Publication: A review of mortality in the emergency department of a teaching hospital in northeast Malaysia
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Date
2021
Authors
Yahya, Ahmad Syahmi
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Abstract
Background: Mortality in emergency department (ED) is frequently encountered. In Malaysia, data related to mortality patterns in ED is however still limited. Patient’s related factors such as sociodemographic and clinical condition may contribute to preventable death in ED. The aim of this study was to determine the associated factors related death in emergency department (DID). Methods: This comparative cross-sectional study involved patients admitted to Red Zone ED Hospital University Sains Malaysia (USM) from January 2019 until December 2019. Data collected from medical records included patients’ demography, chief complaints, diagnosis and initial vital signs. Factors associated with DID were determined. Result: A total of 235 cases were included in this study. There were 61 DID and 134 non-DID cases. Among mortality cases, elderly patient, male gender and Malay are the most predominant. Chief complaints related to DID were non-trauma related and most frequent diagnosis related to DID were infection. Elderly patient, low systolic blood pressure, Glasgow Coma Scale of 9 to 12, and oxygen saturation (SpO2) more than 90% are significantly associated with DID. Conclusion: In this study, increasing of age is associated with higher odds of death. Low systolic blood pressure and Glasgow Coma Scale of 9 to 12 are significantly associated with mortality. Intervention to identify patients with higher risk of mortality is at utmost importance to lead to a better patient care in emergency department.
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Keywords
death , emergency department