Prehospital Shock Precautions on Triage (PSPoT) score to assess in-hospital mortality for septic shock.
Am J Emerg Med
; 44: 230-234, 2021 06.
Article
en En
| MEDLINE
| ID: mdl-32591305
ABSTRACT
CONTEXT In the prehospital setting, early identification of septic shock (SS) with high risk of poor outcome is a daily issue. There is a need for a simple tool aiming to early assess outcome in order to decide delivery unit (emergency department (ED) or intensive care unit (ICU)). In France, prehospital emergencies are managed by the Service d'Aide Médicale d'Urgence (SAMU). The SAMU physician decides the destination ward either to the ICU or to the ED after on scene severity assessment. We report the association between The Prehospital Shock Precautions on Triage (PSPoT) score, and in-hospital mortality of SS patients initially cared for in the prehospital setting by a mobile ICU (MICU). METHODS:
SS patients cared for by MICU were prospectively included between February 2017 and July 2019. The PSPoT score was established by adding shock index>1 and criterion based on past medical history age >65â¯years and at least 1 previous comorbidity (chronic cardiac failure, chronic renal failure, chronic obstructive pulmonary disease, previous or actual history of cancer, institutionalization, hospitalisation within previous 3â¯months. A threshold of ≥2, was arbitrarily chosen for clinical relevance and usefulness in clinical practice.RESULTS:
One-hundred and sixty-nine with a median age of 72 [20-93] years were analysed. SS origin was mainly pulmonary (54%), abdominal (19%) and urinary (15%). The median PSPoT score was 2 [1-2]. PSPoT score and PSPoT scoreâ¯≥â¯2 were associated with in-hospital mortality ORâ¯=â¯1.24 [0.77-2.05] and ORâ¯=â¯2.19 [1.09-4.59] respectively.CONCLUSION:
We report an association between PSPoT score, and in-hospital mortality of SS patients cared for by a MICU. A PSPoT scoreâ¯≥â¯2 early identifies poorer outcome.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Choque Séptico
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Triaje
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Mortalidad Hospitalaria
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Servicios Médicos de Urgencia
Tipo de estudio:
Prognostic_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Europa
Idioma:
En
Año:
2021
Tipo del documento:
Article