Outcomes in Emergency Department Patients with Dyspnea versus Chest Pain: A Retrospective Consecutive Cohort Study
Table 2
Outcomes in patients with dyspnea vs. chest pain.
Outcomes
Dyspnea, N = 8,812
Chest pain, N = 20,479
Unadjusted, dyspnea vs. chest pain (95% CI)
Adjusted, dyspnea vs. chest pain (95% CI)
Time in emergency department (hours), median (IQR)
3.8 (2.5, 5.4)
3.3 (2.3, 4.8)
0.4 (0.3–0.5)#
0.6 (0.5–0.7)#
Admitted to hospital
4,222 (47.9%)
6,040 (29.5%)
2.2 (2.1–2.3)
1.2 (1.1–1.3)
Admitted to ICU
120 (1.4%)
27 (0.1%)
10.5 (6.9–15.9)
8.16 (3.7–18.2)
Length of hospital stay among admitted (days), median (IQR)
4.00 (2.00, 7.00)
2.00 (1.00, 4.00)
2.5 (2.2–2.8)#
1.6 (1.3–1.9)#
Revisit within 7 days
368 (4.2%)
715 (3.5%)
1.2 (1.1–1.4)
1.4 (1.1–1.6)
Revisit within 30 days
967 (11.0%)
1,463 (7.1%)
1.6 (1.5–1.7)
1.5 (1.2–1.7)
Revisit within 1 year
2,837 (32.2%)
4,808 (23.5%)
1.55 (1.5–1.6)
1.1 (1.0–1.2)
Mortality within 7 days
291 (3.3%)
70 (0.3%)
10.0 (7.7–12.9)
2.9 (1.9–4.4)
Mortality within 30 days
581 (6.6%)
135 (0.7%)
10.6 (8.8–12.9)
3.4 (2.5–4.6)
Mortality within 1 year
1,599 (26.7%)
576 (5.2%)
6.6 (6.0–7.3)
1.7 (1.4–2.1)
Adjusted for age, sex, centre, Charlson comorbidity index, CRP, Hs-cTnT, and arrival by ambulance. Estimates are odds ratios (for binary outcomes) using logistic regression, or #mean difference using linear regression (for continuous outcomes).
