Observational studyBMC health services research2026
Incident and predictors of 30-day mortality in critically ill patients after admission to the emergency department in the central region of Thailand: a prospective observational study.
Observational study in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Acute heart failure in a tertiary emergency department in Thailand: clinical characteristics and factors associated with in-hospital mortality.International journal of emergency medicine · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGlobally, there is an increasing number of critically ill patients being treated in Emergency Departments (EDs), resulting in poor quality of care and a high mortality rate. This study investigates the incidence of mortality and independent predictors of 30-day mortality in critically ill patients after admission to the ED in the central region of Thailand.
methodsA prospective observational study was conducted of non-trauma critically ill patients, and followed their outcomes of 30-day mortality after admission to the ED. The Kaplan-Meier estimated survival probability and Cox proportional hazards model analyzed and investigated risk factors associated with 30-day mortality.
resultsA total of 442 patients were included. The 30-day mortality rate was 11.1%, with an incidence rate of 4.0 per 1,000 person-days (95% CI 2.93–5.24). Independent predictors of mortality were altered consciousness (aHR 3.25; 95% CI 1.64–7.15), Emergency Severity Index (ESI) level 1 (aHR 2.38; 95% CI 1.21–4.68), sepsis or septic shock (aHR 2.60; 95% CI 1.07–3.99), National Early Warning Score (NEWS) ≥ 5 at ED discharge (aHR 2.03; 95% CI 1.02–4.04), and higher Charlson Comorbidity Index (CCI) scores (aHR 1.38; 95% CI 1.17–1.64). Inter-hospital transfer demonstrated the strongest association with mortality (aHR 4.70; 95% CI 2.35–9.41). These findings provide region-specific incidence estimates and quantify both patient- and healthcare system-level risks, thereby addressing a critical evidence gap in emergency care in central Thailand.
conclusionsThis study has identified key predictors of 30-day mortality among critically ill patients following ED admission and provides region-specific evidence from central Thailand, where data remain limited. The strong association between inter-hospital transfer and mortality highlights a previously underrecognized weakness in regional referral pathways. Furthermore, the prognostic value of NEWS at ED discharge offers practical utility for early risk stratification in ED settings. These context-specific insights support ongoing efforts to enhance early risk identification and strengthen referral processes to reduce preventable mortality.
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