• Emerg Med Australas · Dec 2020

    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, and AANZDEM Study Group.
    • Department of Emergency Medicine, Auckland City Hospital, Auckland, New Zealand.
    • Emerg Med Australas. 2020 Dec 1; 32 (6): 1067-1070.

    ObjectivesGuideline recommended treatments for chronic conditions are thought to reduce ED presentations.MethodWe used data from 1958 ED patients with dyspnoea to describe medication use in patients with chronic conditions.ResultsA 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.ConclusionPrescription 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.© 2020 Australasian College for Emergency Medicine.

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