Early in-hospital course of critically ill nontrauma patients in a resuscitation room of a German emergency department (OBSERvE2 study)

• DOI: 10.1007/s00101-021-00962-3
• Publication Date: 2021-04-30T13:04:06Z
• Authors: C. Grahl; T. Hartwig; L. Weidhase; S. Laudi; S. Petros; A. Gries; M. Bernhard
• Keywords: Adult; Aged, 80 and over; Male; Critical Illness; Middle Aged; Originalien; Hospitals; Clinical pathway ; Aged, 80 and over [MeSH] ; Aged [MeSH] ; Hospitalization [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Prospective Studies [MeSH] ; Schockraum ; Middle Aged [MeSH] ; Hospitals [MeSH] ; Nicht-traumatische kritisch kranke Patienten ; Notaufnahme ; Nontraumatic critically ill patients ; Acute Disease [MeSH] ; Mortalität ; Originalien ; Mortality ; Male [MeSH] ; Emergency Service, Hospital [MeSH] ; Shock room ; Critical Illness/epidemiology [MeSH] ; Klinischer Behandlungspfad ; Emergency department; Hospitalization; 03 medical and health sciences; 0302 clinical medicine; Acute Disease; Humans; Prospective Studies; Emergency Service, Hospital; Aged

Abstract Background Management of critically ill nontrauma (CINT) patients in the resuscitation room emergency department (ED) is very challenging. Detailed data describing patient characteristics and management this population are lacking. This observational study describes epidemiology, outcome CINT ED room. Methods prospective, single center included all adult who were consecutively admitted to during 2 periods 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 interventions recorded using a self-developed questionnaire. Results A total 34,303 first 35,039 second period ED, whom 532 457 patients, respectively, due acute life-threatening conditions. The did not differ significantly between (male: 58% 59%, age: 68 ± 17 years 65 years). Time diagnostic therapeutic similar. treated faster compared (end management: 53 33 min 41 24 min, p < 0.0001). 30-day all-cause mortality was comparable (34.0% 36.3%). Conclusion Observation showed reliable results both periods. Structured guidelines may provide at one institution.