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Título
A comparison of the clinical characteristics of short-, mid-, and long-term mortality in patients attended by the emergency medical services: an observational study
Autor
Año del Documento
2024
Editorial
MDPI
Descripción
Producción Científica
Documento Fuente
Diagnostics, 2024, Vol. 14, Nº. 12, 1292
Résumé
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.
Materias (normalizadas)
Emergency medical services
Servicios médicos de urgencia
Emergency medicine
Medicina de urgencia
Mortality
Mortalidad
Public health
Diagnostic services
Diagnóstico
Materias Unesco
32 Ciencias Médicas
3212 Salud Publica
Palabras Clave
Predictive models
Modelos predictivos
Revisión por pares
SI
Patrocinador
Junta de Castilla y León, Gerencia Regional de Salud - (grant GRS 1903/A/19 and GRS 2131/A/20)
Version del Editor
Propietario de los Derechos
© 2024 The authors
Idioma
eng
Tipo de versión
info:eu-repo/semantics/publishedVersion
Derechos
openAccess
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Fichier(s) constituant ce document
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584.3Ko
Formato:
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