Location of death among patients presenting with cardiovascular disease to the emergency department in the United states

• DOI: 10.1111/ijcp.13798
• Publication Date: 2021-01-21T07:02:36Z
• Authors: Chun Shing Kwok; Chun Wai Wong; Roshini Ravindran; Erin D. Michos; Safi U. Khan; Islam Abudayyeh; Mohamed Mohamed; Purvi Parwani; Ritu Thamman; Islam Y. Elgendy; Harriette G. C. V...; Mamas A. Mamas
• Keywords: Stroke

Background In-hospital deaths are an important outcome and little is known about in the emergency department (ED). Among patients who died of cardiovascular diseases (CVD), we assessed causes death, temporal trends relative distribution ED versus hospital. Methods Using United States Nationwide Emergency Department Sample, conducted a retrospective study presenting to with primary diagnosis CVD between 2006 2014. We used descriptive statistics describe deaths, location death. Results During period, there were 27 144 508 visits diagnoses (~2% all visits,). The most common heart failure (n = 8 571 598), acute myocardial infarction 4 827 518) atrial fibrillation/flutter 713 241). There total 2.2 million caused by CVD, majority (57.6%) occurring ED. Cardiac arrest was cause in-hospital death 1 225 095, 55.3%), followed 279 310, 12.6%), 217 367, 9.8%), intracranial hemorrhage 168 009, 7.6%) ischemic stroke 151 615, 6.8%). proportion for these 91.9% cardiac 173 471), 3.6% 46 909), 1.0% 12 599) 1.1% 13 579). decrease CVDs over time. Conclusions Inpatient admissions their associated may not be robust measure national burden since death—which some conditions—are captured.