Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM) study: Rationale, design and analysis

AANZDEM Study Group

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objectives: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. Methods/Design: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. Discussion: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.

Original languageEnglish
Pages (from-to)187-191
Number of pages5
JournalEMA - Emergency Medicine Australasia
Volume27
Issue number3
DOIs
Publication statusPublished - 1 Jun 2015

Fingerprint

New Zealand
Dyspnea
Hospital Emergency Service
Epidemiology
Therapeutics
Far East
Quality of Health Care
Malaysia
Singapore
Hong Kong
Comorbidity
Heart Diseases
Cohort Studies
Demography
Guidelines

Keywords

  • Dyspnoea
  • Emergency department
  • Epidemiology

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM) study : Rationale, design and analysis. / AANZDEM Study Group.

In: EMA - Emergency Medicine Australasia, Vol. 27, No. 3, 01.06.2015, p. 187-191.

Research output: Contribution to journalArticle

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abstract = "Objectives: Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology of dyspnoea presenting to EDs in the South East Asia-Pacific region, to compare disease patterns across regions, to understand how conditions are investigated and treated, and to assess quality of care. Methods/Design: This is a prospective, interrupted time series cohort study conducted in EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia of consecutive adult patients presenting to the ED with dyspnoea as a main symptom. Data were collected over three 72 h periods in May, August and October 2014 (autumn, winter and spring), and included demographics, comorbidities, mode of arrival, usual medications, pre-hospital treatment, initial assessment, ED investigations, treatment in the ED, ED diagnosis, disposition from ED, in-hospital outcome and final hospital diagnosis. The primary outcomes of interest are the epidemiology and outcome of patients presenting to ED with dyspnoea. Secondary outcomes of interest are seasonal and geographic comparisons of diagnoses and outcomes, disease-specific descriptions of epidemiology, investigation, treatment and disposition, and compliance with treatment guidelines. Discussion: This novel study will explore dyspnoea from the viewpoint of the patient's symptom (shortness of breath) rather than that of a single disease. The results will provide robust data about the epidemiology, investigation, treatment and disposition of this diverse patient group. The obtained data also have the potential to inform service planning and to quantify the proportion of patients with mixed cardiac and respiratory disease.",
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AU - Keijzers, Gerben

AU - Klim, Sharon

AU - Graham, Colin A.

AU - Craig, Simon

AU - Kuan, Win Sen

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AU - Tan, Clifford

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AU - Watkins, Gina

AU - Stone, Richard

AU - Rosengren, David

AU - Thone, Jae

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AU - Orda, Ulrich

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AU - Smith, Simon

AU - Smith, Richard

AU - Maclean, Andrew

AU - Grummisch, Michelle

AU - Meyer, Alistair

AU - Meek, Robert

AU - Rosengarten, Pamela

AU - Chan, Barry

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