ArticleScandinavian journal of trauma, resuscitation and emergency medicine2016
Shock in the emergency department; a 12 year population based cohort study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Inter-clinician diagnostic agreement of shock etiology: a multicenter observational study.Health information science and systems · 2026Article
- Impact of early albumin therapy on 28-day survival in ICU patients with septic shock concurrent hypoalbuminemia: a retrospective analysis of combined clinical datasets.World journal of emergency medicine · 2026Article
- Article
- The Outcomes of the Initial Misclassification of Undifferentiated Hypotension in the Emergency Department: A Prospective Observational Study.Journal of clinical medicine · 2024Article
- The physiological basis for individualized oxygenation targets in critically ill patients with circulatory shock.Intensive care medicine experimental · 2024Review
- Point of Care Ultrasonographic Life Support in Emergency (PULSE)-a quasi-experimental study.International journal of emergency medicine · 2023Article
- Article
- Review
- Point-of-care ultrasound induced changes in management of unselected patients in the emergency department - a prospective single-blinded observational trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Observational
- Calibrated cardiac output monitoring versus standard care for fluid management in the shocked ICU patient: a pilot randomised controlled trial.Journal of intensive care · 2019Article
- Etiology of Shock in the Emergency Department: A 12-Year Population-Based Cohort Study.Shock (Augusta, Ga.) · 2019Observational
- Prevalence and prognosis of acutely ill patients with organ failure at arrival to hospital: protocol for a systematic review.Systematic reviews · 2017Article
- Erratum to: Shock in the emergency department; a 12 year population based cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- The utility of monitoring end-tidal carbon dioxide in emergency department to predict inhospital mortality of patients presenting with nontraumatic shock: A prospective observational study.Turkish journal of emergency medicineArticle
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe knowledge of the frequency and associated mortality of shock in the emergency department (ED) is limited. The aim of this study was to describe the incidence, all-cause mortality and factors associated with death among patients suffering shock in the ED.
methodsPopulation-based cohort study at an University Hospital ED in Denmark from January 1, 2000, to December 31, 2011. All patients aged ≥18 years living in the hospital catchment area with a first time ED presentation with shock (n = 1646) defined as hypotension (systolic blood pressure (SBP) ≤100 mmHg)) and ≥1 organ failures. Outcomes were annual incidence per 100,000 person-years at risk (pyar), all-cause mortality at 0-7, and 8-90 days and risk factors associated with death.
resultsWe identified 1646 of 438,191 (0.4 %) ED patients with shock at arrival. Incidence of shock increased from 53.8 to 80.6 cases per 100,000 pyar. The 7-day, and 90-day mortality was 23.1 % (95 % CI: 21.1-25.1) and 40.7 % (95 % CI: 38.3-43.1), respectively. Independent predictors of 7-day mortality were: age (adjusted HR 1.03 (95 % CI: 1.03-1.04), and number of organ failures (≥3 organ failures; adjusted HR 3.13 95 % CI: 2.28-4.30). Age, comorbidity level and number of organ failure were associated with 90-day mortality.
conclusionShock is a frequent and critical finding in the ED, carrying a 7- and, 90- day mortality of 23.1 and 40.7 %, respectively. Age and number of organ failures are independent prognostic factors for death within 7 days, whereas age, comorbidity and organ failures are of significance within 8-90 days.
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