4.4 THE HEADS-ED: A PSYCHOSOCIAL SCREENING TOOL FOR THE EMERGENCY DEPARTMENT AND BEYOND

Author(s):  
Clare Gray
Author(s):  
Sheri‐Ann O. Kaltiso ◽  
V. Jordan Greenbaum ◽  
Timothy P. Moran ◽  
Anwar D. Osborne ◽  
Jessica Korniotes ◽  
...  

2020 ◽  
Vol 21 (5) ◽  
Author(s):  
Christopher Solie ◽  
Morgan Swanson ◽  
Kari Harland ◽  
Christopher Blum ◽  
Kevin Kin ◽  
...  

2013 ◽  
Vol 173 (8) ◽  
pp. 699 ◽  
Author(s):  
Nathan C. Dean ◽  
Barbara E. Jones ◽  
Jeffrey P. Ferraro ◽  
Caroline G. Vines ◽  
Peter J. Haug

2020 ◽  
pp. 026921632097204
Author(s):  
Ruei-Fang Wang ◽  
Chao-Chih Lai ◽  
Ping-Yeh Fu ◽  
Yung-Chung Huang ◽  
Sheng-Jean Huang ◽  
...  

Background: Evaluating the need for palliative care and predicting its mortality play important roles in the emergency department. Aim: We developed a screening model for predicting 1-year mortality. Design: A retrospective cohort study was conducted to identify risk factors associated with 1-year mortality. Our risk scores based on these significant risk factors were then developed. Its predictive validity performance was evaluated using area under receiving operating characteristic analysis and leave-one-out cross-validation. Setting and participants: Patients aged 15 years or older were enrolled from June 2015 to May 2016 in the emergency department. Results: We identified five independent risk factors, each of which was assigned a number of points proportional to its estimated regression coefficient: age (0.05 points per year), qSOFA ⩾ 2 (1), Cancer (4), Eastern Cooperative Oncology Group Performance Status score ⩾ 2 (2), and Do-Not-Resuscitate status (3). The sensitivity, specificity, positive predictive value, and negative predictive value of our screening tool given the cutoff larger than 3 points were 0.99 (0.98–0.99), 0.31 (0.29–0.32), 0.26 (0.24–0.27), and 0.99 (0.98–1.00), respectively. Those with screening scores larger than 9 points corresponding to 64.0% (60.0–67.9%) of 1-year mortality were prioritized for consultation and communication. The area under the receiving operating characteristic curves for the point system was 0.84 (0.83–0.85) for the cross-validation model. Conclusions: A-qCPR risk scores provide a good screening tool for assessing patient prognosis. Routine screening for end-of-life using this tool plays an important role in early and efficient physician-patient communications regarding hospice and palliative needs in the emergency department.


2020 ◽  
Vol 76 (3) ◽  
pp. 280-290
Author(s):  
Timothy F. Platts-Mills ◽  
Karen Hurka-Richardson ◽  
Rayad B. Shams ◽  
Aileen Aylward ◽  
Joseph A. Dayaa ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document