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

R Conway; D Byrne; D O'Riordan; B Silke

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

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

Authors

R Conway¹, D Byrne¹, D O'Riordan¹, B Silke²

Affiliations

¹ MD, Department of Internal Medicine, St James's Hospital, Dublin 8, Ireland.
² MD DSc, Department of Internal Medicine, St James's Hospital, Dublin 8, Ireland.

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.

MeSH terms

Chest Pain / diagnosis
Comorbidity
Dyspnea / diagnosis
Dyspnea / etiology
Emergency Service, Hospital*
Hospitalization*
Humans
Retrospective Studies