TY - JOUR
PY - 2023//
TI - Both acuity and long term prognosis are important Emergency Department metrics: comparison of mobility assessment with the Emergency Severity Index
JO - Acute medicine
A1 - Arnold, I.
A1 - Kuster, T.
A1 - Busch, J. M.
A1 - Kellett, J. G.
A1 - Brabrand, M.
A1 - Bingisser, R.
A1 - Nickel, C. H.
SP - 120
EP - 129
VL - 22
IS - 3
N2 - OBJECTIVE: To compare the SUHB mobility scale (i.e., stable(S), unstable gait(U), needing help to walk(H), or bedridden(B)) and the Emergency Severity Index (ESI) associations with admission and mortality outcomes.
DESIGN: Post-hoc analysis of a prospective observational study including all consenting presenting to the ED over a period of 3 weeks. Odd ratios and AUCs were calculated to assess predictive performance of SUHB and compared with ESI.
RESULTS: Out of 2422 patients, 65% presented with a stable gait, 45% with an ESI level 3. With increasing mobility impairment on the SUHB scale, the probability for admission and mortality increased. SUHB had a higher AUC than ESI for 1-year mortality.
CONCLUSION: SUHB was a better predictor than ESI of long-term mortality. The scale, which is rapid, requires little additional training, and no extra costs, could be used as a useful supplement to the triage process.
Language: en
LA - en SN - 1747-4884 UR - http://dx.doi.org/ ID - ref1 ER -