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Table 2 Comparison of patients with unspecific versus specific ED diagnoses

From: Frequency and predictors of unspecific medical diagnoses in the emergency department: a prospective observational study

 

Unspecific diagnosis (n = 100)

Specific diagnosis (n = 586)

p-value

At admittance

 Age [median (IQR)]

68.5

(55.5–77)

70.0

(54–80)

0.361

 Gender [n (%) female]

56

(56)

257

(43.9)

0.024

 Private insurance, [n (%)]

21

(21)

109

(18.6)

0.572

 NSC, [n (%)]

34

(34)

123

(21)

0.004

 Time of admission, [n (%)]

    

0.300

  Day (6 am – 5 pm)

58

(58)

342

(58.4)

 

  Evening (5 pm – 10 pm)

32

(32)

156

(26.6)

 

  Night (10 pm – 6 am)

10

(10)

88

(15)

 

Medication, [n (%)]

 On antihypertensive therapy

61

(61.0)

322

(54.9)

0.260

 On diuretic therapy

35

(35.0)

229

(39.1)

0.438

 On antidiabetic therapy

15

(15.0)

63

(10.8)

0.216

 On antiepileptic therapy

12

(12.0)

83

(14.2)

0.563

 On psycholeptic therapy

45

(45.0)

309

(52.7)

0.153

 On antibiotic therapy

32

(32.0)

287

(49.0)

0.002

 On antithrombotic therapy

73

(73.0)

444

(75.8)

0.553

In the ED

 Triage category [n (%)]

    

0.291

  Life-threatening

3

(3.0)

34

(5.8)

 

  Urgent conditions

39

(39.0)

247

(42.2)

 

  Semiurgent conditions

57

(57.0)

282

(48.1)

 

  Nonurgent conditions

1

(1.0)

19

(3.2)

 

  Follow-up

0

(0.0)

4

(0.7)

 

 Resuscitation bay, [n (%)]

5

(5.0)

66

(11.3)

0.057

 Heart rate deviation, > 110/ < 50 bpm, [n (%)]

5

(5.0)

73

(12.5)

0.030

 Blood pressure deviation, < 90 mmHg, [n (%)]

2

(2.0)

19

(3.2)

0.505

Laboratory findings, [median (IQR)]

 Sodium, [mmol/L]

137.0

(133–139)

137.0

(134–140)

0.153

 Creatinine, [µmol/L]

81.0

(64.5–103)

79.0

(65–103)

0.663

 Hemoglobin, [g/L]

126.0

(110.5–137)

126.5

(108–139)

0.920

 Leucocyte count, [G/L]

8.8

(6.3–10.9)

8.9

(6.5–11.8)

0.594

Diagnostic ED resources, ln-transformed [in tax points; median (IQR)]

7.1

(6.6–7.5)

7.1

(6.8–7.4)

0.574

ED LOS [in hours; median (IQR)]

6.75

(5.4–8.3)

6.2

(4.6–7.8)

0.036

Outcome

 In-hospital mortality, [n (%)]

5

(5.0)

29

(4.9)

0.983

 Change in diagnosis, [n (%)]

13

(13.0)

73

(12.5)

0.880

 Hospital LOS [in days; median (IQR)]

4.8

(3–8.6)

5.7

(3.6–9.1)

0.141

  1. ED Emergency Department, IQR Interquartile Range, LOS Length of Stay, NSC Non-Specific Complaint