Long-Term Mortality in Patients Transferred by Emergency Medical Services: Prospective Cohort Study

被引:1
作者
Gambara, Rodrigo Enriquez de Salamanca [1 ]
Sanz-Garcia, Ancor [2 ]
Martin-Conty, Jose L. [2 ]
Polonio-Lopez, Begona [2 ]
del Pozo Vegas, Carlos [3 ,4 ]
Martin-Rodriguez, Francisco [3 ,5 ]
Lopez-Izquierdo, Raul [1 ,3 ,6 ]
机构
[1] Hosp Univ Rio Hortega, Emergency Dept, Valladolid, Spain
[2] Univ Castilla La Mancha, Fac Hlth Sci, Talavera De La Reina, Spain
[3] Univ Valladolid, Fac Med, Valladolid, Spain
[4] Hosp Clin Univ, Emergency Dept, Valladolid, Spain
[5] Emergency Med Serv SACYL, Adv Life Support, Valladolid, Spain
[6] Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain
关键词
emergency; long-term mortality; point-of-care testing; prehospital; risk factors; CRITICALLY-ILL; CARE;
D O I
10.1017/S1049023X23005800
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: This study aimed to determine the long-term mortality (one-year follow-up) associated with patients transferred by Emergency Medical Services (EMS), and to reveal the determinants (causes and risk factors). Methods: This was a multicenter, prospective, observational, controlled, ambulance-based study of adult patients transferred by ambulance to emergency departments (EDs) from October 2019 through July 2021 for any cause. A total of six Advanced Life Support (ALS) units, 38 Basic Life Support (BLS) units, and five hospitals from Spain were included. Physiological, biochemical, demographic, and reasons for transfer variables were collected. A longitudinal analysis was performed to determine the factors associated to long-term mortality (any cause). Results: The final cohort included 1,406 patients. The one-year mortality rate was 21.6% (n = 304). Mortality over the first two days reached 5.2% of all the patients; between Day 2 and Day 30, reached 5.3%; and between Day 31 and Day 365, reached 11.1%. Low Glasgow values, elevated lactate levels, elevated blood urea nitrogen (BUN) levels, low oxygen saturation, high respiratory rate, as well as being old and suffering from circulatory diseases and neurological diseases were risk factors for long-term mortality. Conclusion: The quick identification of patients at risk of long-term worsening could provide an opportunity to customize care through specific follow-up.
引用
收藏
页码:352 / 359
页数:8
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