Article Text

This article has a correction. Please see:

PDF
Evaluation of a risk score for interhospital transport of critically ill patients
  1. C Markakis1,
  2. M Dalezios2,
  3. C Chatzicostas2,
  4. A Chalkiadaki1,
  5. K Politi3,
  6. P J Agouridakis1
  1. 1ICU, General Hospital of Rethymnon, Crete, Greece
  2. 2Department of Gastroenterology, General Hospital of Rethymnon, Crete, Greece
  3. 3Department of Anaesthesiology, General Hospital of Rethymnon, Crete, Greece
  1. Correspondence to:
 Dr P J Agouridakis
 48 G Georgiadou Street, 71305, Heraklion, Crete, Greece; www.icughor@in.gr

Abstract

Background: Interhospital transfer imposes essential risk for critically ill patients. The Risk Score for Transport Patients (RSTP) scale can be used as a triage tool for patient severity.

Methods: In total, 128 transfers of critically ill patients were classified in two groups of severity according to the RSTP. Statistical analysis was performed using the receiver operating characteristic (ROC) curve and goodness of fit statistics.

Results: In total, 66 patients (51.5%) were classified as group I and 62 (48.4%) as group II. Major en route complications were more common in group II patients (19.3% v 3%, p<0.001). Haemodynamic instability was the most common complication. There were significant differences in the mean risk scores between group I and II patients (mean (SD) 4.48 (1.01) v 11.04 (3.47), p<0.001). Discrimination power of RSTP was acceptable (area under the ROC curve 0.743; cutoff value ⩾8). Goodness of fit was adequate (p = 0.390).

Conclusion: The RSTP had acceptable discrimination and adequate goodness of fit and could be considered as a triage tool. Haemodynamic instability is the most common problem encountered during transfer.

Statistics from Altmetric.com

Footnotes

  • Funding: none

  • Competing interests: none declared

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Correction
    BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine