Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.ajem.2018.01.057
Title: Management of dyspepsia-The role of the ED observation unit to optimize patient outcomes
Authors: Chor, Wei Ping Daniel
Yong, Pei Xian Lorraine
LIM LI LIN 
Chai, Chew Yian 
Sim, T.B. 
Kuan, Win Sen 
Keywords: Science & Technology
Life Sciences & Biomedicine
Emergency Medicine
Dyspepsia
Emergency service
Hospital
Observation unit
DEPARTMENT OBSERVATION UNITS
EMERGENCY-DEPARTMENT
FUNCTIONAL DYSPEPSIA
SATISFACTION
DISEASE
Issue Date: 1-Oct-2018
Publisher: W B SAUNDERS CO-ELSEVIER INC
Citation: Chor, Wei Ping Daniel, Yong, Pei Xian Lorraine, LIM LI LIN, Chai, Chew Yian, Sim, T.B., Kuan, Win Sen (2018-10-01). Management of dyspepsia-The role of the ED observation unit to optimize patient outcomes. AMERICAN JOURNAL OF EMERGENCY MEDICINE 36 (10) : 1733-1737. ScholarBank@NUS Repository. https://doi.org/10.1016/j.ajem.2018.01.057
Abstract: Background: Dyspepsia is a common complaint that can confer significant burden on one's quality of life and may also be associated with serious underlying conditions. The objective of this study was to determine if patients admitted to the emergency department observation unit (EDOU) for severe or persistent dyspepsia would have cost effective management in terms of investigations performed, length and cost of hospital stay. The secondary objective was to determine if any patient characteristics could predict a need for admission to the inpatient unit. Methods: Retrospective chart reviews of patients admitted to the EDOU under the Dyspepsia protocol between January 2008 and August 2014 were conducted. Baseline demographics, investigations performed, outcomes related to EDOU stay, admission and 30-day re-presentation outcomes were recorded. Results: A total of 1304 patients were included. Median length of stay was 1 day. Cumulative bed-saved days were 38 per month. Two hundred eighteen (16.7%) patients required admission to the inpatient service for further management, while 533 (40.9%) and 313 (24.0%) patients underwent esophagogastroduodenoscopy and hepatobiliary ultrasonography, respectively. No major adverse events were attributed to the EDOU admissions or delays in treatment. No significant clinically relevant factors were associated with a need for admission from the EDOU to the inpatient unit. Median cost of the EDOU admission was approximately one-third that of a similar admission to the inpatient unit. Conclusion: The EDOU is an appropriate setting to facilitate investigations and treatment of patients with dyspepsia with considerable bed-saved days.
Source Title: AMERICAN JOURNAL OF EMERGENCY MEDICINE
URI: https://scholarbank.nus.edu.sg/handle/10635/201973
ISSN: 0735-6757
1532-8171
DOI: 10.1016/j.ajem.2018.01.057
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