pain pathway on the investigation and management of cardiac chest pain.Future healthcare journal · 2020Article
- Cardiac Myosin-Binding Protein C-From Bench to Improved Diagnosis of Acute Myocardial Infarction.Cardiovascular drugs and therapy · 2019Review
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- Article
- Trends and Weekly Cycles in a Large Swiss Emergency Centre: A 10 Year Period at the University Hospital of Bern.International journal of environmental research and public health · 2017Article
- Observational
- Socioeconomic deprivation and accident and emergency attendances: cross-sectional analysis of general practices in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Illness perceptions, negative emotions, and pain in patients with noncardiac chest pain.Journal of clinical psychology in medical settings · 2015Article
- How can socioeconomic inequalities in hospital admissions be explained? A cohort study.BMJ open · 2013Article
- Reduction of pediatric emergency hospital admissions by a change in pediatric emergency department policy.Journal of emergencies, trauma, and shock · 2013Article
- A clinical scoring system in undifferentiated chest pain predicting undetectable troponin concentration.Journal of cardiovascular disease research · 2013Article
- Use of contrast echocardiography in intensive care and at the emergency room.Current cardiology reviews · 2011Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency admission rates have been rising rapidly in Britain. Studies defining the underlying factors are needed.
aimTo determine the principal diagnoses, demographic, and socioeconomic factors associated with emergency medical admissions.
methodCohort study based on the Greater Glasgow Health Board population of 810,423 adults. A fully anonymized dataset linkage of 43,247 adult emergency admissions to Glasgow medical beds in 1997 was obtained. Emergency admission rates were analysed by diagnosis, age, sex, Carstairs' deprivation category, and by individual general practices (after adjustment for other factors).
resultsThe commonest principal diagnoses were chest pain (9.6%), chronic obstructive airways disease (5.6%), angina (5.4%), heart failure (4.1%), and acute myocardial infarction (3.9%). Twenty-one per cent of patients were coded as having 'ill-defined signs or symptoms'. Emergency medical admission rates rose with the age of the patient, doubling with every two decades' age increase. Admission rates for patients from deprived areas were twice those from affluent areas. Males were more frequently admitted than females (adjusted odds ratio = 1.19). After adjustment for age, sex, and deprivation, the general practices' emergency medical admission rates showed an almost twofold difference between the top and bottom deciles.
conclusionEmergency medical admission rates are higher among the elderly, males, and deprived populations. This has implications for equitable resource distribution in the National Health Service. Admissions for exclusion of myocardial disease were common; however, myocardial infarction was not the final diagnosis in two-thirds of these patients. The large variation between the general practices' admission rates requires further investigation.
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10621990PMC1313475What OpenQuestion holds
Registered trials
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