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Table 1 Patient characteristics

From: External validation of a prehospital risk score for critical illness

Variable

Critical illness

No critical illness

p Value

Number of patients (%)

1926 (4.5)

40,624 (95.5)

 

Age, years, mean (SD)

66 (17)

62 (21)

<0.01

Male sex, n (%)

929 (48)

15,987 (39)

<0.01

EMS staffing level, n (%)

  

<0.01

 Critical care

188 (10)

427 (1)

 

 ALS

1676 (87)

37,646 (93)

 

 BLS

61 (3)

2540 (6)

 

Initial prehospital vital signs, mean ± SD

   

 Systolic blood pressure, mmHg

131 ± 36

139 ± 28

<0.01

 Heart rate, beats/minute

96 ± 26

89 ± 20

<0.01

 Respiratory rate, breaths/minute

20 ± 7

19 ± 5

<0.01

 Oxygen saturation, %

93 ± 9

96 ± 10

<0.01

 Glasgow Coma Scale score

12 ± 4

14 ± 2

<0.01

Diagnostic category, n (%)a

  

<0.01

 Respiratory

405 (21)

4863 (12)

 

 Neurological

475 (25)

6733 (17)

 

 Cardiovascular

180 (9)

4199 (10)

 

 Abdominal

134 (7)

4208 (10)

 

 Metabolic/endocrine

22 (1)

683 (2)

 

 Psychiatric/toxicology

52 (3)

1000 (2)

 

 Fall

94 (5)

4310 (11)

 

 Obstetric/gynecologic

1 (<1)

374 (1)

 

 Medical (NOS)

386 (20)

8025 (20)

 

 Other

138 (7)

2356 (6)

 

Scene to hospital destination, miles, median [IQR]

6.5 [3.5–9.3]

5.8 [2.8–8.0]

<0.01

Prehospital interventions, n (%)

   

 Intubation

128 (7)

86 (<1)

<0.01

 Supplemental oxygen

1001 (58)

14,626 (44)

<0.01

 ECG monitoring

340 (20)

5807 (17)

<0.02

 Peripheral or central intravenous access

1135 (66)

19,160 (57)

<0.01

Components of critical illness, n (%)

   

 Ever received mechanical ventilation

1643 (85)

208 (<1)

<0.01

 Ever received vasopressor

912 (47)

65 (<1)

<0.01

 ICU location in electronic health record

1926 (100)

3279 (8)

<0.01

Hospital length of stay, days, median [IQR]

10 [6–17]

2 [1–5]

<0.01

Hospital mortality, n (%)

463 (24)

447 (1)

<0.01

  1. Abbreviations: EMS emergency medical services, ALS advanced life support, BLS basic life support, NOS not otherwise specified, ECG electrocardiogram, ICU intensive care unit, IQR interquartile range
  2. aDiagnostic category was determined by EMS staff impression