Abnormal vital signs are strong predictors for intensive care unit admission and in-hospital mortality in adults triaged in the emergency department - a prospective cohort study

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Volumn 20, Issue , 2012, Pages

  Barfod, Charlotte ^a   Lauritzen, Marlene M P ^b   Danker, Jakob K ^a   Sölétormos, György ^a   Forberg, Jakob L ^a   Berlac, Peter A ^a   Lippert, Freddy ^c   Lundstrøm, Lars H ^a   Antonsen, Kristian ^a   Lange, Kai H W ^a  

^a HILLERØD HOSPITAL   (Denmark)

^b AALBORG UNIVERSITY HOSPITAL   (Denmark)

^c Emergency Medicine and Emergency Medical Services   (Denmark)

Author keywords

Blood gas analysis; Database; Emergency department; Triage; Vital signs

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; DENMARK; EMERGENCY HEALTH SERVICE; FEMALE; HOSPITAL ADMISSION; HUMAN; INTENSIVE CARE UNIT; MALE; METHODOLOGY; MIDDLE AGED; MORTALITY; PROGNOSIS; PROSPECTIVE STUDY; REGRESSION ANALYSIS; STATISTICS; TREATMENT OUTCOME; VITAL SIGN;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; DENMARK; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT ADMISSION; PROGNOSIS; PROSPECTIVE STUDIES; REGRESSION ANALYSIS; TRIAGE; VITAL SIGNS; YOUNG ADULT;

EID: 84859510189     PISSN: None     EISSN: 17577241     Source Type: Journal    
DOI: 10.1186/1757-7241-20-28     Document Type: Article

References (18)

1. Eitel DR, Rudkin SE, Malvehy MA, Killeen JP, Pines JM. Improving service quality by understanding emergency department flow: a White Paper and position statement prepared for the American Academy of Emergency Medicine. J Emerg Med 2010, 38(1):70-79. 10.1016/j.jemermed.2008.03.038, 18514465.
2. Meek R, Phiri W. Australasian Triage Scale: Consumer perspective. Emerg Med Australas 2005, 17(3):212-217. 10.1111/j.1742-6723.2005.00725.x, 15953221.
3. Manchester Triage group Emergency triage: Manchester Triage Group. 1997, London: BMJ Publishing Group, London, UK, Manchester Triage group.
4. Beveridge R, Clarke B, Janes N. Canadian emergency department triage and acuity scale; implementation guidelines. Can J Emerg Med 1999, 1:2-28.
5. Lethvall S. ADAPT - Adaptiv Processtraige/VITALHISTORIER. Version 1.1.2008. Giltiga 080424-090531 (Sweden).
6. Nordberg M, Lethvall S, Castrén M. The validity of the triage system ADAPT. Scand J Trauma Resusc Emerg Med 2010, 18(Suppl 1):36. 10.1186/1757-7241-18-S1-P36, 2898681, 20565913.
7. Lauritzen M, Dahlin J, Skriver C. HAPT - Hilleroed Acute Process Triage. 2011, Accessed august 24, 2011., http://www.hillerodhospital.dk/menu/Afdelinger/Akutafdelingen/Triage/
8. Skriver C, Lauritzen MP, Forberg JL, Gaardboe-Poulsen OB, Mogensen CB, Hansen CL, et al. Systematic process triage quickens the treatment of the most sick patients. Ugeskr Laeger 2011, 173(40):2490-2493.
9. Farrohknia N, Castren M, Ehrenberg A, Lind L, Oredsson S, Jonsson H, et al. Emergency department triage scales and their components: a systematic review of the scientific evidence. Scand J Trauma Resusc Emerg Med 2011, 30(19):42.
10. Barfod C, Lauritzen MMP, Danker JK, Sölétörmos G, Forberg JL, Berlac PA, et al. The formation and design of 'The Acute Admission Database' - a database including a prospective, observational cohort of 6279 patients triaged in the Emergency Department in a larger Danish hospital. Scand J Trauma Resusc Emerg Med 2012,
11. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Rev Esp Salud Publica 2008, 82(3):251-259.
12. Prytherch DR, Smith GB, Schmidt PE, Featherstone PI. ViEWS-Towards a national early warning score for detecting adult inpatient deterioration. Resuscitation 2010, 81(8):932-937. 10.1016/j.resuscitation.2010.04.014, 20637974.
13. Rhee KJ, Fisher CJ, Willitis NH. The Rapid Acute Physiology Score. Am J Emerg Med 1987, 5(4):278-282. 10.1016/0735-6757(87)90350-0, 3593492.
14. Olsson T, Terent A, Lind L. Rapid Emergency Medicine score: a new prognostic tool for in-hospital mortality in nonsurgical emergency department patients. J Intern Med 2004, 255(5):579-587. 10.1111/j.1365-2796.2004.01321.x, 15078500.
15. Widgren BR, Jourak M. Medical Emergency Triage and Treatment System (METTS): a new protocol in primary triage and secondary priority decision in emergency medicine. J Emerg Med 2011, 40(6):623-628. 10.1016/j.jemermed.2008.04.003, 18930373.
16. Fitzgerald G, Jelinik G, Scott D, Gerdtz MF. Emergency department triage revisited. Emerg Med J 2010, 27:86-92. 10.1136/emj.2009.077081, 20156855.
17. Grafstein E, Bullard MJ, Warren D, Unger B, . CTAS National Working Group Revision of the Canadian Emergency Department Information System (CEDIS) Presenting Complaint List version 1.1. Can J Emerg Med 2008, 10(2):151-173. CTAS National Working Group.
18. Jorsboe H, Schroder M, Barylak M, Anderson P. Inter-observer variation in the triage-process. Scand J Trauma Resusc Emerg Med 2010, 18:P16.