在急诊科报告中确定分诊类别的新生命体征:潮末二氧化碳

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL European Journal of Therapeutics Pub Date : 2023-09-24 DOI:10.58600/eurjther1819
Fatma Tortum, Ali Gur, Ayça Calbay, Omer Turalioglu, Erdal Tekin
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引用次数: 0

摘要

目的:探讨患者到急诊科就诊时测得的潮末二氧化碳(ETCO2)值能否与生命体征一起用于确定患者的分诊分类和预测住院情况。材料和方法:这项前瞻性、观察性、横断面研究于2023年5月1日至2023年6月1日在一家三级医院急诊科进行。该研究纳入了到急诊科就诊的18岁患者,并根据五步分诊系统评估其分诊类别为2级、3级或4级。测量患者到急诊科就诊时的生命体征,统计评估鼻插管测得的ETCO2值与分诊类别和住院指征的关系。结果:共纳入1100例患者。根据患者的分类,分级2、3、4的平均ETCO2值分别为27.1±3.6、30.6±3.1、35.4±3.5,差异有统计学意义(p<0.001)。在急诊科评估ETCO2与生命体征与住院指征的关系时,受试者工作特征曲线下ETCO2面积为0.733,差异有统计学意义(p<0.001)。结论:在研究完成时,我们得出结论,在急诊科就诊时测量的ETCO2值可以作为一种新的生命体征,可用于确定患者的分诊类别和确定需要住院治疗的患者。
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A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide
Objective: To investigate whether patients’ end-tidal carbon dioxide (ETCO2) values ​​measured at the time of their presentation to the emergency department can be used together with vital signs in determining their triage categories and predicting hospitalization. Material and method: This prospective, observational, cross-sectional study was conducted between May 1, 2023, and June 1, 2023, at the emergency department of a tertiary hospital. The study included patients aged >18 years who presented to the emergency department and were evaluated to have a triage category of level 2, 3, or 4 according to the five-step triage system. The patients’ vital signs were measured at the time of their presentation to the emergency department and the ETCO2 values ​​measured through a nasal cannula were statistically evaluated in terms of their relationship with triage categories and hospitalization indications. Results: A total of 1,100 patients were included in the study. According to the triage category of the patients, the mean ETCO2 values for triage levels 2, 3, and 4 were 27.1±3.6, 30.6±3.1, and 35.4±3.5, respectively, indicating statistically significant differences (p<0.001). When the relationship of ETCO2 and vital signs with hospitalization indications evaluated at the emergency department was examined, the area under the receiver operating characteristic curve for ​​ ETCO2 was 0.733, which was statistically significant (p<0.001). Conclusion: On completion of the study, it was concluded that the ETCO2 values ​​measured at the time of presentation to the emergency department can be a new vital sign that can be used to determine the triage categories of patients and identify those who require hospitalization.
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European Journal of Therapeutics
European Journal of Therapeutics MEDICINE, GENERAL & INTERNAL-
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