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Official websites use. Share sensitive information only on official, secure websites. The number of patients in emergency departments has risen steadily in recent years, with a particular increase in patients not requiring urgent treatment.
The aim of this study is to characterize this group of patients with respect to their sociodemographic features, health status, and reasons for attending an emergency department. PiNo Nord is a cross-sectional observational study representing two full working weeks in five different hospitals. Patients were questioned in personal interviews, and medical diagnoses were documented. The data were analyzed with multivariate logistic regressions in mixed multilevel models. Predictors for the subjectively perceived treatment urgency were identified by stepwise backward selection.
The patients questioned had an average age of The strongest predictors for low subjective treatment urgency were musculoskeletal trauma odds ratio [OR] 2. More than half of the patients do not think their condition requires urgent treatment and thus do not meet the definition of a medical emergency. In Germany, emergency care is provided on an outpatient basis by statutory health insurance physicians as well as by ambulance services and hospital emergency departments.
Outpatient treatment for members of the statutory health insurances is provided by registered physicians who—when practices are closed—fulfill their service mandate by means of emergency practices or emergency house call services, for example. The care of patients with life threatening or severe illnesses requiring inpatient treatment is the mandate of hospital emergency departments. These are supported by ambulance services and emergency physicians in terms of caring for and transporting patients 2.
However, the number of patients visiting emergency departments has substantially increased in recent years, and this increase seems to be mainly caused by patients not requiring urgent treatment 3 — 8. Some authors regard the overcrowding in emergency departments as a problem of patient safety 9 , as overcrowded emergency departments are associated with higher mortality, a longer time before medication is given to patients with pneumonia and acute pain, and a larger number of patients leaving emergency departments without having seen a doctor 9 — However, to date these international findings have not been confirmed for the German healthcare system.