Death risk classifying in patients with internal medical emergencies in pre-hospital settings
| Author | Seyed MohammadTaghi Shahcheragh | en |
| Author | Abbasali Ebrahimian | en |
| Author | Ali Fakhr-Movahedi | en |
| Orcid | Abbasali Ebrahimian [0000-0003-2665-0514] | en |
| Orcid | Ali Fakhr-Movahedi [0000-0002-5739-398X] | en |
| Issued Date | 2021-08-31 | en |
| Abstract | Introduction: In a pre-hospital emergency, identifying high-risk medical patients and appropriate decision making is very important. The classifying of life-threatening risks in pre-hospital settings can improve the decision-making process. This study was purposed to classify the risk level of death in patients in pre-hospital emergency settings. Materials and Methods: This study was a descriptive longitudinal study design that performed on the patients requesting the pre-hospital emergency services. This study was a descriptive longitudinal descriptive study that lasted from May 1 to the end of August 2017. 675 patients participated in this study. A demographic questionnaire and pre-hospital internal emergency alert scale were used for data collection. Then the patients;#39 condition was followed up until discharge from the emergency department. Results: The mean score of the Pre-Hospital Internal Emergency Warning Scale was 11.95 ± 6.21. The odds ratio for each Prehospital Medical Early Warning Scale (Pre-MEWS) score was 1.193, which indicated for each unit increase in Pre-MEWS scores, the risk of death of patients increased by 19.3%. Then, the patients classified into three levels of green, yellow, and red based on Pre-MEWS scores. The Area Under the Rock curve for Pre-MEWS scores to identify death and the need for hospitalization in intensive care units was equal to 0.847 (CI=0.793-0.901), and0.755 (CI= 0.711-0.799) respectively). Conclusion: The Pre-MEWS scale can use for classifying and triage of patients in pre-hospital emergencies, especially in times of disaster. According to the Pre-MEWS scale, patients who are in the third level or green color can transfer to the hospital with more delay, and this can improve the quality of pre-hospital emergency services in times of disaster. | en |
| DOI | https://doi.org/ | en |
| Keyword | Emergency Medical Services | en |
| Keyword | Hospital Emergency Service | en |
| Keyword | Risk Assessment | en |
| Keyword | Patients | en |
| Keyword | Classification | en |
| Keyword | خدمات فوریت های پزشکی | en |
| Keyword | خدمات اورژانس بیمارستان | en |
| Keyword | ارزیابی خطر | en |
| Keyword | بیماران | en |
| Keyword | طبقه بندی | en |
| Publisher | Brieflands | en |
| Title | Death risk classifying in patients with internal medical emergencies in pre-hospital settings | en |
| Type | Research Article | en |
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