Multimorbidity and adverse outcomes following emergency department attendance: population based cohort study

Autor: Bruce Guthrie, Saturnino Luz, Atul Anand, Nicholas L Mills, Nazir I Lone, Timothy S Walsh, Matthew J Reed, Sarah H Wild, Stewart Mercer, Marcus J Lyall, Honghan Wu, Susan D Shenkin, Stela McLachlan, Emilia Harding, Michael C Blayney, John A Masterson, Matt M Bouamrane, Jacques Fleuriot
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Medicine, Vol 3, Iss 1 (2024)
Druh dokumentu: article
ISSN: 2754-0413
DOI: 10.1136/bmjmed-2023-000731
Popis: Objectives To describe the effect of multimorbidity on adverse patient centred outcomes in people attending emergency department.Design Population based cohort study.Setting Emergency departments in NHS Lothian in Scotland, from 1 January 2012 to 31 December 2019.Participants Adults (≥18 years) attending emergency departments.Data sources Linked data from emergency departments, hospital discharges, and cancer registries, and national mortality data.Main outcome measures Multimorbidity was defined as at least two conditions from the Elixhauser comorbidity index. Multivariable logistic or linear regression was used to assess associations of multimorbidity with 30 day mortality (primary outcome), hospital admission, reattendance at the emergency department within seven days, and time spent in emergency department (secondary outcomes). Primary analysis was stratified by age (
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