Increasing incidence of hypotension in the emergency department; a 12 year population-based cohort study.

Abstract:

BACKGROUND:The epidemiology of hypotension as presenting symptom among patients in the Emergency Department (ED) is not clarified. The aim of this study was to describe the incidence, etiology, and overall mortality of hypotensive patients in the ED. METHODS:Population-based cohort study at an University Hospital ED in Denmark from January 1, 2000, to December 31, 2011. Patients aged ≥18 years living in the hospital catchment area with a first time presentation to the ED with hypotension (systolic blood pressure (SBP) ≤100 mm Hg) were included. Outcomes were annual incidence rates (IRs) per 100,000 person years at risk (pyar) and etiological characteristics by means of the International Classification of Diseases, Tenth Revision (ICD-10), as well as 7-day, 30-day, and 90-day all-cause mortality. RESULTS:We identified 3,268 of 438,198 (1 %) cases with a mean overall IR of 125/100,000 pyar (95% CI: 121-130). The IR increased 28% during the period (from 113 to 152 cases per 100,000 pyar). Patients ≥65 years had the highest IR compared to age <65 years (rate ratio for men 6.3 (95% CI: 5.6-7.1) and for women 4.2 (95% CI: 3.6-4.9)). The etiology was highly diversified with trauma (17%) and cardiovascular diseases (15%) as the most common. The overall 7-day, 30-day and 90-day mortality rates were 15% (95% CI: 14-16), 22 % (95% CI: 21-24) and 28% (95% CI: 27-30) respectively. CONCLUSION:During 2000-2011 the overall incidence of ED hypotension increased and remained highest among the elderly with a diversified etiology and a 90-day all-cause mortality of 28%.

authors

Holler JG,Henriksen DP,Mikkelsen S,Pedersen C,Lassen AT

doi

10.1186/s13049-016-0209-4

subject

Has Abstract

pub_date

2016-03-02 00:00:00

pages

20

issn

1757-7241

pii

10.1186/s13049-016-0209-4

journal_volume

24

pub_type

杂志文章
  • Vascular relaxation of canine visceral arteries after ischemia by means of supraceliac aortic cross-clamping followed by reperfusion.

    abstract:BACKGROUND:The supraceliac aortic cross-clamping can be an option to save patients with hipovolemic shock due to abdominal trauma. However, this maneuver is associated with ischemia/reperfusion (I/R) injury strongly related to oxidative stress and reduction of nitric oxide bioavailability. Moreover, several studies dem...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/1757-7241-18-41

    authors: Ciscato JG Jr,Capellini VK,Celotto AC,Baldo CF,Joviliano EE,Evora PR,Dalio MB,Piccinato CE

    更新日期:2010-07-19 00:00:00

  • Head-to-head comparison of qSOFA and SIRS criteria in predicting the mortality of infected patients in the emergency department: a meta-analysis.

    abstract:BACKGROUND:Recently, the concept of sepsis was redefined by an international task force. This international task force of experts recommended using the quick Sequential Organ Failure Assessment (qSOFA) criteria instead of the systemic inflammatory response syndrome (SIRS) criteria to classify patients at high risk for ...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/s13049-018-0527-9

    authors: Jiang J,Yang J,Mei J,Jin Y,Lu Y

    更新日期:2018-07-11 00:00:00

  • Management of upper gastrointestinal bleeding in emergency departments, from bleeding symptoms to diagnosis: a prospective, multicenter, observational study.

    abstract:BACKGROUND:Upper gastrointestinal bleeding (UGB) is common in emergency departments (EDs) and can be caused by many eso-gastro-duodenal lesions. Most available epidemiological data and data on the management of UGB comes from specialized departments (intensive care units or gastroenterology departments), but little is ...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s13049-017-0425-6

    authors: Thiebaud PC,Yordanov Y,Galimard JE,Raynal PA,Beaune S,Jacquin L,Ageron FX,Pateron D,Initiatives de Recherche aux Urgences Group.

    更新日期:2017-08-14 00:00:00

  • Hypoglycaemia without diabetes encountered by emergency medical services: a retrospective cohort study.

    abstract:BACKGROUND:The current study investigates the incidence, aetiology, and outcome of hypoglycaemia of patients without diabetes in the EMS. METHODS:The study was a retrospective cohort study that utilized electronic EMS patient record system (population of one million). All patients encountered by EMS with plasma glucos...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-018-0480-7

    authors: Vihonen H,Kuisma M,Nurmi J

    更新日期:2018-02-01 00:00:00

  • Time needed to achieve completeness and accuracy in bedside lung ultrasound reporting in intensive care unit.

    abstract:BACKGROUND:The use of lung ultrasound (LUS) in ICU is increasing but ultrasonographic patterns of lung are often difficult to quantify by different operators. The aim of this study was to evaluate the accuracy and quality of LUS reporting after the introduction of a standardized electronic recording sheet. METHODS:Int...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/1757-7241-18-44

    authors: Tutino L,Cianchi G,Barbani F,Batacchi S,Cammelli R,Peris A

    更新日期:2010-08-12 00:00:00

  • Traumatic cardiac arrest in Sweden 1990-2016 - a population-based national cohort study.

    abstract:BACKGROUND:Trauma is a main cause of death among young adults worldwide. Patients experiencing a traumatic cardiac arrest (TCA) certainly have a poor prognosis but population-based studies are sparse. Primarily to describe characteristics and 30-day survival following a TCA as compared with a medical out-of-hospital ca...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-018-0500-7

    authors: Djarv T,Axelsson C,Herlitz J,Stromsoe A,Israelsson J,Claesson A

    更新日期:2018-04-23 00:00:00

  • Mechanical chest compressions in the coronary catheterization laboratory - do not hesitate to go step further!

    abstract::Authors Wagner et al. in your journal demonstrated effectiveness of mechanical chest compressions in the coronary catheterization laboratory to facilitate coronary intervention and survival in patients requiring prolonged resuscitation efforts. We dare to comment on this article and advocate to use mechanical chest co...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 信件

    doi:10.1186/s13049-016-0293-5

    authors: Bělohlávek J,Kovárník T

    更新日期:2016-08-17 00:00:00

  • Patient experience of severe acute dyspnoea and relief during treatment in ambulances: a prospective observational study.

    abstract:BACKGROUND:Acute dyspnoea is common among ambulance patients, but little is known of the patients' experience of symptom. We aimed to investigate ambulance patients initial perceived intensity of acute dyspnoea, and whether they experienced relief during prehospital treatment. Furthermore, to investigate the validity a...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-020-0715-2

    authors: Lindskou TA,Weinreich UM,Lübcke K,Kløjgaard TA,Laursen BS,Mikkelsen S,Christensen EF

    更新日期:2020-04-03 00:00:00

  • Swedish-Norwegian co-operation in the treatment of three hypothermia victims: a case report.

    abstract:BACKGROUND:Accidental hypothermia with cardiac arrest represents a challenge for pre-hospital rescuers as well as in-hospital staff. For pre-hospital personnel, the main focus is to get the patient to the correct destination without unnecessary delay. For in-hospital personnel early information is vital to assess the p...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-017-0418-5

    authors: Carlsen AW,Skjaervold NK,Berg NJ,Karlsen Ø,Gunnarson E,Wahba A

    更新日期:2017-07-17 00:00:00

  • Therapeutic management of severe hypothermia with veno-arterial ECMO: where do we stand? Case report and review of the current literature.

    abstract:BACKGROUND:Severe accidental hypothermia is associated with high morbidity and mortality. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) provides an efficient rewarming method with complete cardiopulmonary support. The use of VA-ECMO for this indication has greatly improved the vital and functional prognos...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s13049-020-00723-y

    authors: Ledoux A,Saint Leger P

    更新日期:2020-04-21 00:00:00

  • Inter-hospital transfer: the crux of the trauma system, a curse for trauma registries.

    abstract::The inter-hospital transfer of patients is crucial to a well functioning trauma system, and the transfer process may serve as a quality indicator for regional trauma care. However, the assessment of the transfer process requires high-quality data from various sources. Prospective studies and studies based on single-ce...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 社论

    doi:10.1186/1757-7241-18-15

    authors: Lossius HM,Kristiansen T,Ringdal KG,Rehn M

    更新日期:2010-03-16 00:00:00

  • Solo emergency care by a physician assistant versus an ambulance nurse: a cross-sectional document study.

    abstract:BACKGROUND:This study compares the assessment, treatment, referral, and follow up contact with the dispatch centre of emergency patients treated by two types of solo emergency care providers in ambulance emergency medical services (EMS) in the Netherlands: the physician assistant (PA), educated in the medical domain, a...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-016-0279-3

    authors: Bloemhoff A,Schoonhoven L,de Kreek AJ,van Grunsven PM,Laurant MG,Berben SA

    更新日期:2016-06-29 00:00:00

  • Resuscitative endovascular balloon occlusion of the aorta for uncontrolled haemorrahgic shock as an adjunct to haemostatic procedures in the acute care setting.

    abstract:BACKGROUND:Haemorrhagic shock is a major cause of death in the acute care setting. Since 2009, our emergency department has used intra-aortic balloon occlusion (IABO) catheters for resuscitative endovascular balloon occlusion of the aorta (REBOA). METHODS:REBOA procedures were performed by one or two trained acute car...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-016-0205-8

    authors: Tsurukiri J,Akamine I,Sato T,Sakurai M,Okumura E,Moriya M,Yamanaka H,Ohta S

