2086 The value of emergency care data set (ECDS) presentation codes for predicting mortality and inpatient admission

Conclusion Data was collected from 84,999 patients, of which 1,159 people died within 30 days of attendance. The mortality rate was the highest in Cardiac arrest (78.05%), Cardiac arrest due to Trauma (50%) and Respiratory arrest (50%). Drowsy (11.97%), Hypothermia (13.04%) and Cyanosis (10%) were also high risk categories. Chest pain was not a high risk presenting complaint. (table 1) The initial presenting complaint in ECDS shows a useful ability to identify people at high and lower risk of death. This information may be useful for building automated triage models. Abstract 2086 Table 1 Presentations Total first presentation over 2021 Total deaths (within 30 days ) Admission Admission (%) Percentage of deaths [CI ] INJURY OF SHOULDER/ARM/ELBOW/WRIST/HAND 8416 4 424 5 0.05[0.018 , 0.12] INJURY OF HIP/LEG/KNEE/ANKLE/FOOT 7427 15 653 8.8 0.2[0.12 , 0.33] CHEST PAIN 5953 34 2077 34.9 0.57[0.41 , 0.8] ABDOMINAL PAIN 5629 48 2473 43.9 0.85[0.64 , 1.1] SHORT OF BREATH 3735 227 2446 65.5 6.08[5.4 , 6.9] HEAD INJURY 3493 22 382 10.9 0.63[0.42 , 0.95] FEVER 2931 53 1065 36.3 1.81[1.4 , 2.4] FALLS/UNSTEADY ON FEET 2231 111 1294 58 4.98[4.1 , 6] PAIN IN HIP/LEG/KNEE/ANKLE/FOOT 2079 7 396 19 0.34[0.16 , 0.69] DIRECT REFERRAL TO INPATIENT UNIT 2047 65 1391 68 3.18[2.5 , 4] HEADACHE 1859 6 583 31.4 0.32[0.15 , 0.7] GENERALISED WEAKNESS 1831 119 1085 59.3 6.5[5.5 , 7.7] LOCALISED SWELLING/REDNESS/LUMPS/BUMPS 1594 10 450 28.2 0.63[0.34 , 1.2] FACIAL INJURY 1555 1 128 8.2 0.06[0.011...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: RCEM Lightning Papers Source Type: research