Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality

Detalhes bibliográficos
Autor(a) principal: Barbosa, J.
Data de Publicação: 2023
Outros Autores: Organista, D., Rodrigues, T., Matos, A. F., Barardo, A., Escoval, A., Bárbara, C., Rodrigues, F.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/152054
Resumo: Funding Information: We would like to thank Cláudia Coluna and Sara Salgado for the review of the manuscript. The final linguistic review was also conducted by W4Research, a proofreading company based in Lisbon, Portugal. This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: © 2023 Sociedade Portuguesa de Pneumologia
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spelling Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortalityEmergency departmentFrequent health service usersRespiratory tract diseasesPulmonary and Respiratory MedicineSDG 3 - Good Health and Well-beingFunding Information: We would like to thank Cláudia Coluna and Sara Salgado for the review of the manuscript. The final linguistic review was also conducted by W4Research, a proofreading company based in Lisbon, Portugal. This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: © 2023 Sociedade Portuguesa de PneumologiaIntroduction and objectives: Portugal is one of the countries with the highest number of visits to the emergency department (ED), 31% classified as “non-urgent” or “avoidable.” The objectives of our study were to evaluate the size and characteristics of patients with pulmonary disease who overuse the ED, and identify factors associated with mortality. Materials and methods: A retrospective cohort study was conducted, based on the medical records of ED frequent users (ED-FU) with pulmonary disease who attended a university hospital center in the northern inner city of Lisbon from January 1 to December 31, 2019. To evaluate mortality, a follow-up until December 31, 2020 was performed. Results: Over 5,567 (4.3%) patients were identified as ED-FU and 174 (0.14%) had pulmonary disease as the main clinical condition, accounting for 1,030 ED visits. 77.2% of ED visits were categorized as “urgent/very urgent.” A high mean age (67.8 years), male gender, social and economic vulnerability, high burden of chronic disease and comorbidities, with a high degree of dependency, characterized the profile of these patients. A high proportion (33.9%) of patients did not have a family physician assigned and this was the most important factor associated with mortality (p<0.001; OR: 24.394; CI 95%: 6.777–87.805). Advanced cancer disease and autonomy deficit were other clinical factors that most determined the prognosis. Conclusions: Pulmonary ED-FU are a small group of ED-FU who constitute an aged and heterogeneous group with a high burden of chronic disease and disability. The lack of an assigned family physician was the most important factor associated with mortality, as well as advanced cancer disease and autonomy deficit.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNBarbosa, J.Organista, D.Rodrigues, T.Matos, A. F.Barardo, A.Escoval, A.Bárbara, C.Rodrigues, F.2023-04-21T22:21:46Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/152054eng2531-0429PURE: 59110657https://doi.org/10.1016/j.pulmoe.2023.01.005info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:34:26Zoai:run.unl.pt:10362/152054Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:54:47.328258Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
title Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
spellingShingle Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
Barbosa, J.
Emergency department
Frequent health service users
Respiratory tract diseases
Pulmonary and Respiratory Medicine
SDG 3 - Good Health and Well-being
title_short Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
title_full Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
title_fullStr Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
title_full_unstemmed Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
title_sort Profile of emergency department overuse in hospitalized patients with pulmonary disease and its impact on mortality
author Barbosa, J.
author_facet Barbosa, J.
Organista, D.
Rodrigues, T.
Matos, A. F.
Barardo, A.
Escoval, A.
Bárbara, C.
Rodrigues, F.
author_role author
author2 Organista, D.
Rodrigues, T.
Matos, A. F.
Barardo, A.
Escoval, A.
Bárbara, C.
Rodrigues, F.
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Barbosa, J.
Organista, D.
Rodrigues, T.
Matos, A. F.
Barardo, A.
Escoval, A.
Bárbara, C.
Rodrigues, F.
dc.subject.por.fl_str_mv Emergency department
Frequent health service users
Respiratory tract diseases
Pulmonary and Respiratory Medicine
SDG 3 - Good Health and Well-being
topic Emergency department
Frequent health service users
Respiratory tract diseases
Pulmonary and Respiratory Medicine
SDG 3 - Good Health and Well-being
description Funding Information: We would like to thank Cláudia Coluna and Sara Salgado for the review of the manuscript. The final linguistic review was also conducted by W4Research, a proofreading company based in Lisbon, Portugal. This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: © 2023 Sociedade Portuguesa de Pneumologia
publishDate 2023
dc.date.none.fl_str_mv 2023-04-21T22:21:46Z
2023
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/152054
url http://hdl.handle.net/10362/152054
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2531-0429
PURE: 59110657
https://doi.org/10.1016/j.pulmoe.2023.01.005
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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