Novel Prehospital Phenotypes and Outcomes in Adult-Patients with Acute Disease.
An early identification of prehospital phenotypes may allow health care workers to speed up and improve patients' treatment. To determine emergency phenotypes by exclusively using prehospital clinical data, a multicenter, prospective, and observational ambulance-based study was conducted with a coho...
| Published in: | Journal of Medical Systems Vol. 46; no. 7; pp. 1 - 11 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Jul2022
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157817418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157817418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: Jul2022 vid: 46 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 157817418 157817418 157817418 10.1007/s10916-022-01825-z 157817418 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Novel Prehospital Phenotypes and Outcomes in Adult-Patients with Acute Disease. aug: au: Martín-Rodríguez, Francisco López-Izquierdo, Raúl Sanz-García, Ancor del Pozo Vegas, Carlos Ángel Castro Villamor, Miguel Mayo-Iscar, Agustín Martín-Conty, José L. Ortega, Guillermo José affil: Advanced Clinical Simulation Center. Faculty of Medicine, Valladolid University, Valladolid, Spain sug: subj: Acute Disease Prognosis Emergency Medical Services Prehospital Care Treatment Outcomes Human Male Female Middle Age Aged Aged, 80 and Over Multicenter Studies Prospective Studies Nonexperimental Studies Cluster Analysis Acute Disease Mortality Hospital Mortality Decision Making, Clinical Clinical Deterioration Age Factors Time Factors Treatment Delay Respiratory Rate Pulse Oximetry Oxygen Saturation Heart Rate Blood Pressure Descriptive Statistics Data Analysis Software Glasgow Coma Scale Scales Funding Source Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: An early identification of prehospital phenotypes may allow health care workers to speed up and improve patients' treatment. To determine emergency phenotypes by exclusively using prehospital clinical data, a multicenter, prospective, and observational ambulance-based study was conducted with a cohort of 3,853 adult patients treated consecutively and transferred with high priority from the scene to the hospital emergency department. Cluster analysis determined three clusters with highly different outcome scores and pathological characteristics. The first cluster presented a 30-day mortality after the index event of 45.9%. The second cluster presented a mortality of 26.3%, while mortality of the third cluster was 5.1%. This study supports the detection of three phenotypes with different risk stages and with different clinical, therapeutic, and prognostic considerations. This evidence could allow adapting treatment to each phenotype thereby helping in the decision-making process. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|