ArticleBMC emergency medicine2023
Resuscitation room management of patients with non-traumatic critical illness in the emergency department (OBSERvE-DUS-study).
Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Critical care delivery models in emergency departments: a systematic review of the literature and meta-analysis of related outcome effects.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Pooled it
- [Consensus paper on focused transesophageal echocardiography (fTEE) in clinical acute and emergency medicine : From the Commission for Clinical Cardiovascular Medicine of the DGK in cooperation with the DGINA, DGIIN and DGIM].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Guideline
- Evaluation of the Sensitivity and Specificity of the Modified Moenchengladbach Resuscitation Team Activation (MJournal of clinical medicine · 2026Article
- [The Freiburg concept of the "Neurological Emergency Receiving Team (NERT)" : Concept for structuring of time-critical courses of action for patients with a predominant disability problem with an interdisciplinary and interprofessional emergency team in the nontraumatological resuscitation room].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- Emergency critical care: a blind spot in the upstream phase of critical illness.Critical care (London, England) · 2026Review
- [The importance of the composition and activation of trauma teams].Chirurgie (Heidelberg, Germany) · 2026Article
- Indications, techniques, success rates and complications of emergency airway management in Thuringian emergency departments: a prospective registry analysis.World journal of emergency medicine · 2026Article
- Clinical frailty score for hospital outcome for patients aged ≥ 75 following emergency department resuscitation room admission: a retrospective monocenter study.Internal and emergency medicine · 2026Article
- OSCARinED: a policy and practice review of an emergency department-based critical care framework for critically ill non-trauma patients.Frontiers in medicine · 2026Article
- Acidosis as a promising early indicator of mortality among point-of-care parameters and vital signs in non-traumatic critically ill patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- [Initial diagnosis and treatment of shock].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- [Indications and success rate of endotracheal emergency intubation in clinical acute and emergency medicine].Die Anaesthesiologie · 2024Article
- [End-of-life care in the emergency department-Indications for admission and spectrum of care-State of the art].Die Anaesthesiologie · 2024Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies address the care of critically ill non-traumatic patients in the emergency department (ED). The aim of this study was to assess the epidemiology, management, and outcome of these patients.
methodsIn this retrospective study, we identified and analyzed data from all consecutive adult critically ill non-traumatic ED patients treated from March 2018 to February 2019. Patient characteristics, major complaint leading to admission, out-of-hospital, and in-hospital interventions and 30-day mortality were extracted from medical records of the electronic patient data management system.
resultsDuring the study period, we analyzed 40,764 patients admitted to the ED. Of these, 621 (1.5%) critically ill non-traumatic patients were admitted for life-threatening emergencies to the resuscitation room (age: 70 ± 16 years, 52% male). Leading problem on admission was disability/unconsciousness (D), shock (C), respiratory failure (B), airway obstruction (A), and environment problems (E) in 41%, 31%, 25%, 2%, and 1%, respectively. Out-of-hospital and in-hospital measures included: intravenous access (61% vs. 99%), 12-lead ECG (55% vs. 87%), invasive airway management (21% vs. 34%) invasive ventilation (21% vs. 34%), catecholamines (9% vs. 30%), arterial access (0% vs. 52%), and cardiopulmonary resuscitation (11% vs. 6%). The underlying diagnoses were mainly neurological (29%), followed by cardiological (28%), and pulmonological (20%) emergencies. The mean length of stay (LOS) in the resuscitation room and ED was 123 ± 122 and 415 ± 479 min, respectively. The 30-day mortality was 18.5%.
conclusionThe data describe the care of critically ill non-traumatic patients in the resuscitation room. Based on these data, algorithms for the structured care of critically ill non-traumatic patients need to be developed.
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