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Table 4 Emergency admissions by discharge ICD-10 diagnosis where contact with a) GP or b) out-of-hour (OOH) doctor, or c) direct admission is the dominating prehospital pathway

From: General practitioners’ and out-of-hours doctors’ role as gatekeeper in emergency admissions to somatic hospitals in Norway: registry-based observational study

a) GP contact before admission (N = 122,126)

 

Admissions with the discharge diagnose

GP contact before admission

Diagnosis

N

%

Iron deficiency anaemia (D50)

1980

49

Haemorrhoids (K64)

655

46

Other anaemias (D64)

1274

45

Anal and rectal abscess (K61)

1214

44

Diverticular disease (K57)

3234

44

Intervertebral disc disorders (M51)

2156

44

Mononucleosis (B27)

517

42

Phlebitis and thrombophlebitis (I80)

1428

42

Localized swelling, head (R22)

523

41

Venous embolism and thrombosis (I82)

548

39

Excessive vomiting in pregnancy (O21)

1205

39

Gout (M10)

659

38

Malaise and fatigue (R53)

516

38

Other spondylopathies (M48)

735

37

Ulcerative colitis (K51)

969

37

Disturbances of skin sensation (R20)

745

36

Facial nerve disorders (G51)

516

36

Cutaneous abscess (L02)

1509

35

Heart failure (I50)

7392

35

Osteomyelitis (M86)

526

34

b) OOH doctor contact before admission (N = 152,800)

 

Admissions with the discharge diagnose

OOH contact before admission

Diagnosis

N

%

Acute appendicitis (K35)

5642

52

Foreign body in alimentary tract (T18)

690

52

Effects of other external causes (T75)

732

51

Mental/alcohol disorders (F10)

5779

49

Mental/psychoactive subst. Disorders (F19)

1717

49

Acute tonsillitis (J03)

1130

48

Acute pancreatitis (K85)

1995

46

Abdominal and pelvic pain (R10)

15,518

46

Haemorrhage, airways (R04)

1129

46

Mental/opioids disorders (F11)

757

46

Viral intestinal infections (A08)

1433

46

Adverse effects (T78)

1419

45

Viral infection of unspecified site (B34)

1065

44

Cholelithiasis (K80)

5002

44

Gatroenteritis and colitis (A09)

3225

44

Asthma (J45)

2100

43

Calculus of kidney (N20)

3324

43

Disorders of vestibular function (H81)

2017

43

Paralytic ileus/ intestinal obstruction (K56)

3356

42

Dorsalgia (M54)

3648

42

c) Direct admissions except the ICD-10 diagnosis groups pregnancy, childbirth and the puerperium (0XX), and factors influencing health status and contact with health services (ZXX) (N = 211,551)

 

Admissions with the discharge diagnose

Direct admission

Diagnosis

N

%

Agranulocytosis (D70)

749

72

Hydrocephalus (G91)

587

68

Malignant neoplasms (C)

24,190

63

Cardiac arrest (I46)

539

63

Orthopaedic complications (T84)

2001

62

Pneumonitis due to food and vomit (J69)

836

59

Intracerebral haemorrhage (I61)

1421

58

Fracture of femur (S72)

9958

58

Superficial injury of thorax (S20)

522

58

Mental/sedatives dissorders (F13)

658

58

Epilepsy (G40)

3874

57

Multiple sclerosis (G35)

969

55

Open wound of head (S01)

849

55

Respiratory failure, unspecified (J96)

2388

55

Complications of procedures ICA (T81)

5820

54

Chronic ischaemic heart disease (I25)

2954

54

Chronic kidney disease (N18)

2080

53

Sequelae of cerebrovascular disease (I69)

828

53

Parkinson’s disease (G20)

661

53

Aortic aneurysm and dissection (I71)

982

53