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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Netherlands
2023
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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 |
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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 |
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