Journal of Isfahan Medical School

Journal of Isfahan Medical School

Evaluation of Clinical and Paraclinical Findings of Deceased Patients Within the First 24 Hours of Admission to the Emergency Department of Al-Zahra Hospital of Isfahan, Iran in 2022-2024

Document Type : Original Article(s)

Authors
Farhad Heydari 1
Amirbahador Boroumand Jazi 2
Davoud Mohamadi 3
Mahboubeh Koushkian Esfahani 3
Mehdi Kargarian Miandoab 4
1 Associated Professor, Department of Emergency medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant professor, Department of Emergency medicine, school of medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Assistant Professor, Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Medical Student, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.48305/jims.v44.i869.1198
Abstract
Background:The present study aimed to determine the frequency of clinical and laboratory findings of patients died within 24 hours of admission to the emergency room of Alzahra hospital done in 2014-15.
Methods: In a cross sectional study, 138 patients who dead in the first 24 hours of enterance to Emergency department of Alzahra hospital were selected and demographic, clinical symptomscause and distance between enterance to emergency department and death were extracted and analyzed.

Resoults: The most common symptom, decreased level of consciousness with the frequency of 59 cases (42.8%) and the low prevalence of the mark, edema, and dizziness with an abundance of either 1 (0.7%), respectively. The most common initial diagnosis, cardiac arrest, respiratory frequency of 51 (37%) were cited. Stroke prevalence of 24 cases (17.4%) and sepsis second leading cause a lot of 17 cases (12.3%) was the third leading cause of death.

Conclusion: Based on the results of our study, the time between patient arrival to the emergency room to get first visit, age, underlying disease, the patient's admission to the emergency room less than a week and arrival times were an important factor in the mortality of the patients, and therefore it is necessary to reduce hospital mortality, necessary measures must be taken to provide timely treatment to the patients. On the other hand, because the majority of patients had a decreased level of consciousness, tending to patients with a decreased level of consciousness, can significantly reduce the mortality of patients in the emergency department.

Highlights

Farhad Heydari: Google Scholar, PubMed

 Amirbahador Boroumand Jazi: Google Scholar, PubMed

Davoud Mohamadi: Google Scholar, PubMed

Mahboubeh Koushkian Esfahani: Google Scholar, PubMed

Mehdi Kargarian:Google Scholar, PubMed

Keywords
emergency
death
clinical finding
Subjects
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Journal of Isfahan Medical School
Volume 44, Issue 869
1st Week, September
September and October 2026
Pages 1198-1207

  • Receive Date 16 October 2024
  • Accept Date 18 August 2026