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    Por favor, use este identificador para citar o enlazar este ítem:https://uvadoc.uva.es/handle/10324/48097

    Título
    Time for a prehospital-modified sequential organ failure assessment score: An ambulance–Based cohort study
    Autor
    Martín Rodríguez, FranciscoAutoridad UVA Orcid
    Sanz García, Ancor
    Pozo Vegas, Carlos delAutoridad UVA
    Ortega, Guillermo José
    Castro Villamor, Miguel ÁngelAutoridad UVA Orcid
    López Izquierdo, RaúlAutoridad UVA
    Año del Documento
    2021
    Editorial
    Elsevier
    Descripción
    Producción Científica
    Documento Fuente
    The American Journal of Emergency Medicine, 2021, vol. 49. p. 331-337
    Resumen
    Background: To adapt the Sequential Organ Failure Assessment (SOFA) score to fit the prehospital care needs; to do that, the SOFA was modified by replacing platelets and bilirubin, by lactate, and tested this modified SOFA (mSOFA) score in its prognostic capacity to assess the mortality-risk at 2 days since the first Emergency Medical Service (EMS) contact. Methods: Prospective, multicentric, EMS-delivery, ambulance-based, pragmatic cohort study of adults with acute diseases, referred to two tertiary care hospitals (Spain), between January 1st and December 31st, 2020. The discriminative power of the predictive variable was assessed through a prediction model trained using the derivation cohort and evaluated by the area under the curve (AUC) of the receiver operating characteristic (ROC) on the validation cohort. Results: A total of 1114 participants comprised two separated cohorts recruited from 15 ambulance stations. The 2-day mortality rate (from any cause) was 5.9% (66 cases). The predictive validity of the mSOFA score was assessed by the calculation of the AUC of ROC in the validation cohort, resulting in an AUC of 0.946 (95% CI, 0.913–0.978, p < .001), with a positive likelihood ratio was 23.3 (95% CI, 0.32–46.2). Conclusions: Scoring systems are now a reality in prehospital care, and the mSOFA score assesses multiorgan dysfunction in a simple and agile manner either bedside or en route. Patients with acute disease and an mSOFA score greater than 6 points transferred with high priority by EMS represent a high early mortality group.
    Palabras Clave
    Short-term mortality
    Mortalidad a corto plazo
    Emergency medical services
    Servicio de emergencias
    Prehospital care
    Cuidados prehospitalarios
    ISSN
    0735-6757
    Revisión por pares
    SI
    DOI
    10.1016/j.ajem.2021.06.042
    Patrocinador
    Gerencia Regional de Salud de Castilla y León (grants GRS 1678/A/18 and GRS 1903/A/19)
    Version del Editor
    https://www.sciencedirect.com/science/article/pii/S073567572100526X?via%3Dihub
    Propietario de los Derechos
    © 2021 The Authors
    Idioma
    eng
    URI
    https://uvadoc.uva.es/handle/10324/48097
    Tipo de versión
    info:eu-repo/semantics/publishedVersion
    Derechos
    openAccess
    Aparece en las colecciones
    • DEP52 - Artículos de revista [184]
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    Time-for-prehospital-modified-sequential.pdf
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    Attribution-NonCommercial-NoDerivatives 4.0 InternacionalLa licencia del ítem se describe como Attribution-NonCommercial-NoDerivatives 4.0 Internacional

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