- Verzögerung stationäre Aufnahme >5h hat NNH=82 für 30d-Mortalität1, ebenso Overnight Stay2
- CHARITEM: 66% “none of these symptoms”, KH-Mortalität 1% Brustschmerz 5% Bauchschmerz 10% Dyspnoe3
- Ärzte können selbst nur schlecht identifizieren wer “inappropriate” in ZNA ist4
- 50% von diagnostic tests low-value, compounden access-block5
- CCM Studie zu Pat. mit EW die doch ambulant verbleiben (viele)6
Footnotes
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Jones. Association between delays to patient admission from the emergency department and all-cause 30-day mortality. Emergency Medicine Journal 2022;39:168-173. ↩
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Roussel, Melanie, Dorian Teissandier, Youri Yordanov, u. a. „Overnight Stay in the Emergency Department and Mortality in Older Patients“. JAMA Internal Medicine 183, Nr. 12 (2023): 1378–85. https://doi.org/10.1001/jamainternmed.2023.5961. ↩
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Möckel. EJEM 2013. Chief complaints in medical emergencies: do they relate to underlying disease and outcome? The Charité Emergency Medicine Study (CHARITEM) ↩
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Clinician consensus on “Inappropriate” presentations to the Emergency Department in the Better Data, Better Planning (BDBP) census: a cross-sectional multi-centre study of emergency department utilisation in Ireland ↩
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Could Low-Value Diagnostic Tests be Compounding Access Block? A Single-Site, Cross-Sectional Study Tests: coagulation studies, urine cultures, blood cultures, cCT in syncope, cCT in minor head injury, cervical spine CT in neck trauma, ankle X- ray in acute ankle trauma, FKDS in suspected DVT, CTPA in suspected LAE, and CT kidney ureter bladder in renal colic. Tests were classified as low-value based on Choosing Wisely recommendations, with their value determined by a research assistant using clinical documentation, prior to the availability of test results. ↩
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Riedlinger, D., Fischer-Rosinský, A., Möckel, M. et al. Mit Einweisung in die Notaufnahme und trotzdem ambulant nach Hause entlassen. Notfall Rettungsmed (2026). ↩