ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2018
[Standardized collection of presenting complaints in the emergency room : Integration of coded presenting complaints into the electronic medical record system of an emergency department and their value for health care research].
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed.
- [Structured triage in the emergency department via intelligent assistant service OPTINOFA : Results of a multicenter, cluster-randomized and controlled interventional study in Germany].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Trial
- [Orthopedics and trauma surgery in German emergency departments : Evaluation from the AKTIN emergency department registry].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- [OPTINOFA-Intelligent assistance service for structured assessment in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Evaluation of an Automated Decision Aid for the Further Referral of Emergency Room Patients—A Prospective Cohort Study.Deutsches Arzteblatt international · 2024Article
- External Validation of the SMART Medical Clearance Form for Emergency Patients With Psychiatric Manifestations.Deutsches Arzteblatt international · 2024Observational
- Assessment of Patient Matters in Healthcare Facilities.Healthcare (Basel, Switzerland) · 2024Article
- Regional Anesthesia for Acute Pain Treatment in Pre-Hospital and In-Hospital Emergency Medicine.Deutsches Arzteblatt international · 2023Review
- [The way to routine data from 16 emergency departments for cross-sectoral health services research : Experiences, challenges and solution approaches from the extraction of pseudonymous data for the INDEED project].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- Hospital Emergency Departments—Utilization and Resource Deployment in the Hospital as a Function of the Type of ReferralDeutsches Arzteblatt international · 2022Article
- [AKTIN - The German Emergency Department Data Registry - real-time data from emergency medicine : Implementation and first results from 15 emergency departments with focus on Federal Joint Committee's guidelines on acuity assessment].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- [Using emergency department routine data for the surveillance of suicide attempts and psychiatric emergencies].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- [Disease spectrum among guests and staff of an international luxury beach resort in the tropics].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Article
- [Even low-acuity patients prefer hospital-based emergency care : A survey of non-urgent patients in an emergency department with unique regional position].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Article
- Article
- Medical Emergencies During the COVID-19 Pandemic.Deutsches Arzteblatt international · 2020Article
- [Older emergency patients in the emergency department : A key performance indicator analysis based on the DIVI emergency department protocol].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Observational
- [Routine Data from Emergency Departments: Varying Documentation Standards, Billing Modalities and Data Custodians at an Identical Unit of Care].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2020Article
- The way from pen and paper to electronic documentation in a German emergency department.BMC health services research · 2019Article
- [Teledermatology for emergency patient care : Two-year experience with teledermatological emergency care].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2019Review
- [Restructuring of inpatient emergency treatment : What will change?]Der Anaesthesist · 2019Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe point of entry of a patient in emergency care is a symptom or a complaint. To evaluate subsequent processes in an emergency department until a diagnosis is made, this information has to be taken into account.
objectivesWe report the introduction of coded presenting complaints into the electronic medical record system of an emergency department and describe the patients based on these data.
methodsThe CEDIS presenting complaint list was integrated into the emergency department information system of an emergency department (38,000 patients/year). After 8 months, we performed an exploratory analysis of the most common presenting complaints. Furthermore, we identified the most frequent diagnoses for presenting complaint "shortness of breath" and the most frequent presenting complaints for the diagnosis of sepsis.
resultsAfter implementing the presenting complaint list, a presenting complaint code was assigned to each patient. In our sample (26,330 cases), "extremity pain and injury" comprised the largest group of patients (29.5%). "Chest pain-cardiac features" (3.7%) and "extremity weakness/symptoms of cerebrovascular accident" (2.4%) were the main cardiac and neurologic complaints, respectively. They were mostly triaged as urgent (>80%) and hospitalized in critical care units (>50%). The main diagnosis for presenting complaint "shortness of breath" was heart failure (25.1%), while the main presenting complaint for the diagnosis sepsis was "shortness of breath" (18.1%).
conclusionsContaining 171 presenting complaints, this classification was implemented successfully without providing extensive staff training. The documentation of coded presenting complaints enables symptom-based analysis of the health care provided in emergency departments.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.