Mondragón AEV, Díaz JE, Rodea RH, Pineda FPR, Sánchez GMI, Cruz ME

Language: Spanish
References: 18
Page: 45-50
PDF size: 63.09 Kb.

ABSTRACT

Objective: To asses the effectiveness of the Rapid Acute Physiology Score (RAPS) to predict the mortality of patients transported by mobile intensive care units (MICUs). Design: Prospective study. Setting: A private prehospital care system, Mexico. Patients: A total of 354 patients (mean age 63.5 ± 19.7 yrs) transported by MICUs, during a 7-month period. Interventions: Support of vital functions. Measurements and main results: RAPS contains four elements of APACHE II score (heart rate, mean arterial pressure, respiratory rate and Glasgow Coma Scale). RAPS was calculated just before and at the end of transport. RAPS value was 2.5 ± 3.29 points just before transport and 2.09 ± 3 points at the end of transport (p = 0.084). No patient died during transport. Of the 354 patients, 21 (5.9%) died in the hospital. The mean score of RAPS for the survivors was 1.96 ± 2.55 and for the non survivors 6.56 ± 4.23 (p ‹ 0.001) at the end of transport. Conclusion: RAPS is a useful method for determining prognosis of transported patients.

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