Inability to Walk Predicts Death among Adult Patients in Hospitals in Malawi.

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 Int

authors

Kayambankadzanja RK,Schell CO,Nsanjama G,Mbingwani I,Kwazizira Mndolo S,Rylance J,Baker T

doi

10.1155/2019/6586891

subject

Has Abstract

pub_date

2019-07-07 00:00:00

pages

6586891

eissn

2090-2840

issn

2090-2859

journal_volume

2019

pub_type

杂志文章
  • Knowledge and confidence of a convenience sample of australasian emergency doctors in managing dental emergencies: results of a survey.

    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

    authors: Samaei H,Weiland TJ,Dilley S,Jelinek GA

    更新日期:2015-01-01 00:00:00

  • Reasons for Undesirable Pregnancy Outcomes among Women with Appendicitis: The Experience of a Tertiary Center.

    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

    authors: Mantoglu B,Altintoprak F,Firat N,Gonullu E,Dikicier E,Akdeniz Y,Aziret M,Erkorkmaz U

    更新日期:2020-09-15 00:00:00

  • Current Guideline of Chest Compression Depth for Children of All Ages May Be Too Deep for Younger Children.

    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

    authors: Lee JH,Han SK,Na JU

    更新日期:2019-06-19 00:00:00

  • Remember the Drive Home? An Assessment of Emergency Providers' Sleep Deficit.

    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

    authors: Ferguson BA,Shoff HW,McGowan JE,Huecker MR

    更新日期:2018-01-23 00:00:00

  • Does Gender Influence Physiological Tolerance in Resuscitators When Using Personal Protection Equipment against Biological Hazards?

    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

    doi:10.1155/2018/5890535

    authors: Martín-Rodríguez F,Martín Conty JL,Casado Vicente V,Arnillas Gómez P,Mohedano-Moriano A,Castro Villamor MÁ

    更新日期:2018-10-16 00:00:00

  • The role of thrombelastography in multiple trauma.

    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

    authors: Jeger V,Zimmermann H,Exadaktylos AK

    更新日期:2011-01-01 00:00:00

  • Factors Affecting the Occurrence of Out-of-Hospital Sudden Cardiac Arrest.

    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

    doi:10.1155/2015/281364

    authors: Uchmanowicz I,Bartkiewicz W,Sowizdraniuk J,Rosińczuk J

    更新日期:2015-01-01 00:00:00

  • Diagnostic Agreement between Prehospital Emergency and In-Hospital Physicians.

    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

    authors: Ramadanov N,Klein R,Laue F,Behringer W

    更新日期:2019-04-24 00:00:00

  • Location of sternal fractures as a possible marker for associated injuries.

    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

    authors: Scheyerer MJ,Zimmermann SM,Bouaicha S,Simmen HP,Wanner GA,Werner CM

    更新日期:2013-01-01 00:00:00

  • Patients Hospitalized in General Wards via the Emergency Department: Early Identification of Predisposing Factors for Death or Unexpected Intensive Care Unit Admission-A Historical Prospective.

    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

    authors: Boulain T,Runge I,Delorme N,Bouju A,Valéry A

    更新日期:2014-01-01 00:00:00

  • Factors Associated with Treatment Failure in Patients with Acute Exacerbation of COPD Admitted to the Emergency Department Observation Unit.

    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

    authors: Pethyabarn W,Chewae S,Dadeh AA

    更新日期:2020-06-29 00:00:00

  • Pediatric stroke: a review.

    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

    authors: Tsze DS,Valente JH

    更新日期:2011-01-01 00:00:00

  • Risk Values of Weight and Body Mass Index for Chest Wall Thickness in Patients Requiring Needle Thoracostomy Decompression.

    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

    authors: Hsu CH,Lin TY,Ou JC,Ong JR,Ma HP

    更新日期:2020-10-26 00:00:00

  • Significance of Early Postoperative Arterial Lactic Acid, Inferior Vena Cava Variability, and Central Venous Pressure in Hypovolemic Shock.

