Medical Patients in the Emergency Department
Conditions
Keywords
Emergency Department, Medical patients, D-dimer, National Early Warning Score, NEWS, 30-days mortality, Mortality
Brief summary
The aim is to determine if the National Early Warning Score combined with plasma D-dimer levels can be used in risk stratification of acutely ill medical patients presenting to a Danish Emergency Department. The investigators wish to identify patients at low risk of mortality within 30 days.
Detailed description
Large increases in emergency admissions are raising concerns about whether all admissions are necessary. If there was a fast and reliable system that could be used to determine the risk of all medical patients, many low-risk patients could be safely returned to primary care or outpatient follow-up clinics. The investigators wish to determine, if the combination of the National Early Warning Score and plasma D-dimer levels can be used to identify patients at low risk of mortality within 30 days in an unselected group of medical patients presenting to a Danish Emergency Department. This is a prospective observational study that will be performed on adult medical patients referred to the Emergency Department of a Danish hospital to be assessed for possible admission. The study will be performed in the Emergency Department of Hospital of South West Jutland in the region of Southern Denmark.
Interventions
DIAGNOSTIC_TESTD-dimer test
D-dimer test
Sponsors
University of Southern Denmark
Esbjerg Hospital - University Hospital of Southern Denmark
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Admission to the Emergency Department of Hospital of South West Jutland * Requirement of any blood test * Age 18 years * Informed consent given
Exclusion criteria
* Age 18 years * Informed consent not given
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30-days mortality | 30 days | mortality within 30 days after assessment will be determined for all patients using data extracted from the Danish Civil Registration System patients using data extracted from the Danish Civil Registration System |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital length of stay (LOS) | 30 days | length of stay will be calculated from the time of the patients' arrival at the hospital to the moment of the discharge for all patients using data extracted from the Danish National Patient Registry |
| Readmissions within 30 days | 30 days | readmissions within 30 days after primary assessment will be determined for all patients using data extracted from the Danish National Patient Registry |
Countries
Denmark
Outcome results
None listed