Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • harvard-cite-them-right
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Pre-hospital predictors of an adverse outcome among patients with dyspnoea as the main symptom assessed by prehospital emergency nurses- a retrospective observational study
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.ORCID-id: 0000-0002-2729-1923
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.ORCID-id: 0000-0003-4139-6235
Biostatistics, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Vise andre og tillknytning
2020 (engelsk)Inngår i: BMC Emergency Medicine, E-ISSN 1471-227X, Vol. 20, nr 89, s. 1-12Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Dyspnoea is one of the most common reasons for patients contacting emergency medical services (EMS). Pre-hospital Emergency Nurses (PENs) are independently responsible for advanced care and to meet thesepatients individual needs. Patients with dyspnoea constitute a complex group, with multiple different final diagnoses and with a high risk of death. This study aimed to describe on-scene factors associated with an increased risk of a time-sensitive final diagnosis and the risk of death.

Methods: A retrospective observational study including patients aged ≥16 years, presenting mainly with dyspnoea was conducted. Patients were identified thorough an EMS database, and were assessed by PENs in the southwestern part of Sweden during January to December 2017. Of 7260 missions (9% of all primary missions), 6354 were included. Among those, 4587 patients were randomly selected in conjunction with adjusting for uniquepatients with single occasions. Data were manually collected through both EMS- and hospital records and final diagnoses were determined through the final diagnoses verified in hospital records. Analysis was performed usingmultiple logistic regression and multiple imputations.

Results: Among all unique patients with dyspnoea as the main symptom, 13% had a time-sensitive final diagnosis. The three most frequent final time-sensitive diagnoses were cardiac diseases (4.1% of all diagnoses), infectious/inflammatory diseases (2.6%), and vascular diseases (2.4%). A history of hypertension, renal disease, symptoms of pain, abnormal respiratory rate, impaired consciousness, a pathologic ECG and a short delay until call for EMS were associated with an increased risk of a time-sensitive final diagnosis. Among patients with time-sensitive diagnoses, approximately 27% died within 30 days. Increasing age, a history of renal disease, cancer, low systolic bloodpressures, impaired consciousness and abnormal body temperature were associated with an increased risk of death.

Conclusions: Among patients with dyspnoea as the main symptom, age, previous medical history, deviating vital signs, ECG pattern, symptoms of pain, and a short delay until call for EMS are important factors to consider in the prehospital assessment of the combined risk of either having a time-sensitive diagnosis or death.

sted, utgiver, år, opplag, sider
BioMed Central, 2020. Vol. 20, nr 89, s. 1-12
Emneord [en]
Dyspnoea, Epidemiology, Adverse outcome, Time-sensitive diagnosis, Ambulance, Emergency medical service, Pre-hospital emergency nurse
HSV kategori
Forskningsprogram
Människan i vården
Identifikatorer
URN: urn:nbn:se:hb:diva-24030DOI: 10.1186/s12873-020-00384-1ISI: 000592482400001PubMedID: 33172409Scopus ID: 2-s2.0-85095783647OAI: oai:DiVA.org:hb-24030DiVA, id: diva2:1500649
Tilgjengelig fra: 2020-11-12 Laget: 2020-11-12 Sist oppdatert: 2024-07-04bibliografisk kontrollert

Open Access i DiVA

Pre-hospital predictors of an adverse outcome(1049 kB)83 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 1049 kBChecksum SHA-512
254bf59ad65b2713b09fc0e534f15396db4845fff3d684de0aa92a179bf8341fa3417f31770294f7286544961dfd8c0296f94ccbcb18b2f04b6afc39ebf4c669
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Person

Kauppi, WivicaHerlitz, JohanPalmér, LinaAxelsson, Christer

Søk i DiVA

Av forfatter/redaktør
Kauppi, WivicaHerlitz, JohanPalmér, LinaAxelsson, Christer
Av organisasjonen
I samme tidsskrift
BMC Emergency Medicine
Kauppi, W. (2017). Prehospital dyspnoea.

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 83 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 466 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • harvard-cite-them-right
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf