International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
Abstract
The admissions in the Emergency Department are increasing day by day in recent years requiring the strong and effective triage systems. The goals of these triage systems are to differentiate the patients as high to low‐risk patients and immediate attention to the high‐risk patients. Objective. Determine the association between PPI and SI measurement in need of the ventilation and 48 hours hospital outcome. This Prospective observational study, designed to investigate the prognostic performance of the PPI, SI, with Emergency Severity Index (ESI) in predicting hospital outcomes such as ventilator need and clinical improvement or deterioration of the patient. Conducted in the Emergency Medicine Department of BLDE, Shri B M Patil Medical College Hospital and Research Centre, Vijayapura, this study planned from August 2022 till April 2024. Among the 610 participants, Emergency Severity Index (ESI) score of less than 3, The PPI at admission shows a strong predictive accuracy with an AUC of 0.89 and a standard error of 0.01. At 12 hours, the PPI’s AUC slightly decreased to 0.86 and at 24 hours, it modestly increased to 0.87, indicating consistent predictive performance over time. The SI at admission had an AUC of 0.82, with a standard error of 0.02, reflecting moderate predictive accuracy. The SI's predictive power improved significantly, with an AUC of 0.93 at 12 hours and 0.95 at 48 hours, demonstrating high predictive accuracy. Integrating PPI and SI with ESI can enhance triage effectiveness, ensuring better patient outcomes and more efficient emergency department operations.
How to cite this article:
H. Prathibha, Sunil Kumar Mooknoor, M. Gayatri and J. Udaykumar Khasage. Association Between PPI and SI Measurement in Need of the Ventilation and 48 Hours Hospital Outcome.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.4.1.6
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.4.1.6