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Collapse in an Accident and Emergency Department
Author(s) -
Andrew J McLaren,
John T. Lear,
R G Daniels
Publication year - 1994
Publication title -
journal of the royal society of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 81
eISSN - 1758-1095
pISSN - 0141-0768
DOI - 10.1177/014107689408700307
Subject(s) - medicine , accident and emergency , complaint , retrospective cohort study , mortality rate , emergency department , medical emergency , pediatrics , disease , emergency medicine , surgery , pathology , psychiatry , political science , law
Collapse is a common presenting complaint to accident and emergency (A & E) departments. This retrospective study of 4180 new attendances at a district general hospital A & E showed that this accounted for 2.9%. A wide disease spectrum was implicated. This patient group has a high admission rate (47.8%) and a high mortality rate (31.3%). The deaths occurred largely in the elderly and it is suggested that elderly patients should either be admitted for observation, or a careful screening carried out for underlying pathology. The diversity of disease precludes a standard management protocol.

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