Hospital-Based Study to Evaluate the Pattern, Spectrum, and Clinical Outcomes of Admissions in the Emergency Department of the Tertiary Care Hospital

Shristee Karki; Suthasenthuran Kanagalingam

Hospital-Based Study to Evaluate the Pattern, Spectrum, and Clinical Outcomes of Admissions in the Emergency Department of the Tertiary Care Hospital

Authors

Shristee Karki Manmoham memorial teaching hospital, Kathmandu
Suthasenthuran Kanagalingam Windsor University School of Medicine

Keywords:

Clinical Outcomes, Emergency department, pattern of injuries, spectrum of injuries, road traffic accidents

Abstract

Background: The healthcare system of Pakistan needs to be adjusted according to the patterns of admission in the Emergency Department (ED), morbidity, and mortality to enable the minimal worst prognosis and premature deaths of the patients. Therefore the purpose of this study was to evaluate the pattern, spectrum, and clinical outcomes of ED admissions.

Methods: We conducted a hospital-based cross-sectional study in the ED of our hospital from March 2021 to March 2022. The area sampling technique was used to collect the data. The data was collected using a prevalidated questionnaire. The collected data was entered into SPSS to be analyzed. Descriptive analysis was done and the frequency and proportion of the variables were reported.

Results: A total of 1347 patients were enrolled in our study. The mean age of the patients admitted to the EDs of the selected hospitals was 46.2 years of which 863 (64%) were males. Only 25% of the patients were brought to the hospital by ambulance whereas 20% came to the emergency department as they did not have their homes. Medical emergencies were predominant (52%) followed by traumatic emergencies (26%). Among the most common presentations, respiratory distress (25%), limb fractures (17%), and hypertensive disorders (10%) were the most common ones.

Conclusion: Our study shows that there were mixed presentations with a variety of patterns and outcomes of ED admissions. There needs to be extra caution in specific seasons and times of the day in which the cases are increased, it is worthwhile to invest further in standardizing and organizing prehospital services at the community level.

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Hospital-Based Study to Evaluate the Pattern, Spectrum, and Clinical Outcomes of Admissions in the Emergency Department of the Tertiary Care Hospital