Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100412 |
Resumo: | Abstract Objective: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. Method: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen in the emergency department. Charlson index scores greater than 2 showed a high rate of comorbidity (mortality risk). T-test and analysis of variance were applied in the analyses. Results: There was a significant difference between the Charlson comorbidity index and the risk classification, with higher scores found in patients classified in the white (2.57) and red (2.06) categories. Patients with vascular, endocrine, neurological, cardiologic, or device problems, and those who underwent a head tomography had a high rate of comorbidity. In addition, those admitted, transferred, or who died in the emergency room had significantly higher index scores compared to those who were discharged from the hospital. Conclusion: The high rate of comorbidity was associated with the categories of risk classification, main and nonspecific complaints, performance of a head tomography, and patient outcomes in the emergency room. |
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Revista da Escola de Enfermagem da USP (Online) |
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Association of the Charlson index with risk classification, clinical aspects, and emergency outcomesTriageEmergency Medical ServicesEpidemiologyComorbidityHospital MortalityAbstract Objective: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. Method: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen in the emergency department. Charlson index scores greater than 2 showed a high rate of comorbidity (mortality risk). T-test and analysis of variance were applied in the analyses. Results: There was a significant difference between the Charlson comorbidity index and the risk classification, with higher scores found in patients classified in the white (2.57) and red (2.06) categories. Patients with vascular, endocrine, neurological, cardiologic, or device problems, and those who underwent a head tomography had a high rate of comorbidity. In addition, those admitted, transferred, or who died in the emergency room had significantly higher index scores compared to those who were discharged from the hospital. Conclusion: The high rate of comorbidity was associated with the categories of risk classification, main and nonspecific complaints, performance of a head tomography, and patient outcomes in the emergency room.Universidade de São Paulo, Escola de Enfermagem2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100412Revista da Escola de Enfermagem da USP v.56 2022reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1980-220x-reeusp-2020-0162info:eu-repo/semantics/openAccessJesus,Ana Paula Santos deOkuno,Meiry Fernanda PintoCampanharo,Cassia Regina VanciniLopes,Maria Carolina Barbosa TeixeiraBatista,Ruth Ester Assayageng2022-11-01T00:00:00Zoai:scielo:S0080-62342022000100412Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2022-11-01T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes |
title |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes |
spellingShingle |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes Jesus,Ana Paula Santos de Triage Emergency Medical Services Epidemiology Comorbidity Hospital Mortality |
title_short |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes |
title_full |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes |
title_fullStr |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes |
title_full_unstemmed |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes |
title_sort |
Association of the Charlson index with risk classification, clinical aspects, and emergency outcomes |
author |
Jesus,Ana Paula Santos de |
author_facet |
Jesus,Ana Paula Santos de Okuno,Meiry Fernanda Pinto Campanharo,Cassia Regina Vancini Lopes,Maria Carolina Barbosa Teixeira Batista,Ruth Ester Assayag |
author_role |
author |
author2 |
Okuno,Meiry Fernanda Pinto Campanharo,Cassia Regina Vancini Lopes,Maria Carolina Barbosa Teixeira Batista,Ruth Ester Assayag |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Jesus,Ana Paula Santos de Okuno,Meiry Fernanda Pinto Campanharo,Cassia Regina Vancini Lopes,Maria Carolina Barbosa Teixeira Batista,Ruth Ester Assayag |
dc.subject.por.fl_str_mv |
Triage Emergency Medical Services Epidemiology Comorbidity Hospital Mortality |
topic |
Triage Emergency Medical Services Epidemiology Comorbidity Hospital Mortality |
description |
Abstract Objective: To exam the association of the age-adjusted Charlson comorbidity index with the categories of risk classification, the clinical aspects, and the patient outcomes in the emergency department. Method: Cross-sectional, analytical study that analyzed the medical records of 3,624 patients seen in the emergency department. Charlson index scores greater than 2 showed a high rate of comorbidity (mortality risk). T-test and analysis of variance were applied in the analyses. Results: There was a significant difference between the Charlson comorbidity index and the risk classification, with higher scores found in patients classified in the white (2.57) and red (2.06) categories. Patients with vascular, endocrine, neurological, cardiologic, or device problems, and those who underwent a head tomography had a high rate of comorbidity. In addition, those admitted, transferred, or who died in the emergency room had significantly higher index scores compared to those who were discharged from the hospital. Conclusion: The high rate of comorbidity was associated with the categories of risk classification, main and nonspecific complaints, performance of a head tomography, and patient outcomes in the emergency room. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100412 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100412 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-220x-reeusp-2020-0162 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.56 2022 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936541909024768 |