Abstract:
Objective:Vital signs are often used in triage, but some may be difficult to assess in low-resource settings. A patient's ability to walk is a simple and rapid sign that requires no equipment or expertise. This study aimed to determine the predictive performance for death of an inability to walk among hospitalized Malawian adults and to compare its predictive value with the vital signs-based National Early Warning Score (NEWS). Methods:It is a prospective cohort study of adult in-patients on selected days in two hospitals in Malawi. Patients were asked to walk five steps with close observation and their vital signs were assessed. Sensitivities, specificities, and predictive values for in-patient death of an inability to walk were calculated and an inability to walk was compared with NEWS. Results:Four-hundred and forty-three of the 1094 participants (40.5%) were unable to walk independently. In this group, 70 (15.8 %) died in-hospital compared to 16 (2.5%) among those who could walk: OR 7.4 (95% CI 4.3-13.0 p<0.001). Inability to walk had a sensitivity for death of 81.4%, specificity of 63.0%, positive predictive value (PPV) of 15.8%, and negative predictive value (NPV) of 97.5%. NEWS>6 had sensitivity 70.9%, specificity 70.6%, PPV 17.1%, and NPV 96.6%. An inability to walk had a fair concordance with NEWS>6 (kappa 0.21). Conclusion:Inability to walk predicted mortality as well as NEWS among hospitalized adults in Malawi. Patients who were able to walk had a low risk of death. Walking ability could be considered an additional vital sign and may be useful for triage.
journal_name
Emerg Med Intjournal_title
Emergency medicine internationalauthors
Kayambankadzanja RK,Schell CO,Nsanjama G,Mbingwani I,Kwazizira Mndolo S,Rylance J,Baker Tdoi
10.1155/2019/6586891subject
Has Abstractpub_date
2019-07-07 00:00:00pages
6586891eissn
2090-2840issn
2090-2859journal_volume
2019pub_type
杂志文章abstract::Background. We aimed to determine Australasian Specialist Emergency Physicians' and Emergency Physicians in Training (Trainees') level of knowledge of common dental emergencies. We also explored confidence in managing dental emergencies; predictors of confidence and knowledge; and preferences for further dental educat...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2015/148384
更新日期:2015-01-01 00:00:00
abstract:Background:Although laparoscopic appendectomy increases its popularity today, the answer to the question of whether to perform open or laparoscopic appendectomy during pregnancy is appropriate in many studies, and the choice of surgery depends on the surgeon. Herein, we aimed to evaluate the variables that affect undes...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2020/6039862
更新日期:2020-09-15 00:00:00
abstract:Aim:To determine whether the chest compression depth of at least 1/3 of the Anteroposterior (AP) diameter of the chest and about 5 cm is appropriate for children of all age groups via chest computed tomography. Methods:The AP diameter of the chest, anterior chest wall diameter, and compressible diameter (Cd) were meas...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/7841759
更新日期:2019-06-19 00:00:00
abstract:Objective:Sleep deprivation decreases work performance and predisposes workers to deleterious health outcomes. We sought to evaluate sleep hygiene and fatigue among emergency physicians. Methods:In March-June 2016, physicians and residents at an academic emergency medicine program were invited to complete a survey eva...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2018/4501679
更新日期:2018-01-23 00:00:00
abstract:Introduction:Certain professions, such as those related to emergency services, have usually been performed by men, progressively incorporating women into these professions. The main objective of our study was to determine, according to gender, how the use of level D biohazard personal protection equipment (PPE) affects...
journal_title:Emergency medicine international
pub_type: 杂志文章
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abstract::Hemorrhage and traumatic coagulopathyis are major causes of early death in multiply injured patients. Thrombelastography (TEG) seems to be a fast and accurate coagulation test in trauma care. We suggest that multiply injured trauma patients would benefit the most from an early assessment of coagulation by TEG, mainly ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2011/895674
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abstract::Objective. This paper aims to discover the risk factors for sudden cardiac arrest (out-of-hospital sudden cardiac arrest (OHSCA)) which significantly affect the decision about prioritizing emergency interventions before dispatching medical emergency teams, risk of deterioration of the patient's condition at the scene,...
