Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana / Risk assessment of critical patients requiring ambulance transfers
Rev. méd. Chile
;
140(10): 1297-1303, oct. 2012. graf, tab
Artículo
en Español
| LILACS
| ID: lil-668703
ABSTRACT
Background:
Secondary transfers of critical patients between hospitals may be associated with risk of death and complicationsAim:
To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material andMethods:
Cross sectional study including 432 adults undergoing secondary transfers using SAMU between January 1 and June 30 2010. Demographic, biomedical, hemodynamic and transfer data were obtained. Cardiopulmonary arrests (CPR) and an increase in the Rapid Emergency Medicine Score (REMS) scale, were considered as outcome variables.Results:
CPR occurred in 6.4% of the study population and was significantly associated with the initial REMS score and the need for hemodynamic and ventilator support. The initial REMS score was a good predictor of the final REMS score. The final REMS was significantly associated with the presence of comorbidities and the need for hemodynamic and ventilator support.Conclusions:
REMS is a useful scale to assess the risk profile of critical patients requiring transfers between hospitals.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Ambulancias
/
Enfermedad Crítica
/
Servicios Médicos de Urgencia
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2012
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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