Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana

B. Marie Jesie Carrillo, S. María Teresa Urrutia

Resultado de la investigación: Article

5 Citas (Scopus)

Resumen

Background: Secondary transfers of critical patients between hospitals may be associated with risk of death and complications Aim: To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material and Methods: 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.

Idioma originalSpanish
Páginas (desde-hasta)1297-1303
Número de páginas7
PublicaciónRevista Medica de Chile
Volumen140
N.º10
DOI
EstadoPublished - oct 2012

Huella dactilar

Ambulances
Emergency Medicine
Patient Transfer
Hemodynamics
Mechanical Ventilators
Heart Arrest
Comorbidity
Emergencies
Cross-Sectional Studies
Demography
Population

ASJC Scopus subject areas

  • Medicine(all)

Citar esto

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title = "Perfil de riesgo de pacientes adultos sometidos a traslado secundario por m{\'o}viles avanzados del sistema de atenci{\'o}n m{\'e}dica de urgencia del {\'A}rea Metropolitana",
abstract = "Background: Secondary transfers of critical patients between hospitals may be associated with risk of death and complications Aim: To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material and Methods: 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.",
keywords = "Ambulances, Emergency medical services, Risk assessment",
author = "{Marie Jesie Carrillo}, B. and {Mar{\'i}a Teresa Urrutia}, S.",
year = "2012",
month = "10",
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language = "Spanish",
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pages = "1297--1303",
journal = "Revista Medica de Chile",
issn = "0034-9887",
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TY - JOUR

T1 - Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana

AU - Marie Jesie Carrillo, B.

AU - María Teresa Urrutia, S.

PY - 2012/10

Y1 - 2012/10

N2 - Background: Secondary transfers of critical patients between hospitals may be associated with risk of death and complications Aim: To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material and Methods: 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.

AB - Background: Secondary transfers of critical patients between hospitals may be associated with risk of death and complications Aim: To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material and Methods: 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.

KW - Ambulances

KW - Emergency medical services

KW - Risk assessment

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U2 - 10.4067/S0034-98872012001000009

DO - 10.4067/S0034-98872012001000009

M3 - Artículo

C2 - 23559287

AN - SCOPUS:84875159730

VL - 140

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EP - 1303

JO - Revista Medica de Chile

JF - Revista Medica de Chile

SN - 0034-9887

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