Chronic disease management in emergency department patients presenting with dyspnoea

Peter Jones^{1

2}, Anne-Maree Kelly^{3

4}, Gerben Keijzers^{5

6

7}, Sharon Klim³, Anna Holdgate^{8

9}, Colin A Graham¹⁰, Simon Craig^{11

12

13}, Win Sen Kuan^{14

15}, Said Laribi^{16

17}; AANZDEM Study Group

Collaborators, Affiliations

Collaborators

AANZDEM Study Group:
Richard McNulty, Clifford Tan, David Lord Cowell, Anna Holdgate, Nitin Jain, Tracey Devillecourt, Alan Forrester, Kendall Lee, Dane Chalkley, Mark Gillett, Lydia Lozzi, Stephen Asha, Martin Duffy, Gina Watkins, Richard Stone, David Rosengren, Jae Thone, Shane Martin, Ulrich Orda, Ogilvie Thom, Frances Kinnear, Rob Eley, Alison Ryan, Douglas Morel, Christopher May, Jeremy Furyk, Graeme Thomson, Simon Smith, Richard Smith, Andrew Maclean, Michelle Grummisch, Alistair Meyer, Robert Meek, Pamela Rosengarten, Barry Chan, Helen Haythorne, Peter Archer, Simon Craig, Kathryn Wilson, Jonathan Knott, Peter Ritchie, Michael Bryant, Stephen MacDonald, Tom Lee, Mlungisi Mahlangu, David Mountain, Ian Rogers, Tobias Otto, Peter Stuart, Jason Bament, Michelle Brown, Peter Jones, Renee Greven-Garcia, Michael Scott, Thomas Cheri, Mai Nguyen, Colin Graham, Chi-Pang Wong, Tai Wai Wong, Ling-Pong Leung, Chan Ka Man, Ismail Mohd Saiboon, Nik Hisamuddin Rahman, Wee Yee Lee, Francis Chun Yue Lee, Win Sen Kuan, Sharon Klim, Kerrie Russell Anne-Maree

Affiliations

¹ Department of Emergency Medicine, Auckland City Hospital, Auckland, New Zealand.
² Department of Surgery, The University of Auckland, Auckland, New Zealand.
³ Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
⁴ School of Medicine - Western Clinical School, The University of Melbourne, Melbourne, Victoria, Australia.
⁵ Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
⁶ School of Medicine, Bond University, Gold Coast, Queensland, Australia.
⁷ School of Medicine, Griffith University, Gold Coast, Queensland, Australia.
⁸ Department of Emergency Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
⁹ Southwest Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
¹⁰ Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.
¹¹ Emergency Department, Monash Medical Centre, Melbourne, Victoria, Australia.
¹² School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
¹³ Murdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, Victoria, Australia.
¹⁴ Emergency Medicine Department, National University Health System, Singapore.
¹⁵ Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
¹⁶ Department of Emergency Medicine, Tours University Hospital, Tours, France.
¹⁷ School of Medicine, Tours University, Tours, France.

PMID: 32945106
DOI: 10.1111/1742-6723.13625

Chronic disease management in emergency department patients presenting with dyspnoea

Peter Jones et al. Emerg Med Australas. 2020 Dec.

. 2020 Dec;32(6):1067-1070.

doi: 10.1111/1742-6723.13625. Epub 2020 Sep 17.

