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Characteristics and...
Characteristics and outcomes of patients with dyspnoea as the main symptom, assessed by prehospital emergency nurses- a retrospective observational study
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- Kauppi, Wivica, 1970- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Prehospen, Högteknologisk vård
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- Herlitz, Johan, 1949- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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- Magnusson, Carl, 1976 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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- Palmér, Lina, 1979- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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- Axelsson, Christer (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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(creator_code:org_t)
- 2020-08-28
- 2020
- Engelska.
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Ingår i: Bmc Emergency Medicine. - : Springer Science and Business Media LLC. - 1471-227X. ; 20:1
- Relaterad länk:
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https://bmcemergmed....
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https://doi.org/10.1...
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https://hb.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundDyspnoea (breathing difficulty) is among the most commonly cited reasons for contacting emergency medical services (EMSs). Dyspnoea is caused by several serious underlying medical conditions and, based on patients individual needs and complex illnesses or injuries, ambulance staff are independently responsible for advanced care provision. Few large-scale prehospital studies have reviewed patients with dyspnoea. This study aimed to describe the characteristics and final outcomes of patients whose main symptom was classified as dyspnoea by the prehospital emergency nurse (PEN).MethodsThis retrospective observational study included patients aged >16years whose main symptom was dyspnoea. All the enrolled patients were assessed in the south-western part of Sweden by PENs during January and December, 2017. Of 7260 assignments (9% of all primary missions), 6354 fulfilled the inclusion criteria. Analysis was performed using descriptive statistics, and the tests used were odds ratios and Kaplan-Meier analysis.ResultsThe patients mean age was 73years, and approximately 56% were women. More than 400 different final diagnostic codes (International Statistical Classification of Diseases and Related Health Problems [ICD]-10th edition) were observed, and 11% of the ICD-10 codes denoted time-critical conditions. The three most commonly observed aetiologies were chronic obstructive pulmonary disease (20.4%), pulmonary infection (17.1%), and heart failure (15%). The comorbidity values were high, with 84.4% having previously experienced dyspnoea. The overall 30-day mortality was 11.1%. More than half called EMSs more than 50h after symptom onset.ConclusionsAmong patients assessed by PENs due to dyspnoea as the main symptom there were more than 400 different final diagnoses, of which 11% were regarded as time-critical. These patients had a severe comorbidity and 11% died within the first 30days.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Nyckelord
- Dyspnoea
- Epidemiology
- Aetiology
- Major incidents
- Prevention
- Emergency medical service
- Prehospital emergency nurse
- Ambulance
- acute heart-failure
- atrial-fibrillation
- diagnosis
- management
- mortality
- risk
- pain
- Emergency Medicine
- Dyspnoea
- Människan i vården
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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