视力和长期预后都是重要的急诊科指标:活动能力评估与紧急程度指数的比较

Q3 Medicine

Acute Medicine Pub Date : 2023-07-01 DOI:10.52964/amja.0946

Arnold Isabelle, Kuster Tobias, Busch Jeannette-Marie, Kellett John Gale, Brabrand Mikkel, Bingisser Roland, Nickel Christian

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引用次数: 0

摘要

目的:比较SUHB活动能力量表(即稳定(S)、不稳定步态(U)、需要帮助行走(H)或卧床(B))和急诊严重程度指数(ESI)与入院和死亡结果的关系。设计:对一项前瞻性观察性研究进行事后分析，包括所有同意在3周内到急诊科就诊的患者。计算奇比和auc来评估SUHB的预测性能，并与ESI进行比较。结果:在2422例患者中，65%的患者表现为步态稳定，45%的患者ESI水平为3。随着活动能力障碍在SUHB量表上的增加，入院和死亡的概率增加。对于1年死亡率，SUHB的AUC高于ESI。结论:与ESI相比，SUHB能更好地预测长期死亡率。这种规模快速，几乎不需要额外的培训，也不需要额外的费用，可以作为分诊过程的有用补充。

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Both acuity and long term prognosis are important Emergency Department metrics: comparison of mobility assessment with the Emergency Severity Index

Objective: To compare the SUHB mobility scale (i.e., stable(S), unstable gait(U), needing help to walk(H), or bedridden(B)) and the Emergency Severity Index (ESI) associations with admission and mortality outcomes. Design: Post-hoc analysis of a prospective observational study including all consenting presenting to the ED over a period of 3 weeks. Odd ratios and AUCs were calculated to assess predictive performance of SUHB and compared with ESI. Results: Out of 2422 patients, 65% presented with a stable gait, 45% with an ESI level 3. With increasing mobility impairment on the SUHB scale, the probability for admission and mortality increased. SUHB had a higher AUC than ESI for 1-year mortality. Conclusion: SUHB was a better predictor than ESI of long-term mortality. The scale, which is rapid, requires little additional training, and no extra costs, could be used as a useful supplement to the triage process.

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来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.