Efficacy of prehospital National Early Warning Score to predict outpatient disposition at an emergency department of a Japanese tertiary hospital: a retrospective study
| Autor: | Toru Yoshida, Takaki Naito, Takako Motohashi, Shigeki Fujitani, Tomohiro Shinozaki, Kenichiro Morisawa, Shunsuke Fukuda, Jumpei Tsukuda, Hsiang Chin Hsu, Nobuhiko Shimozawa, Takuro Endo, Yasuhiko Taira |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Adolescent Adverse outcomes Hospital setting lcsh:Medicine law.invention Tertiary Care Centers Japan Patient disposition law Humans Medicine ambulance Aged Retrospective Studies Aged 80 and over business.industry early warning scores lcsh:R Correction Retrospective cohort study General Medicine Disposition Emergency department prehospital Middle Aged Early warning score Intensive care unit Early Warning Score Emergency medicine Emergency Medicine Female Emergency Service Hospital business |
| Zdroj: | BMJ Open BMJ Open, Vol 10, Iss 6 (2020) |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2019-034602 |
| Popis: | ObjectivesThe National Early Warning Score (NEWS) was originally developed to assess hospitalised patients in the UK. We examined whether the NEWS could be applied to patients transported by ambulance in Japan.DesignThis retrospective study assessed patients and calculated the NEWS from paramedic records. Emergency department (ED) disposition data were categorised into the following groups: discharged from the ED, admitted to the ward, admitted to the intensive care unit (ICU) or died in the ED. The predictive performance of NEWS for patient disposition was assessed using receiver operating characteristic curve analysis. Patient dispositions were compared among NEWS-based categories after adjusting for age, sex and presence of traumatic injury.SettingA tertiary hospital in Japan.ParticipantsOverall, 2847 patients transported by ambulance between April 2017 and March 2018 were included.ResultsThe mean (±SD) NEWS differed significantly among patients discharged from the ED (n=1330, 3.7±2.9), admitted to the ward (n=1263, 60.3±3.8), admitted to the ICU (n=232, 9.4±4.0) and died in the ED (n=22, 110.7±2.9) (pConclusionThe findings from this Japanese tertiary hospital setting showed that prehospital NEWS could be used to identify patients at a risk of adverse outcomes. NEWS stratification was strongly correlated with patient disposition. |
| Databáze: | OpenAIRE |
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