Authors

Collaborators

AANZDEM Study Group:
Richard McNulty, Clifford Tan, David Lord Cowell, Anna Holdgate, Nitin Jain, Tracey Devillecourt, Alan Forrester, Kendall Lee, Dane Chalkley, Mark Gillett, Lydia Lozzi, Stephen Asha, Martin Duffy, Gina Watkins, Richard Stone, David Rosengren, Jae Thone, Shane Martin, Ulrich Orda, Ogilvie Thom, Frances Kinnear, Rob Eley, Alison Ryan, Douglas Morel, Christopher May, Jeremy Furyk, Graeme Thomson, Simon Smith, Richard Smith, Andrew Maclean, Michelle Grummisch, Alistair Meyer, Robert Meek, Pamela Rosengarten, Barry Chan, Helen Haythorne, Peter Archer, Simon Craig, Kathryn Wilson, Jonathan Knott, Peter Ritchie, Michael Bryant, Stephen MacDonald, Tom Lee, Mlungisi Mahlangu, David Mountain, Ian Rogers, Tobias Otto, Peter Stuart, Jason Bament, Michelle Brown, Peter Jones, Renee Greven-Garcia, Michael Scott, Thomas Cheri, Mai Nguyen, Colin Graham, Chi-Pang Wong, Tai Wai Wong, Ling-Pong Leung, Chan Ka Man, Ismail Mohd Saiboon, Nik Hisamuddin Rahman, Wee Yee Lee, Francis Chun Yue Lee, Win Sen Kuan, Sharon Klim, Kerrie Russell Anne-Maree

Affiliations

¹ Department of Emergency Medicine, Auckland City Hospital, Auckland, New Zealand.
² Department of Surgery, The University of Auckland, Auckland, New Zealand.
³ Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia.
⁴ School of Medicine - Western Clinical School, The University of Melbourne, Melbourne, Victoria, Australia.
⁵ Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
⁶ School of Medicine, Bond University, Gold Coast, Queensland, Australia.
⁷ School of Medicine, Griffith University, Gold Coast, Queensland, Australia.
⁸ Department of Emergency Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
⁹ Southwest Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
¹⁰ Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.
¹¹ Emergency Department, Monash Medical Centre, Melbourne, Victoria, Australia.
¹² School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
¹³ Murdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, Victoria, Australia.
¹⁴ Emergency Medicine Department, National University Health System, Singapore.
¹⁵ Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
¹⁶ Department of Emergency Medicine, Tours University Hospital, Tours, France.
¹⁷ School of Medicine, Tours University, Tours, France.

PMID: 32945106
DOI: 10.1111/1742-6723.13625

Abstract

Objectives: Guideline recommended treatments for chronic conditions are thought to reduce ED presentations.

Method: We used data from 1958 ED patients with dyspnoea to describe medication use in patients with chronic conditions.

Results: A total of 1233 (63.5%) patients had one or more of: chronic obstructive pulmonary disease 547 (28%), asthma 454 (23%), atrial fibrillation 368 (19%) or heart failure 401 (21%). Approximately, 70% were prescribed appropriate preventative medication for their chronic condition when they presented to ED with dyspnoea.

Conclusion: Prescription of guideline recommended therapies for chronic conditions in patients presenting to the ED in Australasia with acute dyspnoea is similar or higher than reported previously.

Keywords: chronic disease; drug therapy; dyspnoea; emergencies; preventative medicine.

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References

1. Kelly AM, Keijzers G, Klim S et al. An observational study of dyspnea in emergency departments: the Asia, Australia, and New Zealand dyspnea in emergency departments study (AANZDEM). Acad. Emerg. Med. 2017; 24: 328-36.
1. Kim H, Kim TH, Cha MJ et al. A prospective survey of atrial fibrillation management for real-world guideline adherence: COmparison study of drugs for symptom control and complication prEvention of atrial fibrillation (CODE-AF) registry. Korean Circ. J. 2017; 47: 877-87.
1. Ward MM, Yankey JW, Vaughn TE et al. Provider adherence to COPD guidelines: relationship to organizational factors. J. Eval. Clin. Pract. 2005; 11: 379-87.
1. Lemay J, Waheedi M, Al-Sharqawi S, Bayoud T. Medication adherence in chronic illness: do beliefs about medications play a role? Patient Prefer. Adherence 2018; 12: 1687-98.
1. Oberje EJ, de Kinderen RJ, Evers SM, van Woerkum CM, de Bruin M. Cost effectiveness of medication adherence-enhancing interventions: a systematic review of trial-based economic evaluations. Pharmacoeconomics 2013; 31: 1155-68.

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Chronic disease management in emergency department patients presenting with dyspnoea

Collaborators

Affiliations

Chronic disease management in emergency department patients presenting with dyspnoea

Authors

Collaborators

Affiliations

Abstract

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical