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Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea
BACKGROUND: Factors predicting long-term prognosis in patients with acute dyspnea may guide both acute management and follow-up. The aim of this study was to identify socioeconomic and clinical risk factors for all-cause mortality among acute dyspnea patients admitted to an Emergency Department. MET...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008092/ https://www.ncbi.nlm.nih.gov/pubmed/33790664 http://dx.doi.org/10.2147/OAEM.S277448 |
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author | Wessman, Torgny Tofik, Rafid Ruge, Thoralph Melander, Olle |
author_facet | Wessman, Torgny Tofik, Rafid Ruge, Thoralph Melander, Olle |
author_sort | Wessman, Torgny |
collection | PubMed |
description | BACKGROUND: Factors predicting long-term prognosis in patients with acute dyspnea may guide both acute management and follow-up. The aim of this study was to identify socioeconomic and clinical risk factors for all-cause mortality among acute dyspnea patients admitted to an Emergency Department. METHODS: We included 798 patients with acute dyspnea admitted to the ED of Skåne University Hospital, Malmö, Sweden from 2013 to 2016. Exposures were living in the immigrant-dense urban part of Malmö (IDUD), country of birth, annual income, comorbidities, smoking habits, medical triage priority and severity of dyspnea. Mean follow-up time was 2.2 years. Exposures were related to risk of all-cause mortality using Cox proportional hazard model. RESULTS: During follow-up 40% died. In models adjusted for age and gender, low annual income, previous or ongoing smoking, certain comorbidities, high medical triage priority and severe dyspnea were all significantly associated with increased mortality. After adjusting for age, gender and all significant exposures, the lowest quintile of income, ongoing or previous smoking, history of serious infection, anemia, hip fracture, high medical triage priority and severe dyspnea significantly and independently predicted mortality. In contrast, neither country of birth nor living in IDUD predicted a mortality risk. CONCLUSION: Apart from several clinical risk factors, low annual income predicts two-year mortality risk in patients with acute dyspnea. This is not the case for country of birth and living in IDUD. Our results underline the wide range of mortality risk factors in acute dyspnea patients. Knowledge of patients’ annual income as well as certain clinical features may aid risk stratification and determining the need of follow-up both in hospital and after discharge from an ED. |
format | Online Article Text |
id | pubmed-8008092 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-80080922021-03-30 Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea Wessman, Torgny Tofik, Rafid Ruge, Thoralph Melander, Olle Open Access Emerg Med Original Research BACKGROUND: Factors predicting long-term prognosis in patients with acute dyspnea may guide both acute management and follow-up. The aim of this study was to identify socioeconomic and clinical risk factors for all-cause mortality among acute dyspnea patients admitted to an Emergency Department. METHODS: We included 798 patients with acute dyspnea admitted to the ED of Skåne University Hospital, Malmö, Sweden from 2013 to 2016. Exposures were living in the immigrant-dense urban part of Malmö (IDUD), country of birth, annual income, comorbidities, smoking habits, medical triage priority and severity of dyspnea. Mean follow-up time was 2.2 years. Exposures were related to risk of all-cause mortality using Cox proportional hazard model. RESULTS: During follow-up 40% died. In models adjusted for age and gender, low annual income, previous or ongoing smoking, certain comorbidities, high medical triage priority and severe dyspnea were all significantly associated with increased mortality. After adjusting for age, gender and all significant exposures, the lowest quintile of income, ongoing or previous smoking, history of serious infection, anemia, hip fracture, high medical triage priority and severe dyspnea significantly and independently predicted mortality. In contrast, neither country of birth nor living in IDUD predicted a mortality risk. CONCLUSION: Apart from several clinical risk factors, low annual income predicts two-year mortality risk in patients with acute dyspnea. This is not the case for country of birth and living in IDUD. Our results underline the wide range of mortality risk factors in acute dyspnea patients. Knowledge of patients’ annual income as well as certain clinical features may aid risk stratification and determining the need of follow-up both in hospital and after discharge from an ED. Dove 2021-03-25 /pmc/articles/PMC8008092/ /pubmed/33790664 http://dx.doi.org/10.2147/OAEM.S277448 Text en © 2021 Wessman et al. http://creativecommons.org/licenses/by/4.0/ This work is published by Dove Medical Press Limited, and licensed under a Creative Commons Attribution License. The full terms of the License are available at http://creativecommons.org/licenses/by/4.0/. The license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Original Research Wessman, Torgny Tofik, Rafid Ruge, Thoralph Melander, Olle Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea |
title | Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea |
title_full | Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea |
title_fullStr | Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea |
title_full_unstemmed | Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea |
title_short | Socioeconomic and Clinical Predictors of Mortality in Patients with Acute Dyspnea |
title_sort | socioeconomic and clinical predictors of mortality in patients with acute dyspnea |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008092/ https://www.ncbi.nlm.nih.gov/pubmed/33790664 http://dx.doi.org/10.2147/OAEM.S277448 |
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