Using a simplified pre‐hospital ‘MET’ score to predict in‐hospital care and outcomes

• DOI: 10.1111/aas.12499
• Publication Date: 2015-03-03T08:45:02Z
• Authors: K. JOKELA; P. SETÄLÄ; J. VIRTA; H. HUHTALA; A. YLI‐HANKALA; S. HOPPU
• Keywords: Triage; Vital signs

Background M edical emergency team ( MET ) activation criteria serve as a predictor of serious adverse events on hospital wards and in the department ED ). We aimed to determine whether in‐hospital would be useful identifying patients at risk pre‐hospital care. Methods The data were collected retrospectively from 610 adult treated by physician‐staffed helicopter medical services. Pre‐hospital vital signs compared with scored accordingly receive simplified ‘ ’ score. primary outcome measure was mortality. secondary measures admission intensive care unit length stay, ICU stay stay. score also E mergency S everity I ndex ESI used triage tool . Results Higher scores associated mortality P < 0.001), need for treatment 0.001) more urgent class 0.001). shorter longer A an independent (odds ratio 2.42, confidence interval 1.84 3.18, regardless age or patient's previous overall physical health classified merican ociety nesthesiologists status classification system. Conclusion is patient could assessment provider on‐scene.