OBJECTIVES: To evaluate the relationship between chief complaints and their underlying diseases and outcome in medical @entity341 ( @entity341 ). METHODS: All 34 333 @entity1 who attended two of the @entity341 of the Charit   Berlin over a 1-year period were included in the analysis. Data were retrieved from the hospital information system. For study purposes, the chief complaint ( @entity662 , dyspnoea, @entity490 , @entity10 or 'none of these symptoms') was prospectively documented in an electronic file by the ED-physician. Documentation was mandatory. RESULTS: The majority of @entity1 (66%) presented with 'none of these symptoms', 11.5% with @entity662 , 11.1% with @entity490 and 7.4% with dyspnoea. In total, 39.4% of all @entity1 were admitted to the hospital. The leading diagnosis was @entity1187 (50.7%) for @entity662 in- @entity1 and @entity1030 (16.5%) and @entity712 (16.1%) for in- @entity1 with dyspnoea. The causes of @entity490 in in- @entity1 were of diverse gastrointestinal origin (47.2%). In-hospital mortality of in- @entity1 was 4.7%. @entity1 with @entity662 had significantly lower in-hospital mortality (0.9%) than @entity1 with dyspnoea (9.4%) and @entity490 (5.1%). CONCLUSION: The majority of @entity341 @entity1 lack diagnosis-specific symptoms. Chief complaints help preselect @entity1 but must not be mistaken as disease specific. Mortality largely differs depending on the chief complaint. In @entity662 @entity1 , standardized processes may be one factor that explains the low mortality in this group.

Chief complaints in medical emergencies: do they relate to underlying disease and outcome? The @entity341 ( XXXX ).

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndrome'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency', 'emergency departments', 'EDs'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic obstructive pulmonary disease'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache']
@entity341 :: (MESH:D004630,Disease) :: ['CHARITEM']
