Anne-Maree Kelly1,2, Gerben Keijzers3,4,5, Sharon Klim1, Colin A Graham6, Simon Craig7,8,9, Win Sen Kuan10,11, Peter Jones12, Anna Holdgate13,14, Charles Lawoko15, Said Laribi16. 1. Joseph Epstein Centre for Emergency Medicine Research @ Western Health, Sunshine Hospital, Melbourne, Victoria, Australia. 2. Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia. 3. Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia. 4. School of Medicine, Bond University, Gold Coast, Queensland, Australia. 5. School of Medicine, Griffith University, Gold Coast, Queensland, Australia. 6. Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR. 7. Emergency Department, Monash Medical Centre, Melbourne, Victoria, Australia. 8. School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia. 9. Murdoch Children's Research Institute, Melbourne, Victoria, Australia. 10. Emergency Medicine Department, National University Health System, Singapore. 11. Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. 12. Department of Emergency Medicine, Auckland City Hospital, Auckland, New Zealand. 13. Department of Emergency Medicine, Liverpool Hospital, Sydney, New South Wales, Australia. 14. University of New South Wales (Southwest Clinical School), Sydney, New South Wales, Australia. 15. Statistical Consulting Service, Victoria University, Melbourne, Victoria, Australia. 16. Department of Emergency Medicine, Saint Louis Lariboisiere Hospitals, Paris, France.
Abstract
OBJECTIVES: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. METHODS/ DESIGN: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. DISCUSSION: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.
OBJECTIVES:Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. METHODS/ DESIGN: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. DISCUSSION: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.
Authors: Gerben Keijzers; Anne-Maree Kelly; Louise Cullen; Sharon Klim; Colin A Graham; Simon Craig; Win Sen Kuan; Peter Jones; Anna Holdgate; Charles Lawoko; Said Laribi Journal: BMJ Open Date: 2017-02-28 Impact factor: 2.692
Authors: Anne Maree Kelly; Anna Holdgate; Gerben Keijzers; Sharon Klim; Colin A Graham; Simon Craig; Win Sen Kuan; Peter Jones; Charles Lawoko; Said Laribi Journal: Scand J Trauma Resusc Emerg Med Date: 2016-09-22 Impact factor: 2.953
Authors: Joanna Timiliotis; Bibiana Blümke; Peter Daniel Serfözö; Stephen Gilbert; Marta Ondrésik; Ewelina Türk; Martin Christian Hirsch; Jens Eckstein Journal: JMIR Form Res Date: 2022-03-24