Short-term mortality in older medical emergency patients can be predicted using clinical intuition: A prospective study.

ABSTRACT:

Background

Older emergency department (ED) patients are at risk for adverse outcomes, however, it is hard to predict these. We aimed to assess the discriminatory value of clinical intuition, operationalized as disease perception, self-rated health and first clinical impression, including the 30-day surprise question (SQ: "Would I be surprised if this patient died in the next 30 days" of patients, nurses and physicians. Endpoints used to evaluate the discriminatory value of clinical intuition were short-term (30-day) mortality and other adverse outcomes (intensive/medium care admission, prolonged length of hospital stay, loss of independent living or 30-day readmission).

Methods

In this prospective, multicentre cohort study, older medical patients (≥65 years), nurses and phys

SUBMITTER: Zelis N 

PROVIDER: S-EPMC6314634 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature