RT info:eu-repo/semantics/article
T1 A comparison of the clinical characteristics of short-, mid-, and long-term mortality in patients attended by the emergency medical services: an observational study
A1 Enriquez de Salamanca Gambara, Rodrigo
A1 Sanz García, Ancor
A1 Pozo Vegas, Carlos del
A1 López Izquierdo, Raúl
A1 Sánchez Soberón, Irene
A1 Delgado Benito, Juan F.
A1 Martínez Diaz, Raquel
A1 Mazas Pérez-Oleaga, Cristina
A1 Martínez López, Nohora Milena
A1 Domínguez Azpíroz, Irma
A1 Martín Rodríguez, Francisco
K1 Emergency medical services
K1 Servicios médicos de urgencia
K1 Emergency medicine
K1 Medicina de urgencia
K1 Mortality
K1 Mortalidad
K1 Public health
K1 Diagnostic services
K1 Diagnóstico
K1 Predictive models
K1 Modelos predictivos
K1 32 Ciencias Médicas
K1 3212 Salud Publica
AB Aim: The development of predictive models for patients treated by emergency medical services (EMS) is on the rise in the emergency field. However, how these models evolve over time has not been studied. The objective of the present work is to compare the characteristics of patients who present mortality in the short, medium and long term, and to derive and validate a predictive model for each mortality time. Methods: A prospective multicenter study was conducted, which included adult patients with unselected acute illness who were treated by EMS. The primary outcome was noncumulative mortality from all causes by time windows including 30-day mortality, 31- to 180-day mortality, and 181- to 365-day mortality. Prehospital predictors included demographic variables, standard vital signs, prehospital laboratory tests, and comorbidities. Results: A total of 4830 patients were enrolled. The noncumulative mortalities at 30, 180, and 365 days were 10.8%, 6.6%, and 3.5%, respectively. The best predictive value was shown for 30-day mortality (AUC = 0.930; 95% CI: 0.919–0.940), followed by 180-day (AUC = 0.852; 95% CI: 0.832–0.871) and 365-day (AUC = 0.806; 95% CI: 0.778–0.833) mortality. Discussion: Rapid characterization of patients at risk of short-, medium-, or long-term mortality could help EMS to improve the treatment of patients suffering from acute illnesses.
PB MDPI
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/68208
UL https://uvadoc.uva.es/handle/10324/68208
LA eng
NO Diagnostics, 2024, Vol. 14, Nº. 12, 1292
NO Producción Científica
DS UVaDOC
RD 07-ago-2024