Evidence map›Paper›PMID 38357677›Full record

ArticleResuscitation plus2024

RAPID-ED: A predictive model for risk assessment of patient's early in-hospital deterioration from emergency department.

Yi-Min Wang, I-Min Chiu, Yu-Ping Chuang, Chi-Yung Cheng, Chun-Fu Lin, Fu-Jen Cheng, Chien-Fu Lin, Chao-Jui Li

Abstract read
In one paragraph

Article in Resuscitation plus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yi-Min WangDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
I-Min ChiuDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
Yu-Ping ChuangDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
Chi-Yung ChengDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
Chun-Fu LinDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
Fu-Jen ChengDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
Chien-Fu LinDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.
Chao-Jui LiDepartment of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The objective of this multi-center retrospective cohort study was to devise a predictive tool known as RAPID-ED. This model identifies non-traumatic adult patients at significant risk for cardiac arrest within 48 hours post-admission from the emergency department. Methods: Data from 224,413 patients admitted through the emergency department (2016-2020) was analyzed, incorporating vital signs, lab tests, and administered therapies. A multivariable regression model was devised to anticipate early cardiac arrest. The efficacy of the RAPID-ED model was evaluated against traditional scoring systems like National Early Warning Score (NEWS) and Modified Early Warning Score (MEWS) and its predictive ability was gauged via the area under the receiver operating characteristic curve (AUC) in both hold-out validation set and external validation set. Results: RAPID-ED outperformed traditional models in predicting cardiac arrest with an AUC of 0.819 in the hold-out validation set and 0.807 in the external validation set. In this critical care update, RAPID-ED offers an innovative approach to assessing patient risk, aiding emergency physicians in post-discharge care decisions from the emergency department. High-risk score patients (≥13) may benefit from early ICU admission for intensive monitoring. Conclusion: As we progress with advancements in critical care, tools like RAPID-ED will prove instrumental in refining care strategies for critically ill patients, fostering an improved prognosis and potentially mitigating mortality rates.

Indexed as

Emergency medicineICUIn-hospital mortalityMechanical ventilationPredictive model

Identifiers

PMID38357677
PMCPMC10864627

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.