Modification of the Emergency Severity Index Improves Mortality Prediction in Older Patients.

ABSTRACT:

Introduction

Older patients frequently present to the emergency department (ED) with nonspecific complaints (NSC), such as generalized weakness. They are at risk of adverse outcomes, and early risk stratification is crucial. Triage using Emergency Severity Index (ESI) is reliable and valid, but older patients are prone to undertriage, most often at decision point D. The aim of this study was to assess the predictive power of additional clinical parameters in NSC patients.

Methods

Baseline demographics, vital signs, and deterioration of activity of daily living (ADL) in patients with NSC were prospectively assessed at four EDs. Physicians scored the coherence of history and their first impression. For prediction of 30-day mortality, we combined vital signs at decision point D

SUBMITTER: Malinovska A 

PROVIDER: S-EPMC6625680 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature