Presenting complaint among XXXX with @entity583 who present to an urban, public hospital emergency department.

@entity1 @entity662 @entity1296 @entity1187 @entity1353 @entity1163 @entity425 @entity2613 @entity490 @entity1167 @entity583
STUDY OBJECTIVE: We determine the frequency of @entity1 presenting without a primary complaint of @entity662 who are admitted with @entity583 ( @entity583 ) and identify factors associated with an increased risk of a presentation without @entity662 . METHODS: This was a retrospective, cross-sectional study over a 5-year period (July 1, 1993, to June 30, 1998) of @entity1 presenting to a large urban, public hospital emergency department who were admitted and determined to have an @entity583 based on International Classification of Diseases, 9th Revision, coding and chart review. Main outcome measures were prevalence of presentation without @entity662 and prevalence of other predefined presentations (ie, @entity1353 , @entity1167 , @entity490 , @entity1296 / @entity425 / @entity1163 ) as determined by the primary chief complaint entered on arrival at the @entity2613 . We calculated univariate relative risks and multivariate odds ratios (ORs) for presentation without @entity662 in @entity1 , nonwhite ethnic groups, and older age groups. RESULTS: Of the 721 cases of diagnosed @entity583 , 53% (380; 95% confidence interval [CI] 49% to 56%) of @entity1 presented with @entity662 . The frequency of other complaints were @entity1353 , 17% (121); @entity1167 , 7% (50); @entity1296 / @entity425 / @entity1163 , 4% (32); @entity490 , 2% (14); and other, 17% (124). The risk of a presentation without @entity662 in a @entity1 with @entity583 increased with age. The characteristic with the highest risk for a presentation without @entity662 in @entity1 with @entity583 was age older than 84 years old (multivariate OR 5.76; 95% CI 3.06 to 10.83). @entity1 were more likely than @entity1 to present without @entity662 (multivariate OR 1.59; 95% CI 1.11 to 2.28). CONCLUSION: Our results demonstrate that @entity1 with @entity583 commonly present to the @entity2613 without a primary initial complaint of @entity662 and that the frequency of initial presentations without @entity662 in our urban, public hospital is as high or higher than that reported in the general @entity2613 population. Heightened awareness of atypical presentations may affect assessment of @entity1 with @entity583 and provide further focus for research into presentations of @entity1187 other than @entity662 .
