Epidemiology, investigation, management, and outcome of headache in emergency departments (HEAD study)—A multinational observational study

2021 ◽  
Author(s):  
Anne Maree Kelly ◽  
Win Sen Kuan ◽  
Kevin H. Chu ◽  
Frances B. Kinnear ◽  
Gerben Keijzers ◽  
...  
Keyword(s):  
Observational Study ◽  
Emergency Departments ◽  
Epidemiology Investigation

scholarly journals Management of Patients With Sepsis in Canadian Community Emergency Departments: A Retrospective Multicenter Observational Study

2020 ◽  
Vol 7 ◽  
pp. 233339282092008
Author(s):  
Victor C. K. Lo ◽  
Haitong Su ◽  
Yuet Ming Lam ◽  
Kathleen Willis ◽  
Virginia Pullar ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Observational Study ◽  
Hospital Mortality ◽  
Emergency Departments ◽  
Lactate Concentration ◽  
Admission Rate ◽  
Multicenter Observational Study ◽  
Icu Admission ◽  
Physician Assessment ◽  
Assessment Time

Background: Sepsis is a life-threatening syndrome and a leading cause of morbidity and mortality representing significant financial burden on the health-care system. Early identification and intervention is crucial to maximizing positive outcomes. We studied a quality improvement initiative with the aim of reviewing the initial management of patients with sepsis in Canadian community emergency departments, to identify areas for improving the delivery of sepsis care. We present a retrospective, multicenter, observational study during 2011 to 2015 in the community setting. Methods: We collected data on baseline characteristics, clinical management metrics (triage-to-physician-assessment time, triage-to-lactate-drawn time, triage-to-antibiotic time, and volume of fluids administered within the first 6 hours of triage), and outcomes (intensive care unit [ICU] admission, in-hospital mortality) from a regional database. Results: A total of 2056 patients were analyzed. The median triage-to-physician-assessment time was 50 minutes (interquartile range [IQR]: 25-104), triage-to-lactate-drawn time was 50 minutes (IQR: 63-94), and triage-to-antibiotics time was 129 minutes (IQR: 70-221). The median total amount of fluid administered within 6 hours of triage was 2.0 L (IQR: 1.5-3.0). The ICU admission rate was 36% and in-hospital mortality was 25%. We also observed a higher ICU admission rate (51% vs 24%) and in-hospital mortality (44% vs 14%) in those with higher lactate concentration (≥4 vs ≤2 mmol/L), independent of other sepsis-related parameters. Conclusion: Time-to-physician-assessment, time-to-lactate-drawn, time-to-antibiotics, and fluid resuscitation in community emergency departments could be improved. Future quality improvement interventions are required to optimize management of patients with sepsis. Elevated lactate concentration was also independently associated with ICU admission rate and in-hospital mortality rate.

An observational study of activities and multitasking performed by clinicians in two Swedish emergency departments

2012 ◽  
Vol 19 (4) ◽  
pp. 246-251 ◽  
Author(s):  
Lena M. Berg ◽  
Anna Ehrenberg ◽  
Jan Florin ◽  
Jan Östergren ◽  
Katarina E. Göransson
Keyword(s):  
Observational Study ◽  
Emergency Departments

scholarly journals Trauma airway management in emergency departments: a multicentre, prospective, observational study in Japan

BMJ Open ◽  
2015 ◽  
Vol 5 (2) ◽  
pp. e006623-e006623 ◽  
Author(s):  
S. Nakao ◽  
A. Kimura ◽  
Y. Hagiwara ◽  
K. Hasegawa ◽  
Keyword(s):  
Observational Study ◽  
Airway Management ◽  
Emergency Departments ◽  
Prospective Observational Study

scholarly journals Correction: Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248879
Author(s):  
Gunnar Husabø ◽  
Roy M. Nilsen ◽  
Hans Flaatten ◽  
Erik Solligård ◽  
Jan C. Frich ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Observational Study ◽  
Emergency Departments ◽  
Time To Treatment
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