Factors associated with clinical deterioration in urgency patients in emergency room at Chiangrai Prachanukroh Hospital
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Abstract
BACKGROUND:Currently, the trend of patients coming to the emergency room for treatment is increasing. There are more urgent patients. A number of these emergency levels were assessed lower than the actual emergency level, resulting in changes clinical in the emergency room and, as a result, becoming more unsafe.
OBJECTIVE:To define factors associated with clinical deterioration which used MOPH.ED triage at emergency room Chiangrai Prachanukroh Hospital
METHODS:this study was performed on 654 patients urgency level age > 18 yrs at the emergency department Chiangrai Prachanukroh Hospital from July 1, 2020 -July 1, 2022.RESULTS:Factors associated with clinical deterioration in urgency patients in the emergency room at Chiangraihospital were mostly chief complaints of respiratory symptoms (adjust OR 2.71, 95%CI 1.51-4.55, P=0.001). In addition, chief complaints of neurological symptoms and cardiovascular symptoms were adjusted OR 2.08 and 2.34 respectively. Also male, systolic blood pressure > 180 mmHg, heart rate > 100 bpm, and underlying disease of chronic kidney disease were adjusted OR 1.41, 1.85, 1.53, and 2.41 respectively.
CONCLUSIONS AND RECOMMENDATIONS:Factors associated with clinical deterioration were patients present with respiratory symptoms. Symptoms of the nervous system and cardiovascular system. Other factors found to be related include male gender and systolic blood pressure greater than 180 mmHg. Pulse greater than 100 beats per minute. Underlying chronic kidney disease.
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