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Prehospital charact...
Prehospital characteristics among patients with sepsis: a comparison between patients with or without adverse outcome
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- Olander, Agnes (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen
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- Andersson, Henrik, 1968- (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen
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- Sundler, Annelie Johansson, 1973- (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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- Bremer, Anders, Docent, 1957- (author)
- Högskolan i Borås,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),University of Borås, Sweden,iCARE,Akademin för vård, arbetsliv och välfärd,Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden,PreHospen
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- Ljungström, Lars R. (author)
- Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine,University of Gothenburg, Sweden;Skaraborg Hospital, Sweden,Department of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg
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- Andersson Hagiwara, Magnus (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen
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(creator_code:org_t)
- 2019-08-06
- 2019
- English.
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In: Bmc Emergency Medicine. - : Springer Science and Business Media LLC. - 1471-227X. ; 19:1
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Abstract
Subject headings
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- Background The prehospital care of patients with sepsis are commonly performed by the emergency medical services. These patients may be critically ill and have high in-hospital mortality rates. Unfortunately, few patients with sepsis are identified by the emergency medical services, which can lead to delayed treatment and a worse prognosis. Therefore, early identification of patients with sepsis is important, and more information about the prehospital characteristics that can be used to identify these patients is needed. Based on this lack of information, the objectives of this study were to investigate the prehospital characteristics that are identified while patients with sepsis are being transported to the hospital by the emergency medical services, and to compare these values to those of the patients with and without adverse outcomes during their hospital stays. Methods This was a retrospective observational study. The patients' electronic health records were reviewed and selected consecutively based on the following: retrospectively diagnosed with sepsis and transported to an emergency department by the emergency medical services. Data were collected on demographics, prehospital characteristics and adverse outcomes, defined as the in-hospital mortality or treatment in the intensive care unit, and analysed by independent sample t-test and chi-square. Sensitivity, specificity and likelihood ratio, of prehospital characteristics for predicting or development of adverse outcome were analysed. Results In total, 327 patients were included. Of these, 50 patients had adverse outcomes. When comparing patients with or without an adverse outcome, decreased oxygen saturation and body temperature, increased serum glucose level and altered mental status during prehospital care were found to be associated with an adverse outcome. Conclusions The findings suggests that patients having a decreased oxygen saturation and body temperature, increased serum glucose level and altered mental status during prehospital care are at risk of a poorer patient prognosis and adverse outcome. Recognizing these prehospital characteristics may help to identify patients with sepsis early and improve their long-term outcomes. However further research is required to predict limit values of saturation and serum glucose and to validate the use of prehospital characteristics for adverse outcome in patients with sepsis.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Annan klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Other Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
Keyword
- Emergency medical services
- Characteristics
- Prehospital
- Sepsis
- Symptoms
- Vital signs
- emergency medical-services
- campaign international guidelines
- septic
- shock
- surviving sepsis
- admission hyperglycemia
- care
- definitions
- management
- knowledge
- impact
- Emergency Medicine
- Emergency medical services
- Health and Caring Sciences
- Människan i vården
Publication and Content Type
- ref (subject category)
- art (subject category)
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