Normal gait, albumin and d-dimer levels identify low risk emergency department patients: a prospective observational cohort study with 365-day 100% follow-up

Abstract Background If survival could be reliably predicted many patients could be safely managed outside of hospital in an ambulatory care setting. Aim Comparison of common laboratory findings, co-morbidities, mobility and vital signs as predictors of mortality of acutely ill emergency department (...

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Veröffentlicht in:QJM : An International Journal of Medicine 2020-02, Vol.113 (2), p.86-92
Hauptverfasser: Lyngholm, L, Nickel, C H, Kellett, J, Chang, S, Cooksley, T, Brabrand, M
Format: Artikel
Sprache:eng
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Zusammenfassung:Abstract Background If survival could be reliably predicted many patients could be safely managed outside of hospital in an ambulatory care setting. Aim Comparison of common laboratory findings, co-morbidities, mobility and vital signs as predictors of mortality of acutely ill emergency department (ED) attendees. Design Prospective observational study. Methods Secondary analysis of 1334 consenting acutely ill patients attending a Danish ED. Results 67 (5%) out of 1334 patients died within 100 days. After logistic regression seven predictors of 100 days mortality remained significant: an albumin level ≤34 gm/l, D-dimer level >0.51 mg/l, an Asadollahi score (based on admission laboratory data and age) ≥12, a platelet count
ISSN:1460-2725
1460-2393
DOI:10.1093/qjmed/hcz226