Articles: emergency-services.
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Scand J Trauma Resus · Nov 2017
Observational StudyThe effect on the patient flow in local health care services after closing a suburban primary care emergency department: a controlled longitudinal follow-up study.
It has not been studied what happens to patient flow to EDs and other parts of local health care system if distances to ED services are manipulated as a part of health policy in urban areas. ⋯ Manipulating distances to ED services can be used to direct patient flows to different parts of the health care system. The correlation between distance to ED and the tendency to use ED by inhabitants is negative. If secondary care ED was available there were no life-threatening side-effects at the level of general public health when a minor ED was closed in a primary care ED system.
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Multicenter Study
Predicting 30-Day Mortality for Patients With Acute Heart Failure in the Emergency Department: A Cohort Study.
Physicians in the emergency department (ED) need additional tools to stratify patients with acute heart failure (AHF) according to risk. ⋯ Instituto de Salud Carlos III, Spanish Ministry of Health; Fundació La Marató de TV3; and Catalonia Govern.
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One in five patients with sepsis deteriorates within 48 hours after hospital admission. Regrettably, a clear tool for the early detection of deterioration is still lacking. The SepsiVit study aims to determine whether continuous heart rate variability (HRV) measurement can provide an early warning for deterioration in patients presenting with suspected infection or sepsis to the emergency department (ED). ⋯ The Institutional Review Board of the University Medical Center Groningen granted a waiver for the study (METc 2015/164). Results will be disseminated through international peer-reviewed publications and conference presentations. A lay summary of the results will be provided to the study participants.