急诊科非特异性主诉与呼吸困难和疼痛的最终诊断结局比较。

Outcomes for Emergency Department Final Diagnosis of Non-specific Complaint compared to Dyspnoea and Pain.

机构信息

MD, Department of Internal Medicine, St James's Hospital, Dublin 8, Ireland.

MD DSc, Department of Internal Medicine, St James's Hospital, Dublin 8, Ireland.

出版信息

Acute Med. 2023;22(4):180-187.

PMID:38284632

Abstract

AIM

To compare outcomes in Emergency Department (ED) final diagnoses of (non-specific complaint) NSC, dyspnoea and pain.

METHODS

We studied all ED final diagnoses of NSC, dyspnoea, and pain over 6 years (2015-2020). Multivariable logistic regression was performed.

RESULTS

There were 49,965 admissions. 30-day in-hospital mortality was significantly lower for pain, 3.0% (95%CI 2.4%, 3.6%), compared to NSC, 4.2% (95%CI 3.8%, 4.7%), and dyspnoea, 4.6% (95%CI 4.2%, 5.0%). NSC did not predict 30-day in-hospital mortality- univariate OR 1.05 (95%CI 0.93, 1.19), multivariable OR 1.07 (95%CI 0.93, 1.23). Comorbidity and Acute Illness Severity Scores demonstrated a curvilinear relationship with 30-day in-hospital mortality.

CONCLUSION

An ED final diagnosis of NSC did not predict 30-day in-hospital mortality.

摘要

目的

比较急诊科（ED）最终诊断中非特异性主诉（NSC）、呼吸困难和疼痛的结局。

方法

我们研究了 6 年来（2015-2020 年）所有 ED 最终诊断为 NSC、呼吸困难和疼痛的患者。进行了多变量逻辑回归分析。

结果

共纳入 49965 例住院患者。30 天院内死亡率在疼痛组显著降低，为 3.0%（95%CI 2.4%，3.6%），与 NSC 组（4.2%，95%CI 3.8%，4.7%）和呼吸困难组（4.6%，95%CI 4.2%，5.0%）相比。NSC 不能预测 30 天院内死亡率-单变量 OR 1.05（95%CI 0.93，1.19），多变量 OR 1.07（95%CI 0.93，1.23）。合并症和急性疾病严重程度评分与 30 天院内死亡率呈曲线关系。