Articles: emergency-department.
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Multicenter Study Observational Study
Early standardized clinical judgement for syncope diagnosis in the emergency department.
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Multicenter Study
Emergency department bounceback characteristics for patients diagnosed with COVID-19.
The global healthcare burden of COVID-19 continues to rise. There is currently limited information regarding the disease progression and the need for hospitalizations in patients who present to the Emergency Department (ED) with minimal or no symptoms. ⋯ COVID-19 patients diagnosed with mild symptoms on initial presentation have a 14.6% rate of bounceback due to progression of illness.
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Multicenter Study
First-to-second antibiotic delay and hospital mortality among emergency department patients with suspected sepsis.
To evaluate whether delay between the first and second antibiotic administered for suspected sepsis is associated with hospital mortality. ⋯ First-to-second antibiotic delay of greater than one hour was associated with an increased risk of hospital death among patients meeting criteria for septic shock but not all patients with suspected sepsis. Tracking and improving first-to-second antibiotic delays may be considered in septic shock.
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Seizures are one of the most common neurological reasons for emergency department (ED) visits. The benefit of ED-initiated, short-course outpatient benzodiazepine (BZD) treatment to prevent early recurrent seizure is unknown. This study assesses the risk of early seizure recurrence in patients who were or were not started with outpatient BZD in the ED. ⋯ BZD therapy was started in 42% of patients who were discharged home after ED visit for a seizure. This treatment was not an independent factor associated with the risk of return visit for seizure recurrence at 30 days.
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Multicenter Study
Predictors of readmission requiring hospitalization after discharge from emergency departments in patients with COVID-19.
Little is known on prevalence of early return hospital admission of subjects with COVID-19 previously evaluated and discharged from emergency departments (EDs). This study aims to describe readmission rate within 14 days of patients with COVID-19 discharged from ED and to identify predictors of return hospital admission. ⋯ Several factors are associated with 14-day return hospital admission in COVID-19 subjects. These should be considered when assessing discharge risk in ED clinical practice.