Table 4 Clinical outcomes of emergency department patients
Cohort | MTS | ESI | NTS | ||
|---|---|---|---|---|---|
Disposition N (%) | Total | 686,627 (98,6) | 312,771 (97,6) | 214,222 (100) | 159,634 (98,6) |
Missing | 9891 (1,4) | 7635 (2,4) | 45 (0,0) | 2211 (1,4) | |
Discharged home | Total | 326,877 (100) | 145,704 (100) | 126,102 (100) | 55,071 (100) |
Not urgent | 100,438 (30,7) | 54,529 (37,4) | 23,580 (18,7) | 22,329 (40,5) | |
Urgent | 182,974 (56,0) | 71,569 (49,1) | 91,063 (72,2) | 20,342 (36,9) | |
Very urgent | 41,009 (12,5) | 19,203 (13,2) | 11,334 (9,0) | 10,472 (19,0) | |
Most urgent | 2456 (0,8) | 403 (0,3) | 125 (0,1) | 1928 (3,5) | |
Regular ward | Total | 248,461 (100) | 117,715 (100) | 68,007 (100) | 62,739 (100) |
Not urgent | 35,323 (14,2) | 17,181 (14,6) | 1826 (2,7) | 16,316 (26,0) | |
Urgent | 136,496 (54,9) | 66,869 (56,8) | 44,601 (65,6) | 25,026 (39,9) | |
Very urgent | 70,446 (28,4) | 32,121 (27,3) | 21,122 (31,1) | 17,203 (27,4) | |
Most urgent | 6196 (2,5) | 1544 (1,3) | 458 (0,7) | 4194 (6,7) | |
MCU/CCU | Total | 13,098 (100) | 5747 (100) | 3903 (100) | 3448 (100) |
Not urgent | 585 (4,5) | 398 (6,9) | 22 (0,6) | 165 (4,8) | |
Urgent | 5859 (44,7) | 2345 (40,8) | 2569 (65,8) | 945 (27,4) | |
Very urgent | 5483 (41,9) | 2738 (47,6) | 1222 (31,3) | 1523 (44,2) | |
Most urgent | 1171 (8,9) | 266 (4,6) | 90 (2,3) | 815 (23,6) | |
ICU | Total | 11,110 (100) | 4413 (100) | 4473 (100) | 2224 (100) |
Not urgent | 178 (1,6) | 72 (1,6) | 28 (0,6) | 78 (3,5) | |
Urgent | 1751 (15,8) | 619 (14,0) | 729 (16,3) | 403 (18,1) | |
Very urgent | 5401 (48,6) | 2073 (47,0) | 2482 (55,5) | 846 (38,0) | |
Most urgent | 3780 (34,0) | 1649 (37,4) | 1234 (27,6) | 897 (40,3) | |
Transfer to other hospital | Total | 8224 (100) | 5671 (100) | 310 (100) | 2243 (100) |
Not urgent | 1206 (14,7) | 679 (12,0) | 34 (11,0) | 493 (22,0) | |
Urgent | 3413 (41,5) | 2433 (42,9) | 173 (55,8) | 807 (36,0) | |
Very urgent | 3015 (36,7) | 2284 (40,3) | 82 (26,5) | 649 (28,9) | |
Most urgent | 590 (7,2) | 275 (4,8) | 21 (6,8) | 294 (13,1) | |
Discharge against medical advice | Total | 775 (100) | 204 (100) | 318 (100) | 253 (100) |
Not urgent | 344 (44,4) | 96 (47,1) | 112 (35,2) | 136 (53,8) | |
Urgent | 336 (43,4) | 81 (39,7) | 176 (55,3) | 79 (31,2) | |
Very urgent | 91 (11,7) | 27 (13,2) | 30 (9,4) | 34 (13,4) | |
Most urgent | 4 (0,5) | 0 (0,0) | 0 (0,0) | 4 (1,6) | |
Outpatient follow-up | Total | 76,526 (100) | 32,489 (100) | 10,818 (100) | 33,219 (100) |
Not urgent | 40,113 (52,4) | 15,583 (48,0) | 2113 (19,5) | 22,417 (67,5) | |
Urgent | 30,918 (40,4) | 14,108 (43,4) | 7938 (73,4) | 8872 (26,7) | |
Very urgent | 5365 (7,0) | 2783 (8,6) | 756 (7,0) | 1826 (5,5) | |
Most urgent | 130 (0,2) | 15 (0,0) | 11 (0,1) | 104 (0,3) | |
General practice center | Total | 105 (100) | 56 (100) | 0 (0,0) | 49 (100) |
Not urgent | 81 (77,1) | 46 (82,1) | 0 (0,0) | 35 (71,4) | |
Urgent | 17 (16,2) | 8 (14,3) | 0 (0,0) | 9 (18,4) | |
Very urgent | 7 (6,7) | 2 (3,6) | 0 (0,0) | 5 (10,2) | |
Most urgent | 0 (0,0) | 0 (0,0) | 0 (0,0) | 0 (0,0) | |
Deceased at ED | Total | 1451 (100) | 772 (100) | 291 (100) | 388 (100) |
Not urgent | 16 (1,1) | 9 (1,2) | 2 (0,7) | 5 (1,3) | |
Urgent | 82 (5,7) | 40 (5,2) | 31 (10,7) | 11 (2,8) | |
Very urgent | 211 (14,5) | 111 (14,4) | 71 (24,4) | 29 (7,5) | |
Most urgent | 1142 (78,7) | 612 (79,3) | 187 (64,3) | 343 (88,4) | |
In-hospital mortality N (%) | Total | 693,101 (99,5) | 318,740 (99,5) | 214,260 (100) | 160,101 (98,9) |
Missing | 3417 (0,5) | 1666 (0,5) | 7 (0,0) | 1744 (1,1) | |
Deceased in hospital | Total | 12,845 (100) | 5529 (100) | 4029 (100) | 3287 (100) |
Not urgent | 788 (6,1) | 349 (6,3) | 32 (0,8) | 407 (12,4) | |
Urgent | 4426 (34,5) | 1843 (33,3) | 1500 (37,2) | 1083 (32,9) | |
Very urgent | 5272 (41,0) | 2254 (40,8) | 1946 (48,3) | 1072 (32,6) | |
Most urgent | 2359 (18,4) | 1083 (19,6) | 551 (13,7) | 725 (22,1) | |
7-day ED revisit N (%) | Total | 69,692 (100) | 320,406 (100) | 214,267 (100) | 161,619 (99,9) |
Missing | 226 (0,0) | 0 (0,0) | 0 (0,0) | 226 (0,1) | |
Revisit with possible/ no relation to prior visit | Total | 20,288 (100) | 7908 (100) | 5134 (100) | 7246 (100) |
Not urgent | 6563 (32,3) | 2386 (30,2) | 633 (12,3) | 3544 (48,9) | |
Urgent | 10,170 (50,1) | 4051 (51,2) | 3625 (70,6) | 2494 (34,4) | |
Very urgent | 3295 (16,2) | 1406 (17,8) | 862 (16,8) | 1027 (14,2) | |
Most urgent | 260 (1,3) | 65 (0,8) | 14 (0,3) | 181 (2,5) | |
Revisit with obvious relation to prior visit | Total | 14,439 (100) | 7711 (100) | 4847 (100) | 1881 (100) |
Not urgent | 3038 (21,0) | 2234 (29,0) | 564 (11,6) | 240 (12,8) | |
Urgent | 8437 (58,4) | 4197 (54,4) | 3513 (72,5) | 727 (38,6) | |
Very urgent | 2789 (19,3) | 1253 (16,2) | 762 (15,7) | 774 (41,1) | |
Most urgent | 175 (1,2) | 27 (0,4) | 8 (0,2) | 140 (7,4) | |
Hospital LOS (days), Median [IQR] | Total | 3,0 [1,0–7,0] | 3,0 [1,0–6,0] | 4,0 [2,0–7,0] | 3,0 [1,0–7,0] |
Not urgent | 3,0 [1,0–6,0] | 3,0 [1,0–6,0] | 2,0 [1,0–5,0] | 3,0 [1,0–7,0] | |
Urgent | 3,0 [1,0–7,0] | 3,0 [1,0–6,0] | 3,0 [2,0–7,0] | 4,0 [2,0–7,0] | |
Very urgent | 3,0 [1,0–7,0] | 3,0 [1,0–7,0] | 4,0 [2,0–8,0] | 4,0 [1,0–7,0] | |
Most urgent | 4,0 [1,0–10,0] | 4,0 [1,0–11,0] | 5,0 [1,0–13,0] | 3,0 [1,0–8,0] |