Relationship of the clinical acuity & complexity to the outcome of an emergency medical admission.
Acute Med
; 17(1): 18-25, 2018.
Article
em En
| MEDLINE
| ID: mdl-29589601
ABSTRACT
BACKGROUND:
An Illness Severity and Co-morbidity composite score can predict 30-day mortality outcome.METHODS:
We computed a summary risk score (RS) for emergency medical admissions and used cluster analysis to define four subsetsResults:
Four cluster groups were defined. Cluster 1 - RS 7 points (IQR 5, 8) Cluster 2 - 9 (IQR 8, 11), Cluster 3 - 12 (IQR 11, 13) and Cluster 4 - 14 (IQR 13, 15). Clusters predicted 30-day in hospital mortality OR 1.86 (95%CI 1.82, 1.92); respective rates 1.4% (95% CI 1.3%, 1.6%), 3.4% (95% CI 3.1%, 3.6%), 7.8% (95% CI 7.5%, 8.1%) and 16.5% (95% CI 15.7%, 17.2%).CONCLUSION:
Cluster grouping of Risk Score was age related; strongest outcome determinant was Acute Illness Severity.
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Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Índice de Gravidade de Doença
/
Mortalidade Hospitalar
/
Emergências
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article