From: Nonspecific complaints in the emergency department – a systematic review
Article | Study type | Presenting complaint | Definition for NSC | Population | NSC group | Control group | Total | Prevalence of NSC |
---|---|---|---|---|---|---|---|---|
Bhalla et al. 2019 [1] | Cross-sectional cohort | Weakness and fatigue | Listed in NHAMCS as generalised weakness 1020.0 or tiredness and exhaustion 1015.0 | Age ≥ 65; All ED visits; | 6.4% (~ 5.4 million); Age 65–74 years; 4.6%; 75–84 years: 6.5%; age ≥ 85: 7.7% | 93.6% (~ 79 million) | 85 million | 1% of all adults; 6.40% of elderly |
Djärv et al. 2015 [4] | Retrospective cohort | Decreased general condition | Adapt criteria for DGC | Age ≥ 18; All ED visits | 1182; 54% female; 83% ≥65 years old; 57%; ≥80 years old | 20,775; 52% female; 53% ≥65 years old; 27% ≥80 years old | 21,957 | 1714 / 89,554; 1.9% of all adults |
Lamantia et al. 2010 [32] | Retrospective cohort | Generalised weakness | Chief complaint independently by two reviewers according to reason for visit classification schema developed for use by the NHAMCS by national centre for health statistics | Age ≥ 75; All ED visits | n/ab | n/a | 3188; 60.8% female; median age 82 | n/a |
Quinn et al. 2015 [33] | Retrospective cohort | NSC | As Nemec et al | Age ≥ 70; All ED visits | 478; 54.8% female; Age avg. 81.9 years, SD 6.19 | n/a | n/a | n/a |
Safwenberg et al. 2007 [34] | Prospective cohort | General disability | As Djärv et al | Age ≥ 18; Non-surgical ED patients | 719; median age 82 | n/a | 12,995; 51.5% female; median age 66 | 5.5% of adult non-surgical |
Safwenberg et al. 2008 [35] | Prospective cohort | General disability | As Djärv et al | Age ≥ 18; Non-surgical ED patients | 719; median age 82 | n/a | 12,995; 51.5% female; median age 66 | 5.5% of adult non-surgical |
Sauter et al. 2018 [36] | Prospective observationala | NSC | As Nemec et al | Age ≥ 18; Admitted to medical ward from ED | 165; 47.9% female; median age 71 | 546; 44.5% female; median age 69 | 711 | n/a |
Wachelder et al. 2017 [2] | Prospective observational | NSC | Not specified | Age ≥ 65; Internal medical patients at the ED | 244; 50.4% female; Age mean 77.6 (SD 7.3) | 1540; 54.4% female; Mean age 77.5 (SD 7.7) | 244/2381 (9%) of adult medical patients; 244/1883 (14%) of elderly medical patients | |
Vilpert 2018 [37] | Retrospective cohort | Home care impossible | Lausanne Triage and priority scale category “home care impossible” | Age ≥ 65; ED visits excluding nursing home residents | 5.5% home care impossible; 4.1% failure to thrivea | n/a | 39,178; 54.6% female; Mean age 78.5 ± 7.9 years | 9.6% of elderly community-dwelling |