Abstract
BackgroundManagement of critically ill nontrauma (CINT) patients in the resuscitation room of the emergency department (ED) is very challenging. Detailed data describing the patient characteristics and management of this population are lacking. This observational study describes the epidemiology, management and outcome in CINT ED patients in the resuscitation room.MethodsThis prospective, single center observational study included all adult patients who were consecutively admitted to the ED resuscitation room during 2 periods of 1 year (September 2014–August 2015 vs. September 2017– August 2018). Patient characteristics, out-of-hospital/in-hospital treatment, admission-related conditions, time intervals for diagnostics and interventions and outcome were recorded using a self-developed questionnaire.ResultsA total of 34,303 patients in the first and 35,039 patients in the second study period were admitted to the ED, of whom 532 and 457 patients, respectively, were admitted to the nontrauma resuscitation room due to acute life-threatening conditions. The patient characteristics did not differ significantly between the study periods (male: 58% vs. 59%, age: 68 ± 17 years vs. 65 ± 17 years). Time intervals for diagnostic and therapeutic interventions were similar. The CINT patients during the second study period were treated faster compared to the first study period (end of ED management: 53 ± 33 min vs. 41 ± 24 min, p < 0.0001). The 30-day all-cause mortality was comparable (34.0% vs. 36.3%).ConclusionObservation of critically ill patient management in the ED resuscitation room showed reliable results between both study periods. Structured ED management guidelines for CINT patients may provide comparable results at one institution.Supplementary InformationThe online version of this article (10.1007/s00101-021-00962-3) contains an additional table and the evaluation chart. The article and the supplementary material are available at www.springermedizin.de.Please enter the article title in the search box; the supplementary material is available with the article under “Supplementary Information”.
Highlights
Ill patients are globally mostly managed by emergency medical services (EMS) and thereafter are admitted to emergency departments (ED) [1, 2]
Nontraumatic critically ill patients treated in the resuscitation room showed a wide diversity of underlying diseases [1]
Information on epidemiology, initial in-hospital approach and diagnostic procedures for patients suffering from nontraumatic conditions are scant [3, 4] and there is a lack of data on critically ill nontraumatic patients treated in resuscitation room of EDs in Germany [1]
Summary
Ill patients are globally mostly managed by emergency medical services (EMS) and thereafter are admitted to emergency departments (ED) [1, 2]. Similar to the advanced trauma life support for the management of severely injured patients, critically ill patients with nontraumatic diseases in severe distress or shock are directly transferred to the resuscitation room as a special treatment area of an ED [1]. Information on epidemiology, initial in-hospital approach and diagnostic procedures for patients suffering from nontraumatic conditions are scant [3, 4] and there is a lack of data on critically ill nontraumatic patients treated in resuscitation room of EDs in Germany [1]. Detailed data describing the patient characteristics and management of this population are lacking This observational study describes the epidemiology, management and outcome in CINT ED patients in the resuscitation room. Observation of critically ill patient management in the ED resuscitation room showed reliable results between both study periods. Structured ED management guidelines for CINT patients may provide comparable results at one institution
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
