Evidence map›Paper›PMID 38369128›Full record

ArticleClinical medicine (London, England)2024

Predictive value and interrater reliability of mental status and mobility assessment in the emergency department.

Tanguy Espejo, Henk B Riedel, Sebastian Messingschlager, Wolfram Sonnleitner, John Kellett, Mikkel Brabrand, Tim Cooksley, Roland Bingisser, Christian H Nickel

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In one paragraph

Article in Clinical medicine (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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. Observational
  2. Editorial: Learnings from all walks of medical practice.Clinical medicine (London, England) · 2024
    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

9 authors.

Tanguy EspejoEmergency Department, University Hospital Basel, University of Basel, Basel, Switzerland.
Henk B RiedelEmergency Department, University Hospital Basel, University of Basel, Basel, Switzerland.
Sebastian MessingschlagerEmergency Department, University Hospital Basel, University of Basel, Basel, Switzerland.
Wolfram SonnleitnerEmergency Department, University Hospital Basel, University of Basel, Basel, Switzerland.
John KellettDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark.
Mikkel BrabrandDepartment of Emergency Medicine, Odense University Hospital, Odense, Denmark.
Tim CooksleyDepartment of Acute Medicine, University Hospital of South Manchester, Manchester, UK.
Roland BingisserEmergency Department, University Hospital Basel, University of Basel, Basel, Switzerland.
Christian H NickelEmergency Department, University Hospital Basel, University of Basel, Basel, Switzerland. Electronic address: christian.nickel@usb.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the predictive value of both mental status, assessed with the AVPUC (Alert, responds to Voice, responds to Pain, Unresponsive, and new Confusion) scale, and mobility assessments, and their interrater reliability (IRR) between triage clinicians and a research team.

methodProspective study of consecutive patients who presented to an ED. Mental status and mobility were assessed by triage clinicians and by a dedicated research team.

results4,191 patients were included. After adjustment for age and sex, patients with altered mental status have an odds ratio of 6.55 [4.09-10.24] to be admitted in the ICU and an odds ratio of 21.16 [12.06-37.01] to die within 30 days; patients with impaired mobility have an odds ratio of 7.08 [4.60-11.12] to be admitted in the ICU and an odds ratio of 12.87 [5.93-32.30] to die within 30 days. The kappa coefficient between triage clinicians and the research team for mental status assessment was 0.75, and 0.80 for mobility.

conclusionAssessment of mental status by the AVPUC scale, and mobility by a simple dichotomous scale are suitable for ED triage. Both altered mental status and impaired mobility are associated with adverse outcomes. Mental status and mobility assessment have good interrater reliability.

Indexed as

Emergency Service, HospitalTriageAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMobility LimitationObserver VariationPredictive Value of TestsProspective StudiesReproducibility of ResultsAcute medicineAVPUCAVPUC scaleEmergency departmentGeriatric emergency medicineInterrater reliabilityMental statusMobilityPrognostication

Identifiers

PMID38369128
PMCPMC11091407

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LicenceCC BY-NC-ND
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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.