journal_title:Emergency medicine international
pub_type: 杂志文章
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abstract:Background:The aim of the study was to determine the diagnostic agreement between the discharge diagnosis and the suspected diagnosis by the prehospital emergency physician and to run a sensitivity analysis of the most common diagnoses by the prehospital emergency physician. Methods:The diagnostic agreement was determ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/3769826
更新日期:2019-04-24 00:00:00
abstract::Introduction. Sternal fractures often occur together with serious and life-threatening additional injuries. This retrospective study was designed to assess concomitant injuries and develop a correlation between fracture location and the severity of injury. Methods. All patients (n = 58) diagnosed with a fracture of th...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2013/407589
更新日期:2013-01-01 00:00:00
abstract::Background. To identify, upon emergency department (ED) admission, predictors of unexpected death or unplanned intensive care/high dependency units (ICU/HDU) admission during the first 15 days of hospitalization on regular wards. Methods. Prospective cohort study in a medical-surgical adult ED in a teaching hospital, ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2014/203747
更新日期:2014-01-01 00:00:00
abstract:Objective:We aimed to identify factors associated with treatment failure in patients with acute exacerbation of COPD (AECOPD) admitted to the emergency department observation unit (EDOU). Methods:A retrospective cohort study was conducted between January 1, 2013, and October 31, 2019. The electronic medical records we...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2020/8261375
更新日期:2020-06-29 00:00:00
abstract::Stroke is relatively rare in children, but can lead to significant morbidity and mortality. Understanding that children with strokes present differently than adults and often present with unique risk factors will optimize outcomes in children. Despite an increased incidence of pediatric stroke, there is often a delay ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2011/734506
更新日期:2011-01-01 00:00:00
abstract:Introduction:Emergency decompression is needed in patients with tension pneumothorax, a life-threatening condition. The catheter-based needle thoracostomy was suggested using a 5 cm catheter inserted into the 2nd intercostal space (ICS) and 5th ICS according to the ninth and tenth editions of Advanced Trauma Life Suppo...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2020/2070157
更新日期:2020-10-26 00:00:00
abstract:Introduction:Up to one-third of patients admitted to the ICU are in circulatory shock, and early recognition of the condition is vital if subsequent tissue injuries are to be avoided. We would like to know what role the arterial lactic acid, inferior vena cava variability, and CVP (central venous pressure) play in the ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/6504916
更新日期:2019-11-11 00:00:00
abstract::The aim of this study is to provide a detailed analysis of emergency medicine (EM) research literature to unveil the trends while underlining the importance of experimental research for all territories of science. To this end, the experimental animal research articles published in EM journals indexed to the Science Ci...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/8578674
更新日期:2019-04-01 00:00:00
abstract::Cardiac arrest is defined as the sudden cessation of spontaneous ventilation and circulation. Within 15 seconds of cardiac arrest, the patient loses consciousness, electroencephalogram becomes flat after 30 seconds, pupils dilate fully after 60 seconds, and cerebral damage takes place within 90-300 seconds. It is esse...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2012/815857
更新日期:2012-01-01 00:00:00
abstract::Endoscopic detorsion is the first-line recommended treatment modality in sigmoid volvulus patients who have no peritoneal irritation signs on admission. In this paper, we present the results of endoscopic detorsion procedures applied at the time of presentation with the diagnosis of sigmoid volvulus and review the cur...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2020/1473580
更新日期:2020-05-13 00:00:00
abstract::Objective. Wall-motion abnormality on echocardiogram is more sensitive in detecting cardiac ischemia than the electrocardiogram, but the use of bedside echocardiography by emergency physicians (EPs) for this purpose does not appear to be widespread, apparently due to limited data on proficiency of EPs for this task. W...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2011/483242
更新日期:2011-01-01 00:00:00
abstract::Introduction. Evaluation of Guidelines in Syncope Study (EGSYS) is designed to differentiate between cardiac and noncardiac causes of syncope. The present study aimed to evaluate the accuracy of this predictive model. Methods. In this prospective cross-sectional study, screening performance characteristics of EGSYS-U ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2015/515370
更新日期:2015-01-01 00:00:00
abstract:Background:The aim of the present study was to determine the medication appropriateness (MA) in prehospital emergency physician deployments according to the hospital discharge diagnosis and to investigate the factors influencing the MA. Methods:The MA was determined by a systematic comparison of the administered medic...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/6947698
更新日期:2019-09-02 00:00:00
abstract::Unmanned aerial vehicles, also known as drones, can play a significant role in military and civil emergency medicine. The aim of the study was to present the real possibilities of using them in rescue operations and to provide examples from all over the world. Unmanned aerial vehicles can be applied to transport goods...
journal_title:Emergency medicine international
pub_type: 杂志文章,评审
doi:10.1155/2019/3589792
更新日期:2019-12-02 00:00:00
abstract::Background. Traditional uvulectomy is performed as a cultural ritual or purported medical remedy. We describe the associated emergency department (ED) presentations and outcomes. Methods. This was a subgroup analysis of a retrospective review of all pediatric visits to our ED in 2012. Trained abstracters recorded demo...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2015/108247
更新日期:2015-01-01 00:00:00
abstract:Aim of the Study:To evaluate the ability of the prehospital National Early Warning Score 2 scale (NEWS2) to predict early mortality (within 48 hours) after the index event based on the triage priority assigned for any cause in the emergency department. Methods:This is a multicenter longitudinal observational cohort st...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/5147808
更新日期:2019-07-01 00:00:00
abstract::Accurate diagnosis of the causes of chest pain and dyspnea remain challenging. In this preliminary observational study with a 5-year follow-up, we attempted to find a simplified approach to selecting patients with chest pain needing immediate care based on the initial evaluation in ED. During a 24-month period were ra...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2012/975614
更新日期:2012-01-01 00:00:00
abstract::Context. Pharmaceutical products are the leading cause accidental poisoning in middle- and high-income countries. Patterns of poisoning with medicinal drugs change across different geographic regions and over decades owing to variability in prescription practice, sociocultural factors, safe storage of medicines, and f...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2020/9872821
更新日期:2020-08-03 00:00:00
abstract::Background/Objectives. There is minimal data available on the types of dermatological conditions which present to tertiary emergency departments (ED). We analysed demographic and clinical features of dermatological presentations to an Australian adult ED. Methods. The St. Vincent's Hospital Melbourne (SVHM) ED databas...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2014/463026
更新日期:2014-01-01 00:00:00
abstract::Reversible cerebral vasoconstriction syndrome (RCVS) is an increasingly recognized and important cause of acute headache. The majority of these patients develop potentially serious neurological complications. Rigorous investigation is required to exclude other significant differential diagnoses. Differentiating RCVS f...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2012/303152
更新日期:2012-01-01 00:00:00
abstract:Aim:Acute coronary syndrome (ACS) continues to be the main cause of mortality and morbidity globally. The aim was to assess serum procalcitonin (PCT), mean corpuscular hemoglobin concentration (MCHC) and mean platelet volume (MPV) levels in terms of complications after myocardial infarctus, triple vein coronary artery ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/6721279
更新日期:2019-07-18 00:00:00
abstract::Background. Between 2005 and 2012, annual sales of E-bikes in Switzerland increased from 1,792 to 52,941. This continuous and rapid transition from human-powered bicycles to an electric bicycle technology may indicate the increasing demand for low-cost transportation technology in combination with a healthy lifestyle....
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2014/850236
更新日期:2014-01-01 00:00:00
abstract:Background:There has been a steady rise in the absolute number of emergency room admissions over the last few decades. The healthcare delivery system of a country is required to be adjusted to patterns of morbidity and mortality to mitigate the minimized prolonged ill health consequences and premature death of adults. ...
journal_title:Emergency medicine international
pub_type: 杂志文章
doi:10.1155/2019/8374017
更新日期:2019-08-06 00:00:00