Seasonal variations of patients presenting dyspnea to emergency departments in Europe: Results from the EURODEM Study

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dc.contributor.authorKaramercan, Mehmet Akif
dc.contributor.authorDundar, Zerrin Defne
dc.contributor.authorErgin, Mehmet
dc.contributor.authorVan Meer, Oene
dc.contributor.authorBody, Richard
dc.contributor.authorHarjola, Veli-Pekka
dc.contributor.authorVerschuren, Franck
dc.date.accessioned2024-02-23T14:37:24Z
dc.date.available2024-02-23T14:37:24Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractBackground/aim: To describe seasonal variations in epidemiology, management, and short-term outcomes of patients in Europe presenting to an emergency department (ED) with a main complaint of dyspnea. Materials and methods: An observational prospective cohort study was performed in 66 European EDs which included consecutive patients presenting to EDs with dyspnea as the main complaint during 3 72-h study periods. Data were collected on demographics, comorbidities, chronic treatment, prehospital treatment, mode of arrival of patient to ED, clinical signs at admission, treatment in the ED, ED diagnosis, discharge from El), and in-hospital outcome. Results: The study included 2524 patients with a median age of 69 (53-80) years old. Of the patients presented, 991 (39.3%) were in autumn, 849 (33.6%) were in spring, and 48 (27.1%) were in winter. The winter population was significantly older (P < 0.001) and had a lower rate of ambulance arrival to ED (P < 0.001). In the winter period, there was a higher rate for lower respiratory tract infection (35.1%), and patients were more hypertensive, more hypoxic, and more hyper/hypothermic compared to other seasons. The ED mortality was about 1% and, in hospital, mortality for admitted patients was 7.4%. Conclusion: The analytic method and the outcome of this study may help to guide the allocation of ED resources more efficiently and to recommend seasonal ED management protocols based on the seasonal trend of dyspneic patients.en_US
dc.description.sponsorshipResearch Council of Lithuania [MIP-049/2015]; French government; Embassy of France in Lithuania; Erasmus Programen_US
dc.description.sponsorshipThe work of Justina Motiejunaite was supported by the Research Council of Lithuania (Grant No. MIP-049/2015), as well as by training grants from the French government, the Embassy of France in Lithuania, and the Erasmus Program.en_US
dc.identifier.doi10.3906/sag-2002-221
dc.identifier.endpage1886en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue8en_US
dc.identifier.pmid32562519en_US
dc.identifier.scopus2-s2.0-85098747367en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1879en_US
dc.identifier.urihttps://doi.org/10.3906/sag-2002-221
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16087
dc.identifier.volume50en_US
dc.identifier.wosWOS:000600735500016en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technological Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal Of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDyspneaen_US
dc.subjectSeasonal Variationsen_US
dc.subjectEmergency Departmenten_US
dc.subjectOlder Patienten_US
dc.titleSeasonal variations of patients presenting dyspnea to emergency departments in Europe: Results from the EURODEM Studyen_US
dc.typeArticleen_US

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