Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana

Background: Secondary transfers of critical patients between hospitals may be associated with risk of death and complications Aim: To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material...

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Autores principales:	Carrillo B,Marie Jesie, Urrutia S,María Teresa
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Ambulances Emergency medical services Risk assessment
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001000009
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spelling	oai:scielo:S0034-988720120010000092013-03-18Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área MetropolitanaCarrillo B,Marie JesieUrrutia S,María Teresa Ambulances Emergency medical services Risk assessment Background: Secondary transfers of critical patients between hospitals may be associated with risk of death and complications Aim: To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material and Methods: Cross sectional study including 432 adults undergoing secondary transfers using SAMU between January 1 and June 30 2010. Demographic, biomedical, hemodynamic and transfer data were obtained. Cardiopulmonary arrests (CPR) and an increase in the Rapid Emergency Medicine Score (REMS) scale, were considered as outcome variables. Results: CPR occurred in 6.4% of the study population and was significantly associated with the initial REMS score and the need for hemodynamic and ventilator support. The initial REMS score was a good predictor of the final REMS score. The final REMS was significantly associated with the presence of comorbidities and the need for hemodynamic and ventilator support. Conclusions: REMS is a useful scale to assess the risk profile of critical patients requiring transfers between hospitals.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.10 20122012-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001000009es10.4067/S0034-98872012001000009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Ambulances Emergency medical services Risk assessment
spellingShingle	Ambulances Emergency medical services Risk assessment Carrillo B,Marie Jesie Urrutia S,María Teresa Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana
description	Background: Secondary transfers of critical patients between hospitals may be associated with risk of death and complications Aim: To determine the risk profile of adults subjected to secondary transfers using the Emergency Medical Attention System (SAMU) operating in Metropolitan Santiago. Material and Methods: Cross sectional study including 432 adults undergoing secondary transfers using SAMU between January 1 and June 30 2010. Demographic, biomedical, hemodynamic and transfer data were obtained. Cardiopulmonary arrests (CPR) and an increase in the Rapid Emergency Medicine Score (REMS) scale, were considered as outcome variables. Results: CPR occurred in 6.4% of the study population and was significantly associated with the initial REMS score and the need for hemodynamic and ventilator support. The initial REMS score was a good predictor of the final REMS score. The final REMS was significantly associated with the presence of comorbidities and the need for hemodynamic and ventilator support. Conclusions: REMS is a useful scale to assess the risk profile of critical patients requiring transfers between hospitals.
author	Carrillo B,Marie Jesie Urrutia S,María Teresa
author_facet	Carrillo B,Marie Jesie Urrutia S,María Teresa
author_sort	Carrillo B,Marie Jesie
title	Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana
title_short	Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana
title_full	Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana
title_fullStr	Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana
title_full_unstemmed	Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana
title_sort	perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del área metropolitana
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001000009
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Perfil de riesgo de pacientes adultos sometidos a traslado secundario por móviles avanzados del sistema de atención médica de urgencia del Área Metropolitana

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