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Establishment of a simplified score for predicting risk during intrahospital transport of critical patients: A prospective cohort study.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Apr2023, Vol. 32 Issue 7/8, p1125-1134, 10p
- Publication Year :
- 2023
-
Abstract
- Aims and objectives: To establish a simple score that enables nurses to quickly, conveniently and accurately identify patients whose condition may change during intrahospital transport. Background: Critically ill patients may experience various complications during intrahospital transport; therefore, it is important to predict their risk before they leave the emergency department. The existing scoring systems were not developed for this population. Design: A prospective cohort study. Methods: This study used convenience sampling and continuous enrolment from 1 January, 2019, to 30 June, 2021, and 584 critically ill patients were included. The collected data included vital signs and any condition change during transfer. The STROBE checklist was used. Results: The median age of the modelling group was 74 (62, 83) years; 93 (19.7%) patients were included in the changed group, and 379 (80.3%) were included in the stable group. The five independent model variables (respiration, pulse, oxygen saturation, systolic pressure and consciousness) were statistically significant (p <.05). The above model was simplified based on beta coefficient values, and each variable was assigned 1 point, for a total score of 0–5 points. The AUC of the simplified score in the modelling group was 0.724 (95% CI: 0.682–0.764); the AUC of the simplified score in the validation group (112 patients) was 0.657 (95% CI: 0.566–0.741). Conclusions: This study preliminarily established a simplified scoring system for the prediction of risk during intrahospital transport from the emergency department to the intensive care unit. It provides emergency nursing staff with a simple assessment tool to quickly, conveniently and accurately identify a patient's transport risk. Relevance to clinical practice: This study suggested the importance of strengthening the evaluation of the status of critical patients before intrahospital transport, and a simple score was formed to guide emergency department nurses in evaluating patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- RELATIVE medical risk
CONFIDENCE intervals
CRITICALLY ill
IDENTIFICATION
SYSTOLIC blood pressure
PATIENTS
OXYGEN saturation
MANN Whitney U Test
RISK assessment
ARTIFICIAL respiration
HOSPITAL care
CRITICAL care medicine
DESCRIPTIVE statistics
RESEARCH funding
STATISTICAL sampling
RESPIRATION
STATISTICAL correlation
DECISION making in clinical medicine
SENSITIVITY & specificity (Statistics)
RECEIVER operating characteristic curves
LOGISTIC regression analysis
DATA analysis software
LONGITUDINAL method
PULSE (Heart beat)
CONSCIOUSNESS
PATIENT safety
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 32
- Issue :
- 7/8
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 162295768
- Full Text :
- https://doi.org/10.1111/jocn.16337