Do patients referred to emergency departments after being assessed in primary care differ from other ED patients? Retrospective analysis of a random sample from two German metropolitan EDs

Autor: Andreas Umgelter, Markus Faust, Slatomir Wenske, Katrin Umgelter, Roland M. Schmid, Georg Walter
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Emergency Medicine, Vol 16, Iss 1, Pp 1-10 (2023)
Druh dokumentu: article
ISSN: 1865-1380
DOI: 10.1186/s12245-023-00542-9
Popis: Abstract Background To assess differences between patients referred to emergency departments by a primary care physician (PCP) and those presenting directly and the impact of referral on the likelihood of admission. Design of study Retrospective cohort study. Setting EDs of two nonacademic general hospitals in a German metropolitan region. Participants Random sample of 1500 patients out of 80,845 presentations during the year 2019. Results Age was 55.8 ± 22.9 years, and 51.4% was female. A total of 34.7% presented by emergency medical services (EMS), and 47.7% were walk-ins. One-hundred seventy-four (11.9%) patients were referred by PCPs. Referrals were older (62.4 ± 20.1 vs 55.0 ± 23.1 years, p
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