From: Comparison of Standardized Mortality Ratios in seven Dutch EDs based on presenting complaints
Most common diagnosis groups per presenting complaint | ED B | ED C | ED D | ED E | ED G | |||||
---|---|---|---|---|---|---|---|---|---|---|
N (%) | Mort % | N (%) | Mort % | N (%) | Mort % | N (%) | Mort % | N(%) | Mort % | |
Extremity Problems | 10,816(100) | 0.4 | 3,924(100) | 0.1 | 36,366(100) | 0.3 | 23,297(100) | 0.3 | 7,418(100) | 0.6 |
1. Fracture of wrist/hand 2. Fracture of forearm 3. Fracture lower leg/ankle 4. Fracture shoulder/upper arm 5. Fracture foot and toe | 1,402(13.0) 1,273(11.8) 809(7.5) 712(6.6) 581(5.4) | 0.0 0.0 0.0 0.1 0.0 | 671(17.1) 508(12.9) 257(6.5) 214(5.5) 371(9.5) | 0.0 0.0 0.0 0.0 0.0 | 4,824(13.3) 4,555(12.5) 2,758(7.6) 2,462(6.8) 2,293(6.3) | 0.0 0.0 0.0 0.1 0.0 | 2,304(9.9) 2,352(10.1) 1,424(6.1) 1,646(7.1) 1,002(4.3) | 0.0 0.0 0.0 0.0 0.0 | 1,129(15.4) 1,036(14.0) 704(9.5) 709(9.6) 459(6.2) | 0.0 0.2 0.1 0.1 0.0 |
6. Other | 5,838(54.0) | 0.5 | 1,872(47.7) | 0.0 | 18,910(52.0) | 0.5 | 13,963(59.9) | 0.5 | 3,188(43.0) | 1.2 |
missing | 183(1.7) | 31(0.8) | 546(1.5) | 629(2.7) | 171(2.3) | |||||
Feeling unwell | 5,728(100) | 3.9 | 2,987(100) | 4.1 | 23,368(100) | 4.8 | 16,337(100) | 4.1 | 4,959(100) | 4.2 |
1. Cerebral infarction 2. Other Urinary Diseases 3. Pneumonia 4. TIA/Cerebrovascular Disease 5. Other Respiratory Diseases | 223(3.9) 247(4.3) 180(3.1) 66(1.2) 55(1.0) | 5.4 2.8 9.4 0.0 1.8 | 16(0.5) 152(5.1) 150(5.0) 13(0.4) 31(1.0) | 0.0 3.3 6.7 0.0 3.2 | 3,628(14.0) 927(4.0) 928(4.0) 1,223(5.2) 589(2.5) | 4.3 2.6 8.3 0.6 10.7 | 1,464(9.0) 668(4.1) 559(3.4) 534(3.3) 235(1.4) | 3.1 2.7 6.3 0.2 3.8 | 769(15.5) 120(2.4) 121(2.4) 118(2.4) 34(0.7) | 2.8 5.0 4.2 0.9 3.0 |
6. Other | 4,641(81.0) | 3.6 | 2,098(70.2) | 3.9 | 15,218(65.1) | 4.6 | 11,668(71.4) | 3.8 | 3,575(72.1) | 4.7 |
missing | 315(5.5) | 532(17.8) | 1,215(5.2) | 1,209(7.4) | 223(4.5) | |||||
Abdominal pain | 5,353(100) | 1.3 | 2,937(100) | 1.1 | 14,201(100) | 1.3 | 13,836(100) | 1.1 | 3,797(100) | 1.3 |
1. Gallbladder, Biliary Tract and Pancreas Disorders 2. Appendicitis 3. Diverticulitis, Diverticulosis 4. Ileus 5. IBS & Functional Disorders | 449(8.4) 562(10.5) 200(3.7) 203(3.8) 188(3.5) | 1.1 0.0 0.5 4.4 1.6 | 359(12.2) 329(11.2) 213(7.3) 151(5.1) 82(2.8) | 1.7 0.3 0.0 5.3 1.2 | 2,005(14.1) 1,323(9.3) 644(4.5) 620(4.4) 464(3.3) | 1.6 0.2 0.6 3.7 0.2 | 1,668(12.1) 1,308(9.5) 689(5.0) 431(3.1) 537(3.9) | 0.7 0.1 0.4 4.2 1.5 | 450(11.9) 439(11.6) 218(5.7) 140(3.7) 82(2.2) | 2.0 0.0 0.0 8.0 0.0 |
6. Other | 3,614(67.5) | 1.3 | 1,693(57.6) | 0.8 | 8,694(61.2) | 1.3 | 8,813(63.7) | 1.2 | 2,365(62.3) | 1.2 |
missing | 139(2.6) | 112(3.8) | 454(3.2) | 373(2.7) | 99(2.6) | |||||
Chest pain | 4,633(100) | 0.5 | 16,524(100) | 0.5 | 2,656(100) | 0.7 | 10,525(100) | 1.1 | 1,619(100) | 1.1 |
1. Ischemic Heart Diseases 2. Other Heart Diseases 3. Pulmonary Embolism 4. Pneumonia 5. Other Respiratory Diseases | 675(14.6) 586(12.6) 26(0.6) 21(0.5) 15(0.3) | 0.9 1.4 0.0 4.8 0.0 | 3,356(20.3) 1,279(7.7) 64(0.4) 91(0.6) 37(0.2) | 1.6 1.3 3.1 0.0 2.7 | 147(5.5) 87(3.3) 135(5.1) 126(4.7) 116(4.4) | 2.0 0.0 0.7 1.6 0.9 | 2,527(24.0) 1,112(10.6) 153(1.5) 90(0.9) 106(1.0) | 1.1 5.5 0.7 1.1 0.0 | 311(19.2) 145(9.0) 39(2.4) 27(1.7) 25(1.5) | 1.6 0.7 0.0 7.7 4.0 |
6. Other | 3,285(70.9) | 0.2 | 11,507(69.6) | 0.2 | 1,851(69.7) | 0.6 | 6,301(59.9) | 0.3 | 1,046(64.6) | 0.9 |
missing | 23(0.5) | 198(1.2) | 194(7.3) | 221(2.1) | 26(1.6) | |||||
Dyspnoea | 4,405(100) | 5.6 | 4,196(100) | 5.2 | 11,469(100) | 7.1 | 12,167(100) | 5.2 | 3,274(100) | 7.4 |
1. Other Heart Diseases 2. COPD (Exacerbation) 3. Pneumonia 4. Other Respiratory Diseases 5. Pulmonary Embolism | 526(11.9) 104(2.4) 431(9.8) 284(6.4) 204(4.6) | 5,9 3.8 6.3 3.5 1.0 | 1,829(43.6) 394(9.4) 316(7.5) 116(2.8) 78(1.9) | 6.3 5.3 6.3 11.2 0.0 | 646(5.6) 2,115(18.4) 1,805(15.7) 1,562(13.6) 331(2.9) | 8.1 4.6 9.3 11.8 3.6 | 1,527(12.6) 1,606(13.2) 1,144(9.4) 969(8.0) 547(4.5) | 7.3 5.0 7.0 4.6 1.5 | 307(9.4) 120(3.7) 246(7.5) 135(4.1) 113(3.5) | 4.3 4.2 7.8 2.3 0.9 |
6. Other | 2,782(63.2) | 6.1 | 1,314(31.3) | 3.0 | 4,724(41.2) | 5.7 | 6,036(49.6) | 4.8 | 2,293(70.0) | 8.6 |
missing | 75(1.7) | 147(3.5) | 298(2.6) | 329(2.7) | 59(1.8) | |||||
Trauma | 1,252(100) | 0.8 | 321(100) | 0.0 | 10,609(100) | 2.3 | 3,420(100) | 1.3 | 1,515(100) | 1.5 |
1. Other Injuries Head 2. Superficial Wound Head 3. Intracranial Injury 4. Injuries to the Thorax 5. Fracture of head | 232(18.5) 144(11.5) 80(6.4) 82(6.5) 17(1.4) | 0.0 0.0 0.0 0.0 0.0 | 43(13.4) 59(18.4) 12(3.7) 40(12.5) 14(4.4) | 0.0 0.0 0.0 0.0 0.0 | 3,177(29.9) 1,346(12.7) 1,139(10.7) 603(5.7) 375(3.5) | 0.3 0.1 9.1 0.5 2.7 | 809(23.7) 216(6.3) 189(5.5) 347(10.1) 70(2.0) | 0.2 1.4 2.6 0.3 0.0 | 567(37.4) 57(3.8) 187(12.3) 137(9.0) 22(1.5) | 0.0 0.0 1.6 2.2 0.0 |
6. Other | 588(47.0) | 1.2 | 107(33.3) | 0.0 | 3,221(30.4) | 3.4 | 1,454(42.5) | 1.4 | 471(31.1) | 3.0 |
missing | 109(8.7) | 46(14.3) | 753(7.1) | 339(9.9) | 74(4.9) |