    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

    authors: Lin W,Lin X,Zhuang Y,Pan X,Wu C,Zhang S,Zhang L,Lin J,Shi S,Shi S

    更新日期:2019-11-11 00:00:00

  • Contribution of Experimental Animal Research Studies to the Emergency Medicine Literature.

    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

    authors: Ocak U,Zhang JH

    更新日期:2019-04-01 00:00:00

  • Current pharmacological advances in the treatment of cardiac arrest.

    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

    authors: Papastylianou A,Mentzelopoulos S

    更新日期:2012-01-01 00:00:00

  • Endoscopic Detorsion Results in Sigmoid Volvulus: Single-Center Experience.

    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

    authors: Firat N,Mantoglu B,Ozdemir K,Muhtaroglu A,Akin E,Celebi F,Fatih A

    更新日期:2020-05-13 00:00:00

  • A brief training module improves recognition of echocardiographic wall-motion abnormalities by emergency medicine physicians.

    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

    authors: Kerwin C,Tommaso L,Kulstad E

    更新日期:2011-01-01 00:00:00

  • Validation of EGSYS Score in Prediction of Cardiogenic Syncope.

    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

    authors: Kariman H,Harati S,Safari S,Baratloo A,Pishgahi M

    更新日期:2015-01-01 00:00:00

  • Medication Appropriateness in Prehospital Care.

    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

    authors: Ramadanov N,Klein R,Aguilar Valdez AD,Behringer W

    更新日期:2019-09-02 00:00:00

  • The Use of Drones in Emergency Medicine: Practical and Legal Aspects.

    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

    authors: Konert A,Smereka J,Szarpak L

    更新日期:2019-12-02 00:00:00

  • Morbidity and Mortality following Traditional Uvulectomy among Children Presenting to the Muhimbili National Hospital Emergency Department in Dar es Salaam, Tanzania.

    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

    authors: Sawe HR,Mfinanga JA,Ringo FH,Mwafongo V,Reynolds TA,Runyon MS

    更新日期:2015-01-01 00:00:00

  • A Multicenter Observational Prospective Cohort Study of Association of the Prehospital National Early Warning Score 2 and Hospital Triage with Early Mortality.

    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

    authors: Martín-Rodríguez F,López-Izquierdo R,Del Pozo Vegas C,Delgado-Benito JF,Del Pozo Pérez C,Carbajosa Rodríguez V,Mayo Iscar A,Martín-Conty JL,Escudero Cuadrillero C,Castro-Villamor MA

    更新日期:2019-07-01 00:00:00

  • The challenge of triaging chest pain patients: the bernese university hospital experience.

    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

    authors: Rohacek M,Bertolotti A,Grützmüller N,Simmen U,Marty H,Zimmermann H,Exadaktylos A,Spyridon A

    更新日期:2012-01-01 00:00:00

  • Accidental and Deliberate Self-Poisoning with Medications and Medication Errors among Children in Rural Sri Lanka.

    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

    authors: Dayasiri K,Jayamanne SF,Jayasinghe CY

    更新日期:2020-08-03 00:00:00

  • Which dermatological conditions present to an emergency department in australia?

    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

    authors: Lai-Kwon J,Weiland TJ,Chong AH,Jelinek GA

    更新日期:2014-01-01 00:00:00

  • Reversible cerebral vasoconstriction syndrome: an important cause of acute severe headache.

    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

    authors: Tan LH,Flower O

    更新日期:2012-01-01 00:00:00

  • Do MCHC, MPV, and Procalcitonin Levels Determine Prognosis in Acute Coronary Syndrome?

    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

    authors: Karaman S,Coskun A

    更新日期:2019-07-18 00:00:00

  • E-bike injuries: experience from an urban emergency department-a retrospective study from Switzerland.

    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

    authors: Papoutsi S,Martinolli L,Braun CT,Exadaktylos AK

    更新日期:2014-01-01 00:00:00

  • Spectrum, Pattern, and Clinical Outcomes of Adult Emergency Department Admissions in Selected Hospitals of Western Ethiopia: A Hospital-Based Prospective Study.

    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

    authors: Woyessa AH,Dibaba BY,Hirko GF,Palanichamy T

    更新日期:2019-08-06 00:00:00