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 |