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Mínguez Masó S, Supervía Caparrós A, Campodarve Botet I, Aguirre Tejedo A, Echarte Pazos JL, López Casanova MJ
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Objectives: To report clinical and demographic characteristics of patients who died in
our hospital emergency department and to assess several aspects of medical care that
could be improved.
Methods: Descriptive study of patients who died in the Emergency Department between
January 1st and December 31st, 2006, excluding those patients who expired in
the areas of pediatrics and gynecology. Demographic and clinical data, length of stay
and location/placement of the patient at the time of death were recorded.
Results: Mortality rate was 0.2%. The most common type of patient was an elderly
person whose death was expected. The most frequent cause of death was end-stage
malignant disease and the median length of stay was 6 hours. Only 25% of patients
undergone cardiopulmonary resuscitation manoeuvers. Prevalence of cognitive impairment
was 32%. Patient location at the time of death was considered correct in most
cases.
Conclusions: Given the significant ratio of patients with a terminal illness who die in
the Emergency Departments, to enhance the transfer to more specific areas is mandatory.
To design specific protocols for this group of patients is also desirable.
