Your browser doesn't support javascript.
Prehospital Respiratory Early Warning Score for airway management in-ambulance: A score comparison.
Martín-Rodríguez, Francisco; López-Izquierdo, Raúl; Sanz-García, Ancor; Ortega, Guillermo J; Del Pozo Vegas, Carlos; Delgado-Benito, Juan F; Castro Villamor, Miguel A; Soriano, Joan B.
  • Martín-Rodríguez F; Faculty of Medicine, Valladolid University, Valladolid, Spain.
  • López-Izquierdo R; Advanced Life Support, Emergency Medical Services (SACYL), Valladolid, Spain.
  • Sanz-García A; Faculty of Medicine, Valladolid University, Valladolid, Spain.
  • Ortega GJ; Emergency Department, Hospital Universitario Rio Hortega, Valladolid, Spain.
  • Del Pozo Vegas C; Data Analysis Unit, Health Research Institute, Hospital de la Princesa, Madrid, Spain.
  • Delgado-Benito JF; Data Analysis Unit, Health Research Institute, Hospital de la Princesa, Madrid, Spain.
  • Castro Villamor MA; CONICET, Buenos Aires, Argentina.
  • Soriano JB; Faculty of Medicine, Valladolid University, Valladolid, Spain.
Eur J Clin Invest ; : e13875, 2022 Sep 19.
Article in English | MEDLINE | ID: covidwho-2068499
ABSTRACT

BACKGROUND:

Prehospital Respiratory Early Warning Scores to estimate the requirement for advanced respiratory support is needed. To develop a prehospital Respiratory Early Warning Score to estimate the requirement for advanced respiratory support.

METHODS:

Multicentre, prospective, emergency medical services (EMS)-delivered, longitudinal cohort derivationvalidation study carried out in 59 ambulances and five hospitals across five Spanish provinces. Adults with acute diseases evaluated, supported and discharged to the Emergency Department with high priority were eligible. The primary outcome was the need for invasive or non-invasive respiratory support (NIRS or IRS) in the prehospital scope at the first contact with the patient. The measures included the following epidemiological endpoints, prehospital vital signs (respiratory rate, pulse oximetry saturation, fraction of inspired oxygen, systolic and diastolic mean blood pressure, heart rate, tympanic temperature and consciousness level by the GCS).

RESULTS:

Between 26 Oct 2018 and 26 Oct 2021, we enrolled 5793 cases. For NIRS prediction, the final model of the logistic regression included respiratory rate and pulse oximetry saturation/fraction of inspired oxygen ratio. For the IRS case, the motor response from the Glasgow Coma Scale was also included. The REWS showed an AUC of 0.938 (95% CI 0.918-0.958), a calibration-in-large of 0.026 and a higher net benefit as compared with the other scores.

CONCLUSIONS:

Our results showed that REWS is a remarkably aid for the decision-making process in the management of advanced respiratory support in prehospital care. Including this score in the prehospital scenario could improve patients' care and optimise the resources' management.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Eur J Clin Invest Year: 2022 Document Type: Article Affiliation country: Eci.13875

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Eur J Clin Invest Year: 2022 Document Type: Article Affiliation country: Eci.13875