    更新日期:2016-02-09 00:00:00

  • Teamwork skills, shared mental models, and performance in simulated trauma teams: an independent group design.

    abstract:BACKGROUND:Non-technical skills are seen as an important contributor to reducing adverse events and improving medical management in healthcare teams. Previous research on the effectiveness of teams has suggested that shared mental models facilitate coordination and team performance. The purpose of the study was to inve...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/1757-7241-18-47

    authors: Westli HK,Johnsen BH,Eid J,Rasten I,Brattebø G

    更新日期:2010-08-31 00:00:00

  • Implementation of recommended trauma system criteria in south-eastern Norway: a cross-sectional hospital survey.

    abstract:BACKGROUND:Formalized trauma systems have shown beneficial effects on patient survival and have harvested great recognition among health care professionals. In spite of this, the implementation of trauma systems is challenging and often met with resistance.Recommendations for a national trauma system in Norway were pub...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/1757-7241-20-5

    authors: Kristiansen T,Ringdal KG,Skotheimsvik T,Salthammer HK,Gaarder C,Naess PA,Lossius HM

    更新日期:2012-01-26 00:00:00

  • Effect of dextran-70 on outcome in severe sepsis; a propensity-score matching study.

    abstract:BACKGROUND:Albumin may be beneficial in patients with septic shock but availability is limited and cost is high. The objective of the present study was to investigate if the use of dextran-70 in addition to albumin and crystalloids influences organ failure or mortality in patients with severe sepsis or septic shock. M...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-017-0413-x

    authors: Bentzer P,Broman M,Kander T

    更新日期:2017-07-06 00:00:00

  • The role of general practitioners in the pre hospital setting, as experienced by emergency medicine technicians: a qualitative study.

    abstract:BACKGROUND:Together with the ambulances staffed with emergency medical technicians (EMTs), general practitioners (GPs) on call are the primary resources for handling emergencies outside hospitals in Norway. The benefit of the GP accompanying the ambulance to pre-hospital calls is a matter of controversy in Norway. The ...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-014-0047-1

    authors: Hjortdahl M,Zakariassen E,Wisborg T

    更新日期:2014-08-22 00:00:00

  • Pre-hospital extra-corporeal cardiopulmonary resuscitation.

    abstract::Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extra-corporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest co...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s13049-018-0489-y

    authors: Singer B,Reynolds JC,Lockey DJ,O'Brien B

    更新日期:2018-03-27 00:00:00

  • Anaesthetist-provided pre-hospital advanced airway management in children: a descriptive study.

    abstract:BACKGROUND:Pre-hospital advanced airway management has been named one of the top-five research priorities in physician-provided pre-hospital critical care. Few studies have been made on paediatric pre-hospital advanced airway management. The aim of this study was to investigate pre-hospital endotracheal intubation succ...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-015-0140-0

    authors: Tarpgaard M,Hansen TM,Rognås L

    更新日期:2015-08-27 00:00:00

  • Innovations to reduce demand and crowding in emergency care; a review study.

    abstract::Emergency Department demand continues to rise in almost all high-income countries, including those with universal coverage and a strong primary care network. Many of these countries have been experimenting with innovative methods to stem demand for acute care, while at the same time providing much needed services that...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s13049-014-0055-1

    authors: Mason S,Mountain G,Turner J,Arain M,Revue E,Weber EJ

    更新日期:2014-09-11 00:00:00

  • Effect and accuracy of emergency dispatch telephone guidance to bystanders in trauma: post-hoc analysis of a prospective observational study.

    abstract:BACKGROUND:Emergency medical communication centres (EMCCs) dispatch and allocate ambulance resources, and provide first-aid guidance to on-scene bystanders. We aimed to 1) evaluate whether dispatcher guidance improved bystander first aid in trauma, and 2) to evaluate whether dispatchers and on-scene emergency medical s...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-016-0343-z

    authors: Bakke HK,Steinvik T,Ruud H,Wisborg T

    更新日期:2017-03-07 00:00:00

  • Factors correlating with delayed trauma center admission following traumatic brain injury.

    abstract:BACKGROUND:Delayed admission to appropriate care has been shown increase mortality following traumatic brain injury (TBI). We investigated factors associated with delayed admission to a hospital with neurosurgical expertise in a cohort of TBI patients in the intensive care unit (ICU). METHODS:A retrospective analysis ...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/1757-7241-21-67

    authors: Raj R,Siironen J,Kivisaari R,Kuisma M,Brinck T,Lappalainen J,Skrifvars MB

    更新日期:2013-09-10 00:00:00

  • Time course of soluble P-selectin and von Willebrand factor levels in trauma patients: a prospective observational study.

    abstract:BACKGROUND:Coagulopathy often develops in patients with serious trauma and is correlated with the clinical outcome. The contribution of platelet activity and endothelial dysfunction to trauma-induced coagulopathy remain to be defined. The purpose of this study was to investigate the time courses of soluble P-selectin (...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/1757-7241-21-70

    authors: Tang N,Yin S,Sun Z,Pan Y

    更新日期:2013-09-14 00:00:00

  • Effect of regulating airway pressure on intrathoracic pressure and vital organ perfusion pressure during cardiopulmonary resuscitation: a non-randomized interventional cross-over study.

    abstract:BACKGROUND:The objective of this investigation was to evaluate changes in intrathoracic pressure (Ppl), airway pressure (Paw) and vital organ perfusion pressures during standard and intrathoracic pressure regulation (IPR)-assisted cardiopulmonary resuscitation (CPR). METHODS:Multiple CPR interventions were assessed, i...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-015-0164-5

    authors: Kwon Y,Debaty G,Puertas L,Metzger A,Rees J,McKnite S,Yannopoulos D,Lurie K

    更新日期:2015-10-28 00:00:00

  • Review of 14 drowning publications based on the Utstein style for drowning.

    abstract:BACKGROUND:The Utstein style for drowning (USFD) was published in 2003 with the aim of improving drowning research. To support a revision of the USFD, the current study aimed to generate an inventory of the use of the USFD parameters and compare the findings of the publications that have used the USFD. METHODS:A searc...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s13049-018-0488-z

    authors: Venema AM,Absalom AR,Idris AH,Bierens JJLM

    更新日期:2018-03-22 00:00:00

  • Nitrous oxide/oxygen plus acetaminophen versus morphine in ST elevation myocardial infarction: open-label, cluster-randomized, non-inferiority study.

    abstract:BACKGROUND:Studies have shown disparate results on the consequences of morphine use in ST-segment elevation myocardial infarction (STEMI). No study has evaluated alternative treatments that could be at least non-inferior to morphine without its potentially damaging consequences for myocardial function and platelet reac...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s13049-020-00731-y

    authors: Charpentier S,Galinski M,Bounes V,Ricard-Hibon A,El-Khoury C,Elbaz M,Ageron FX,Manzo-Silberman S,Soulat L,Lapostolle F,Gérard A,Bregeaud D,Bongard V,Bonnefoy-Cudraz E,SCADOL II investigators.

    更新日期:2020-05-12 00:00:00

  • Presentations to an urban emergency department in Bern, Switzerland associated with acute recreational drug toxicity.

    abstract:BACKGROUND:Although the recreational use of psychoactive substances is common there is only limited systematic collection of data on acute drug toxicity or hospital presentations. Currently, data from Switzerland are only available from the University Hospital of Basel. The present study aimed to describe the presentat...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-017-0369-x

    authors: Liakoni E,Müller S,Stoller A,Ricklin M,Liechti ME,Exadaktylos AK

    更新日期:2017-03-07 00:00:00

  • Conducting a conventional multi-casualty incident in COVID-19 personal protective equipment - a semi-structured interview.

    abstract:BACKGROUND:The risk of COVID-19 transmission to healthcare professionals is likely to continue for the foreseeable future. The wearing of personal protective equipment (PPE) presents a number of potential challenges to responders that may impact upon the management of patients in a multi-casualty incident. This report ...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-021-00838-w

    authors: Raitt J,Watts B,Rayet J,Hodkinson M,Zideman D

    更新日期:2021-01-27 00:00:00

  • Selection of patients with severe pelvic fracture for early angiography remains controversial.

    abstract:BACKGROUND:Patients with severe pelvic fractures represent about 3% of all skeletal fractures. Hemodynamic compromise in unstable pelvic fractures is associated with arterial hemorrhage in less than 20% of patients. Angiography is an important tool in the management of severe pelvic injury, but indications and timing f...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/1757-7241-17-62

    authors: Jeroukhimov I,Ashkenazi I,Kessel B,Gaziants V,Peer A,Altshuler A,Nesterenko V,Alfici R,Halevy A

    更新日期:2009-11-29 00:00:00

  • Monitoring of in-hospital cardiac arrest events with the focus on Automated External Defibrillators--a retrospective observational study.

    abstract:BACKGROUND:Patients with cardiac arrest have lower survival rates, when resuscitation performance is low. In In-hospital settings the first responders on scene are usually nursing staff without rhythm analysing skills. In such cases Automated External Defibrillators (AED) might help guiding resuscitation performance. A...

    journal_title:Scandinavian journal of trauma, resuscitation and emergency medicine

    pub_type: 杂志文章

    doi:10.1186/s13049-015-0170-7

    authors: Wurmb T,Vollmer T,Sefrin P,Kraus M,Happel O,Wunder C,Steinisch A,Roewer N,Maier S

    更新日期:2015-10-31 00:00:00