Cargando…

Dyspnea: perfusion index and triage status

Purpose: To determine the relationship between perfusion index and the emergency triage classification in patients admitted to the emergency department with dyspnea. Methods: Adult patients who presented with dyspnea and whose perfusion index values ​​were measured with Masimo Radical-7 device at th...

Descripción completa

Detalles Bibliográficos
Autores principales: Tulay, Cumhur Murat, Gurmen, Ekim Saglam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066968/
https://www.ncbi.nlm.nih.gov/pubmed/37004661
http://dx.doi.org/10.1007/s10877-023-00995-6
_version_ 1785018363954593792
author Tulay, Cumhur Murat
Gurmen, Ekim Saglam
author_facet Tulay, Cumhur Murat
Gurmen, Ekim Saglam
author_sort Tulay, Cumhur Murat
collection PubMed
description Purpose: To determine the relationship between perfusion index and the emergency triage classification in patients admitted to the emergency department with dyspnea. Methods: Adult patients who presented with dyspnea and whose perfusion index values ​​were measured with Masimo Radical-7 device at the time of admission, at the first hour and the second hour of admission were included in the study. The PI and oxygen saturation measured by finger probes were compared and the superiority of their effects on the emergency triage classification was compared. Results: For the 0.9 cut- off value of the arrival PI level according to the triage status; sensitivity 79.25%; specificity 78.12%; positive predictive value is 66.7 and negative predictive value is 87.2. A statistically significant correlation was found between the triage status and the 0.9 cut- off value of the admission PI level. We can say that the ODDS rate of red triage is 13.63 times (95% CI: 5.99–31.01) times higher in cases with a PI level of 0.9 and below. In the ROC analysis, the cut-off value of 1.1 and above the admission PI level was determined as the most appropriate point for discharge. Conclusion: The perfusion index can help to determine the triage classification in emergency departments for dyspnea. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10877-023-00995-6.
format Online
Article
Text
id pubmed-10066968
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Springer Netherlands
record_format MEDLINE/PubMed
spelling pubmed-100669682023-04-03 Dyspnea: perfusion index and triage status Tulay, Cumhur Murat Gurmen, Ekim Saglam J Clin Monit Comput Original Research Purpose: To determine the relationship between perfusion index and the emergency triage classification in patients admitted to the emergency department with dyspnea. Methods: Adult patients who presented with dyspnea and whose perfusion index values ​​were measured with Masimo Radical-7 device at the time of admission, at the first hour and the second hour of admission were included in the study. The PI and oxygen saturation measured by finger probes were compared and the superiority of their effects on the emergency triage classification was compared. Results: For the 0.9 cut- off value of the arrival PI level according to the triage status; sensitivity 79.25%; specificity 78.12%; positive predictive value is 66.7 and negative predictive value is 87.2. A statistically significant correlation was found between the triage status and the 0.9 cut- off value of the admission PI level. We can say that the ODDS rate of red triage is 13.63 times (95% CI: 5.99–31.01) times higher in cases with a PI level of 0.9 and below. In the ROC analysis, the cut-off value of 1.1 and above the admission PI level was determined as the most appropriate point for discharge. Conclusion: The perfusion index can help to determine the triage classification in emergency departments for dyspnea. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10877-023-00995-6. Springer Netherlands 2023-04-01 /pmc/articles/PMC10066968/ /pubmed/37004661 http://dx.doi.org/10.1007/s10877-023-00995-6 Text en © The Author(s), under exclusive licence to Springer Nature B.V. 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Research
Tulay, Cumhur Murat
Gurmen, Ekim Saglam
Dyspnea: perfusion index and triage status
title Dyspnea: perfusion index and triage status
title_full Dyspnea: perfusion index and triage status
title_fullStr Dyspnea: perfusion index and triage status
title_full_unstemmed Dyspnea: perfusion index and triage status
title_short Dyspnea: perfusion index and triage status
title_sort dyspnea: perfusion index and triage status
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066968/
https://www.ncbi.nlm.nih.gov/pubmed/37004661
http://dx.doi.org/10.1007/s10877-023-00995-6
work_keys_str_mv AT tulaycumhurmurat dyspneaperfusionindexandtriagestatus
AT gurmenekimsaglam dyspneaperfusionindexandtriagestatus