Evidence map›Paper›PMID 33790664›Full record

ArticleOpen access emergency medicine : OAEM2021

Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea.

Torgny Wessman, Rafid Tofik, Thoralph Ruge, Olle Melander

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Article in Open access emergency medicine : OAEM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Torgny WessmanDepartment of Emergency Medicine, Skåne University Hospital, Malmö, Sweden.ORCID 0000-0002-7314-2240
Rafid TofikDepartment of Emergency Medicine, Skåne University Hospital, Malmö, Sweden.
Thoralph RugeDepartment of Emergency Medicine, Skåne University Hospital, Malmö, Sweden.
Olle MelanderDepartment of Clinical Sciences, Lund University, Malmö, Sweden.

Funding

European Research Council 885003
6 · The paper itself

Abstract

backgroundFactors predicting long-term prognosis in patients with acute dyspnea may guide both acute management and follow-up. The aim of this study was to identify socioeconomic and clinical risk factors for all-cause mortality among acute dyspnea patients admitted to an Emergency Department.

methodsWe included 798 patients with acute dyspnea admitted to the ED of Skåne University Hospital, Malmö, Sweden from 2013 to 2016. Exposures were living in the immigrant-dense urban part of Malmö (IDUD), country of birth, annual income, comorbidities, smoking habits, medical triage priority and severity of dyspnea. Mean follow-up time was 2.2 years. Exposures were related to risk of all-cause mortality using Cox proportional hazard model.

resultsDuring follow-up 40% died. In models adjusted for age and gender, low annual income, previous or ongoing smoking, certain comorbidities, high medical triage priority and severe dyspnea were all significantly associated with increased mortality. After adjusting for age, gender and all significant exposures, the lowest quintile of income, ongoing or previous smoking, history of serious infection, anemia, hip fracture, high medical triage priority and severe dyspnea significantly and independently predicted mortality. In contrast, neither country of birth nor living in IDUD predicted a mortality risk.

conclusionApart from several clinical risk factors, low annual income predicts two-year mortality risk in patients with acute dyspnea. This is not the case for country of birth and living in IDUD. Our results underline the wide range of mortality risk factors in acute dyspnea patients. Knowledge of patients' annual income as well as certain clinical features may aid risk stratification and determining the need of follow-up both in hospital and after discharge from an ED.

Indexed as

acute dyspneacomorbidityemergency departmentimmigrantMETTSmortalityrisk factorsmokingsocioeconomic status

Identifiers

PMID33790664
PMCPMC8008092

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