Performance of scoring systems in selecting short stay medical admissions suitable for assessment in same day emergency care: an analysis of diagnostic accuracy in a UK hospital setting.

ABSTRACT:

Objectives

To assess the performance of the Amb score and Glasgow Admission Prediction Score (GAPS) in identifying acute medical admissions suitable for same day emergency care (SDEC) in a large urban secondary centre.

Design

Retrospective assessment of routinely collected data from electronic healthcare records.

Setting

Single large urban tertiary care centre.

Participants

All unplanned admissions to general medicine on Monday-Friday, episodes starting 08:00-16:59 hours and lasting up to 48 hours, between 1 April 2019 and 9 March 2020.

Main outcome measures

Sensitivity, specificity, positive and negative predictive value of the Amb score and GAPS in identifying patients discharged within 12 hours of arrival.

Results

7365 episodes were assessed. 9

SUBMITTER: Atkin C 

PROVIDER: S-EPMC9764605 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature