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Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon

Presentations to the emergency department (ED) are growing worldwide. With the increasing risk factors of non-communicable disease (NCD) and communicable diseases (CD) in low- and middle-income countries, it is crucial to understand how ED presentations are changing with time to meet patients’ needs...

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Autores principales: El Zahran, Tharwat, Ghandour, Lara, Chami, Anwar, Saliba, Najat, Hitti, Eveline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545388/
https://www.ncbi.nlm.nih.gov/pubmed/37773845
http://dx.doi.org/10.1097/MD.0000000000035194
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author El Zahran, Tharwat
Ghandour, Lara
Chami, Anwar
Saliba, Najat
Hitti, Eveline
author_facet El Zahran, Tharwat
Ghandour, Lara
Chami, Anwar
Saliba, Najat
Hitti, Eveline
author_sort El Zahran, Tharwat
collection PubMed
description Presentations to the emergency department (ED) are growing worldwide. With the increasing risk factors of non-communicable disease (NCD) and communicable diseases (CD) in low- and middle-income countries, it is crucial to understand how ED presentations are changing with time to meet patients’ needs and allocate acute care resources. The aim of this study is to compare the changes in patient and diseases characteristics over 2 time periods 10 year apart at the largest tertiary care center in Lebanon. This was a retrospective descriptive study of patients presenting to the ED at a large tertiary care center in 2009/2010 and 2018/2019. The discharge diagnoses were coded into Clinical Classification Software codes. We used descriptive statistics, odds ratios (OR), and non-parametric test to compare the different diagnoses. The total number of ED visits increased by 33% from 2009/2010 to 2018/2019. The highest increase rate was among patients older than 65 years (2.6%), whereas the percentage of pediatric patients decreased from 30.8% to 25.3%. ED presentations shifted from NCD to CD. A shift in the discharge diagnoses was also noted within age groups, specifically a shift in cardiovascular diseases to a younger age. Our study suggests that the role of the ED is changing and moving towards treating the aging population and CD. There is a need to invest and mitigate CD, better allocate resources to accommodate the aging population, focus on awareness campaigns targeting early detection of cardiovascular diseases and modifying its risk factors.
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spelling pubmed-105453882023-10-03 Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon El Zahran, Tharwat Ghandour, Lara Chami, Anwar Saliba, Najat Hitti, Eveline Medicine (Baltimore) 4900 Presentations to the emergency department (ED) are growing worldwide. With the increasing risk factors of non-communicable disease (NCD) and communicable diseases (CD) in low- and middle-income countries, it is crucial to understand how ED presentations are changing with time to meet patients’ needs and allocate acute care resources. The aim of this study is to compare the changes in patient and diseases characteristics over 2 time periods 10 year apart at the largest tertiary care center in Lebanon. This was a retrospective descriptive study of patients presenting to the ED at a large tertiary care center in 2009/2010 and 2018/2019. The discharge diagnoses were coded into Clinical Classification Software codes. We used descriptive statistics, odds ratios (OR), and non-parametric test to compare the different diagnoses. The total number of ED visits increased by 33% from 2009/2010 to 2018/2019. The highest increase rate was among patients older than 65 years (2.6%), whereas the percentage of pediatric patients decreased from 30.8% to 25.3%. ED presentations shifted from NCD to CD. A shift in the discharge diagnoses was also noted within age groups, specifically a shift in cardiovascular diseases to a younger age. Our study suggests that the role of the ED is changing and moving towards treating the aging population and CD. There is a need to invest and mitigate CD, better allocate resources to accommodate the aging population, focus on awareness campaigns targeting early detection of cardiovascular diseases and modifying its risk factors. Lippincott Williams & Wilkins 2023-09-29 /pmc/articles/PMC10545388/ /pubmed/37773845 http://dx.doi.org/10.1097/MD.0000000000035194 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 4900
El Zahran, Tharwat
Ghandour, Lara
Chami, Anwar
Saliba, Najat
Hitti, Eveline
Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon
title Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon
title_full Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon
title_fullStr Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon
title_full_unstemmed Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon
title_short Comparing emergency department visits 10-year apart at a tertiary care center in Lebanon
title_sort comparing emergency department visits 10-year apart at a tertiary care center in lebanon
topic 4900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545388/
https://www.ncbi.nlm.nih.gov/pubmed/37773845
http://dx.doi.org/10.1097/MD.0000000000035194
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