ArticleThe western journal of emergency medicine2022
Chief Complaints, Underlying Diagnoses, and Mortality in Adult, Non-trauma Emergency Department Visits: A Population-based, Multicenter Cohort Study.
Article in The western journal of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomised, controlled trial.Emergency medicine journal : EMJ · 2023Trial
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- Evidence-based Medicine Questions Logged by Emergency Medicine Residents On Shift in Relation to American Board of Emergency Medicine Content Areas.The western journal of emergency medicine · 2026Article
- Factors Associated With 72-Hour Emergency Department Revisits at a Tertiary Care Hospital in Saudi Arabia.Cureus · 2026Article
- Incidence and outcomes of patients admitted to emergency departments with urinary tract infections in Denmark: a retrospective cohort study.Annals of medicine · 2025Article
- Developing a Clear and New Definition of Non-specific Abdominal Pain for the Identification of Rare Diseases.Cureus · 2025Article
- Article
- Accuracy of Prospective Assessments of 4 Large Language Model Chatbot Responses to Patient Questions About Emergency Care: Experimental Comparative Study.Journal of medical Internet research · 2024Article
- Emergency Call versus General Practitioner Requested Ambulances - Patient Mortality, Disease Severity and Pattern.Clinical epidemiology · 2024Article
- Article
- Article
- Critically deviating vital signs among patients with non-specific diagnoses-A register-based historic cohort study.PloS one · 2023Article
- Factors that contribute to non-urgent utilization of emergency services in the Eastern Province of Saudi Arabia.Journal of family & community medicineArticle
- Association of Presenting Complaint at Triage with 72-h Mortality and Intensive Care Admission.Journal of emergencies, trauma, and shockArticle
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionKnowledge about the relationship between symptoms, diagnoses, and mortality in emergency department (ED) patients is essential for the emergency physician to optimize treatment, monitoring, and flow. In this study, we investigated the association between symptoms and discharge diagnoses; symptoms and mortality; and we then analyzed whether the association between symptoms and mortality was influenced by other risk factors.
methodsThis was a population-based, multicenter cohort study of all non-trauma ED patients ≥18 years who presented at a hospital in the Region of Southern Denmark between January 1, 2016-March 20, 2018. We used multivariable logistic regression to examine the association between symptoms and mortality adjusted for other risk factors.
resultsWe included 223,612 ED visits with a median patient age of 63 and even distribution of females and males. The frequency of the chief complaints at presentation were as follows: non-specific symptoms (19%); abdominal pain (16%); dyspnea (12%); fever (8%); chest pain (8%); and neurologic complaints (7%). Discharge diagnoses were symptom-based (24%), observational (hospital visit for observation or examination, 17%), circulatory (12%), or respiratory (12%). The overall 30-day mortality was 3.5%, with 1.7% dead within 0-7 days and 1.8% within 8-30 days. The presenting symptom was associated with mortality at 0-7 days but not with mortality at 8-30 days. Patients whose charts were missing documentation of symptoms (adjusted odds ratio [aOR] 3.5) and dyspneic patients (aOR 2.4) had the highest mortality at 0-7 days across patients with different primary symptoms. Patients ≥80 years and patients with a higher degree of comorbidity had increased mortality from 0-7 days to 8-30 days (aOR from 24.0 to 42.7 and 1.9 to 2.8, respectively).
conclusionShort-term mortality was more strongly associated with patient-related factors than with the primary presenting symptom at arrival to the hospital.
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