Chronic disease management in emergency department patients presenting with dyspnoea

Peter Jones; Anne-Maree Kelly; Gerben Keijzers; Sharon Klim; Anna Holdgate; Colin A Graham; Simon Craig; Win Sen Kuan; Said Laribi; AANZDEM Study Group

doi:10.1111/1742-6723.13625

Chronic disease management in emergency department patients presenting with dyspnoea

Emerg Med Australas. 2020 Dec;32(6):1067-1070. doi: 10.1111/1742-6723.13625. Epub 2020 Sep 17.

Authors

Peter Jones^{1

2}, Anne-Maree Kelly^{3

4}, Gerben Keijzers^{5

6

7}, Sharon Klim³, Anna Holdgate^{8

9}, Colin A Graham¹⁰, Simon Craig^{11

12

13}, Win Sen Kuan^{14

15}, Said Laribi^{16

17}; AANZDEM Study Group

Collaborators

AANZDEM Study Group:
Richard McNulty, Clifford Tan, David Lord Cowell, Anna Holdgate, Nitin Jain, Tracey Devillecourt, Alan Forrester, Kendall Lee, Dane Chalkley, Mark Gillett, Lydia Lozzi, Stephen Asha, Martin Duffy, Gina Watkins, Richard Stone, David Rosengren, Jae Thone, Shane Martin, Ulrich Orda, Ogilvie Thom, Frances Kinnear, Rob Eley, Alison Ryan, Douglas Morel, Christopher May, Jeremy Furyk, Graeme Thomson, Simon Smith, Richard Smith, Andrew Maclean, Michelle Grummisch, Alistair Meyer, Robert Meek, Pamela Rosengarten, Barry Chan, Helen Haythorne, Peter Archer, Simon Craig, Kathryn Wilson, Jonathan Knott, Peter Ritchie, Michael Bryant, Stephen MacDonald, Tom Lee, Mlungisi Mahlangu, David Mountain, Ian Rogers, Tobias Otto, Peter Stuart, Jason Bament, Michelle Brown, Peter Jones, Renee Greven-Garcia, Michael Scott, Thomas Cheri, Mai Nguyen, Colin Graham, Chi-Pang Wong, Tai Wai Wong, Ling-Pong Leung, Chan Ka Man, Ismail Mohd Saiboon, Nik Hisamuddin Rahman, Wee Yee Lee, Francis Chun Yue Lee, Win Sen Kuan, Sharon Klim, Kerrie Russell Anne-Maree

Affiliations

¹ Department of Emergency Medicine, Auckland City Hospital, Auckland, New Zealand.
² Department of Surgery, The University of Auckland, Auckland, New Zealand.
³ Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
⁴ School of Medicine - Western Clinical School, The University of Melbourne, Melbourne, Victoria, Australia.
⁵ Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
⁶ School of Medicine, Bond University, Gold Coast, Queensland, Australia.
⁷ School of Medicine, Griffith University, Gold Coast, Queensland, Australia.
⁸ Department of Emergency Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
⁹ Southwest Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
¹⁰ Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.
¹¹ Emergency Department, Monash Medical Centre, Melbourne, Victoria, Australia.
¹² School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
¹³ Murdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, Victoria, Australia.
¹⁴ Emergency Medicine Department, National University Health System, Singapore.
¹⁵ Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
¹⁶ Department of Emergency Medicine, Tours University Hospital, Tours, France.
¹⁷ School of Medicine, Tours University, Tours, France.

PMID: 32945106
DOI: 10.1111/1742-6723.13625

Abstract

Objectives: Guideline recommended treatments for chronic conditions are thought to reduce ED presentations.

Method: We used data from 1958 ED patients with dyspnoea to describe medication use in patients with chronic conditions.

Results: A total of 1233 (63.5%) patients had one or more of: chronic obstructive pulmonary disease 547 (28%), asthma 454 (23%), atrial fibrillation 368 (19%) or heart failure 401 (21%). Approximately, 70% were prescribed appropriate preventative medication for their chronic condition when they presented to ED with dyspnoea.

Conclusion: Prescription of guideline recommended therapies for chronic conditions in patients presenting to the ED in Australasia with acute dyspnoea is similar or higher than reported previously.

Keywords: chronic disease; drug therapy; dyspnoea; emergencies; preventative medicine.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Asthma*
Atrial Fibrillation*
Disease Management
Dyspnea / etiology
Dyspnea / therapy
Emergency Service, Hospital
Humans

Grants and funding

EMPJ-108R2 1-2014/Emergency Medicine Foundation/International