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Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application
BACKGROUND: Although there is a major need to record and analyse presenting complaints in emergency departments (EDs), no international standard exists. The aim of the present study was to produce structured complaint classification suitable for ED use and to implement it in practice. The structured...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564900/ https://www.ncbi.nlm.nih.gov/pubmed/23176447 http://dx.doi.org/10.1186/1757-7241-20-76 |
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author | Malmström, Tomi Huuskonen, Olli Torkki, Paulus Malmström, Raija |
author_facet | Malmström, Tomi Huuskonen, Olli Torkki, Paulus Malmström, Raija |
author_sort | Malmström, Tomi |
collection | PubMed |
description | BACKGROUND: Although there is a major need to record and analyse presenting complaints in emergency departments (EDs), no international standard exists. The aim of the present study was to produce structured complaint classification suitable for ED use and to implement it in practice. The structured classification evolved from a study of free text fields and ICPC-2 classification. METHODS: Presenting complaints in a free text field of ED admissions during a one-year period (n=40610) were analyzed and summarized to 70 presenting complaint groups. The results were compared to ICPC-2 based complaints collected in another ED. An expert panel reviewed the results and produced an ED application of ICPC-2 classification. This study implemented the new classification into an ED. RESULTS: The presenting complaints summarized from free text fields and those from ICPC-2 categories were remarkably similar. However, the ICPC-2 classification was too broad for ED; an adapted version was needed. The newly developed classification includes 89 presenting complaints and ED staff found it easy to use. CONCLUSIONS: ICPC-2 classification can be adapted for ED use. The authors suggest a list of 89 presenting complaints for use in EDs adult patients. |
format | Online Article Text |
id | pubmed-3564900 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35649002013-02-08 Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application Malmström, Tomi Huuskonen, Olli Torkki, Paulus Malmström, Raija Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: Although there is a major need to record and analyse presenting complaints in emergency departments (EDs), no international standard exists. The aim of the present study was to produce structured complaint classification suitable for ED use and to implement it in practice. The structured classification evolved from a study of free text fields and ICPC-2 classification. METHODS: Presenting complaints in a free text field of ED admissions during a one-year period (n=40610) were analyzed and summarized to 70 presenting complaint groups. The results were compared to ICPC-2 based complaints collected in another ED. An expert panel reviewed the results and produced an ED application of ICPC-2 classification. This study implemented the new classification into an ED. RESULTS: The presenting complaints summarized from free text fields and those from ICPC-2 categories were remarkably similar. However, the ICPC-2 classification was too broad for ED; an adapted version was needed. The newly developed classification includes 89 presenting complaints and ED staff found it easy to use. CONCLUSIONS: ICPC-2 classification can be adapted for ED use. The authors suggest a list of 89 presenting complaints for use in EDs adult patients. BioMed Central 2012-11-24 /pmc/articles/PMC3564900/ /pubmed/23176447 http://dx.doi.org/10.1186/1757-7241-20-76 Text en Copyright ©2012 Malmström et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Malmström, Tomi Huuskonen, Olli Torkki, Paulus Malmström, Raija Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application |
title | Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application |
title_full | Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application |
title_fullStr | Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application |
title_full_unstemmed | Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application |
title_short | Structured classification for ED presenting complaints – from free text field-based approach to ICPC-2 ED application |
title_sort | structured classification for ed presenting complaints – from free text field-based approach to icpc-2 ed application |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564900/ https://www.ncbi.nlm.nih.gov/pubmed/23176447 http://dx.doi.org/10.1186/1757-7241-20-76 |
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