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Operations & systems
Field acuity predicts ICU admission in stable adults
Field Acuity, Triage Concordance, and Clinical Outcomes in Communicative and Clinically Stable Adults Transported by 112 Ambulance Services
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi · Added 18 May 2026
Prospective study of 393 patients transported by ambulance found urgent field classification, hypotension, critical hyperglycemia, and prehospital interventions predicted ICU admission.
- Study type
- Cohort
- Design
- Prospective single-centre observational study
- Participants
- 393 communicative, clinically stable adults transported by ambulance to a tertiary ED
- Main finding
- ICU admission 15.8%, 30-day mortality 5.4%. Agreement between field and ED urgency was weak (κ=0.06). Urgent field classification, critical hyperglycemia, hypotension and any prehospital intervention independently predicted ICU admission.
- Caveat
- Single Turkish centre; excluded non-communicative or unstable patients, limiting generalisability.
- Bottom line
- Context only
Learning goal
Understand how field acuity classification and prehospital physiological findings relate to later deterioration in adults who appear clinically stable.
More
- Topic: Operations & systems
- Daily scan: 18 May 2026
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