At the index presentation, presenting patients who meet the inclusion criteria will be identified by the triage nurse or treating clinician and invited to participate in the study.
Noncompliance with insulin treatment was the primary reason for the index presentation with DKA, with only ∼14% of patients presenting with new-onset diabetes at the time of the index episode of DKA.
Screened variables were the following: specialty unit, presenting complaint at index, referral status at index, triage priority at index, age group, sex, index presentation on an intense shift, index presentation on a night shift and during weekends, leaving without being seen (LWBS) at index, entering ED via primary triage at index, time to physician at index, and in-hospital occupancy at index.
Patients with symptoms consistent with myocardial ischemia qualifying as unstable angina were classified as undergoing early (≤7 days of index presentation) angiography or not.
Early angiography patients were younger; less likely to have heart failure; more likely to be male, hypercholesterolemic, and smokers; had prior coronary revascularization; and had a myocardial infarction at the index presentation.
Data for unplanned representations to the ED will be collected 7 days after the index presentation.
Causation is much more challenging to ascertain, particularly when the index presentation is with both AF and LV dysfunction.
There were 123 episodes of TIMI bleeding in the study cohort within 30 days of index presentation.
Index presentation was STEMI in 106 patients, NSTEMI in 156 patients and unstable angina in 64 patients.
We selected 47 index and recurrence NTS isolates from systemic and mucosal sites, from 14 patients who had multiple recurrences following an index presentation with iNTS.
