ArticleTrauma surgery & acute care open2021
Predicting mortality and readmission based on chief complaint in emergency department patients: a cohort study.
Article in Trauma surgery & acute care open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Point-of-care ultrasound improves clinical outcomes in patients with acute onset dyspnea: a systematic review and meta-analysis.Internal and emergency medicine · 2023Pooled it
- Impact of Nurse-Performed Point-of-Care Ultrasound (PoCUS) in Adult Intensive Care: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Diagnostic Value of Fractional Shortening and E-Point Septal Separation in Predicting Left Ventricular Longitudinal Strain in Dyspneic Emergency Patients.Medicina (Kaunas, Lithuania) · 2026Article
- Incident and predictors of 30-day mortality in critically ill patients after admission to the emergency department in the central region of Thailand: a prospective observational study.BMC health services research · 2026Observational
- Inter-rater agreement of respiratory distress observation scale measurement between physicians and nurses in the emergency department.BMC emergency medicine · 2025Observational
- Factors Influencing Mistriage Based on the Korean Triage and Acuity Scale: A Retrospective Cross-Sectional Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Performance of an ultrasound diagnostic algorithm for acute dyspneic patients in the emergency department: an EMERALD-US protocol.BMJ open · 2025Article
- The scope of emergency nursing viewed through the lens of complex adaptive systems: A discussion paper.International journal of nursing studies advances · 2025Review
- Diagnostic value of combined heart and lung ultrasound in emergency department patients with dyspnea.Clinical physiology and functional imaging · 2025Article
- Prognosis of patients with nonspecific electrocardiogram findings in a Tanzanian emergency department.American heart journal · 2025Article
- Dyspnea Management in Patients Presenting to the Emergency Department at Cantonal Hospital Baselland-A Retrospective Observational Study and Medical Audit.Journal of clinical medicine · 2025Article
- Associations between Chest Pain, Diagnosis, and Clinical Outcome in Patients Hospitalized with Acute Dyspnea: Data from the ACE 2 Study.Cardiology · 2025Article
- Decrease of haemoconcentration reliably detects hydrostatic pulmonary oedema in dyspnoeic patients in the emergency department - a machine learning approach.International journal of emergency medicine · 2024Article
- Article
- How does a nursing crisis management intervention impact relatives' experiences in two trauma centres? A time-series study.International journal of nursing studies advances · 2024Article
- Chief complaints and computed tomography results in the emergency department: a three-year retrospective cohort study.BMC emergency medicine · 2024Article
- Estimation of racial and language disparities in pediatric emergency department triage using statistical modeling and natural language processing.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Effect of a Point-of-Care Ultrasound-Driven vs Standard Diagnostic Pathway on 24-Hour Hospital Stay in Emergency Department Patients with Dyspnea-Protocol for A Randomized Controlled Trial.Open access emergency medicine : OAEM · 2024Article
- Acute dyspnea in the emergency department: a clinical review.Internal and emergency medicine · 2023Review
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency department (ED) patients present with complaints and not diagnoses. Characterization and risk stratification based on
methodsIn this cohort study we retrieved routinely collected data from electronic medical records and the Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. Patients with minor injuries were excluded. The chief complaint assigned by the triaging nurse was used as exposure, and 30-day mortality and 30-day readmission were the primary outcomes. Logistic regression was used to determine crude and adjusted ORs with reference to the remaining study population.
resultsA total of 41 470 patients were eligible. After exclusion of minor injuries and patients not triaged, 19 325 patients were included. The 30-day mortality and 30-day readmission differed significantly among the chief complaints. The highest 30-day mortality was observed among patients presenting with altered level of conscousness (ALOC) (8.4%, OR=2.0, 95% CI 1.3 to 3.1) and dyspnea (8.0%, OR=2.1, 95% CI 1.6 to 2.6). 30-day readmission was highest among patients presenting with fever/infection (11.7%, OR=1.9, 95% CI 1.4 to 2.4) and dyspnea (11.2%, OR=1.7, 95% CI 1.4 to 2.0). DISCUSSION: Chief complaint is associated with 30-day mortality and readmission in a mixed ED population. ALOC and dyspnea had the highest mortality; fever/infection and dyspnea had the highest readmission rate. This knowledge may assist in improving and optimizing symptom-based initial diagnostic workup and treatment, and ultimately improve workflow and clinical outcome. LEVEL OF EVIDENCE: Level III.
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