Prediction of a time-sensitive condition among patients with dizziness assessed by the emergency medical services
| Autor: | Thomas Karlsson, J. Gärskog, M. Andersson Hagiwara, Johan Herlitz, Christer Axelsson, Carl Magnusson, R. Wetter, Katarina Jood, Niclas Packendorff, E. Lökholm, J. Stenström |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Emergency Medical Services medicine.medical_specialty Time Factors Nausea lcsh:Special situations and conditions Nursing Dizziness Head trauma 03 medical and health sciences 0302 clinical medicine Diagnosis medicine Emergency medical services Humans 030212 general & internal medicine Prehospital Time sensitive Outcome Sweden business.industry Omvårdnad lcsh:RC952-1245 lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 Triage Stroke Blood pressure Ischemic Attack Transient Emergency medicine Emergency Medicine Vomiting medicine.symptom business 030217 neurology & neurosurgery Research Article Sudden onset |
| Zdroj: | BMC Emergency Medicine BMC Emergency Medicine, Vol 21, Iss 1, Pp 1-9 (2021) |
| ISSN: | 1471-227X |
| DOI: | 10.1186/s12873-021-00423-5 |
| Popis: | Background Dizziness is a relatively common symptom among patients who call for the emergency medical services (EMS). Aim To identify factors of importance for the early identification of a time-sensitive condition behind the symptom of dizziness among patients assessed by the EMS. Methods All patients assessed by the EMS and triaged using Rapid Emergency Triage and Treatment (RETTS) for adults code 11 (=dizziness) in the 660,000 inhabitants in the Municipality of Gothenburg, Sweden, in 2016, were considered for inclusion. The patients were divided into two groups according to the final diagnosis (a time-sensitive condition, yes or no). Results There were 1536 patients who fulfilled the inclusion criteria, of which 96 (6.2%) had a time-sensitive condition. The majority of these had a stroke/transitory ischaemic attack (TIA). Eight predictors of a time-sensitive condition were identified. Three were associated with a reduced risk: 1) the dizziness was of a rotatory type, 2) the dizziness had a sudden onset and 3) increasing body temperature. Five were associated with an increased risk: 1) sudden onset of headache, 2) a history of head trauma, 3) symptoms of nausea or vomiting, 4) on treatment with anticoagulants and 5) increasing systolic blood pressure. Conclusion Among 1536 patients who were triaged by the EMS for dizziness, 6.2% had a time-sensitive condition. On the arrival of the EMS, eight factors were associated with the risk of having a time-sensitive condition. All these factors were linked to the type of symptoms or to clinical findings on the arrival of the EMS or to the recent clinical history. |
| Databáze: | OpenAIRE |
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