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Search: id:"swepub:oai:DiVA.org:oru-98530" > Pathways to the eme...

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  • Henricson, JoakimLinköpings universitet,Linköping University,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, Akutkliniken i Linköping (author)

Pathways to the emergency department : a national, cross-sectional study in Sweden

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-04-07
  • BioMed Central,2022
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:oru-98530
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-98530URI
  • https://doi.org/10.1186/s12873-022-00619-3DOI
  • https://lup.lub.lu.se/record/99462d81-dd54-4109-bfe4-b755c28d60ccURI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-184563URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

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  • Funding agency:Linköping University
  • Funding Agencies|Linkoping University; Region Ostergotland [LIO-532001, LIO-700271]; Swedish Research Council (VR)Swedish Research Council [2019-00198]
  • BACKGROUND: Swedish Emergency Departments (EDs) see 2.6 million visits annually. Sweden has a strong tradition of health care databases, but information on patients' pathways to the ED is not documented in any registry. The aim of this study was to provide a national overview of pathways, degree of medical acuteness according to triage, chief complaints, and hospital admission rates for adult patients (≥18 years) visiting Swedish EDs during 24 h.METHODS: A national cross-sectional study including all patients at 43 of Sweden's 72 EDs during 24 h on April 25th, 2018. Pathway to the ED, medical acuteness at triage, admission and basic demographics were registered by dedicated assessors present at every ED for the duration of the study. Descriptive data are reported.RESULTS: A total of 3875 adult patients (median age 59; range 18 to 107; 50% men) were included in the study. Complete data for pathway to the ED was reported for 3693 patients (98%). The most common pathway was self-referred walk-in (n = 1310; 34%), followed by ambulance (n = 920; 24%), referral from a general practitioner (n = 497; 1 3%), and telephone referral by the national medical helpline "1177" (n = 409; 10%). In patients 18 to 64 years, self-referred walk-in was most common, whereas transport by ambulance dominated in patients > 64 years. Of the 3365 patients who received a medical acuteness level at triage, 4% were classified as Red (Immediate), 18% as Orange (very urgent), 47% as Yellow (Urgent), 26% as Green (Standard), and 5% as Blue (Non-Urgent). Abdominal or chest pain were the most common chief complaints representing approximately 1/3 of all presentations. Overall, the admission rate was 27%. Arrival by ambulance was associated with the highest rate of admission (53%), whereas walk-in patients and telephone referrals were less often admitted.CONCLUSION: Self-referred walk-in was the overall most common pathway followed by ambulance. Patients arriving by ambulance were often elderly, critically ill and often admitted to in-patient care, whereas arrival by self-referred walk-in was more common in younger patients.

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  • Ekelund, UlfLund University,Lunds universitet,Akutsjukvård,Forskargrupper vid Lunds universitet,Emergency medicine,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden(Swepub:lu)mphy-uek (author)
  • Hartman, JensLinköpings universitet,Linköping University,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten(Swepub:liu)jenha08 (author)
  • Ziegler, BrunoDepartment of Emergency Medicine Örebro University Hospital, Örebro, Sweden; Örebro University, Örebro, Sweden,Orebro Univ, Sweden (author)
  • Kurland, Lisa,1960-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Emergency Medicine Örebro University Hospital, Örebro, Sweden,Orebro Univ, Sweden(Swepub:oru)lkd (author)
  • Wilhelms, DanielLinköpings universitet,Linköping University,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, Akutkliniken i Linköping(Swepub:liu)danbj96 (author)
  • Linköping UniversityAvdelningen för klinisk kemi och farmakologi (creator_code:org_t)

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  • In:BMC Emergency Medicine: BioMed Central22:11471-227X

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