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Published in: BMC Emergency Medicine 1/2023

Open Access 01-12-2023 | Triage | Research

Identification of low-acuity attendances in routine clinical information documented in German Emergency Departments

Authors: Anna Slagman, Antje Fischer-Rosinský, David Legg, Kristin Schmieder, Martin Möckel

Published in: BMC Emergency Medicine | Issue 1/2023

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Abstract

Introduction

It has not yet been possible to ascertain the exact proportion, characterization or impact of low-acuity emergency department (ED) attendances on the German Health Care System since valid and robust definitions to be applied in German ED routine data are missing.

Methods

Internationally used methods and parameters to identify low-acuity ED attendances were identified, analyzed and then applied to routine ED data from two EDs of the tertiary care hospitals Charité—Universitätsmedizin Berlin, Campus Mitte (CCM) and Campus Virchow (CVK).

Results

Based on the three routinely available parameters `disposition´, `transport to the ED´ and `triage´ 33.2% (n = 30 676) out of 92 477 presentations to the two EDs of Charité—Universitätsmedizin Berlin (CVK, CCM) in 2016 could be classified as low-acuity presentations.

Conclusion

This study provides a reliable and replicable means of retrospective identification and quantification of low-acuity attendances in German ED routine data. This enables both intra-national and international comparisons of figures across future studies and health care monitoring.
Appendix
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Metadata
Title
Identification of low-acuity attendances in routine clinical information documented in German Emergency Departments
Authors
Anna Slagman
Antje Fischer-Rosinský
David Legg
Kristin Schmieder
Martin Möckel
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Triage
Published in
BMC Emergency Medicine / Issue 1/2023
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-023-00838-2

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