Factors Predicting Influenced Sudden Deterioration of Emergency Patients Who Recieved Emergency Services by Advanced Life Support Team of Mukdahan Hospital

Abstract

The purpose of this predictive correlational research was to study the relationship between factors and predictive factors caused patients to deteriorate during receiving EMS services by Advance Life Support Team of Mukdahan hospital. Data were collected retrospectively from medical records and advanced health services records between 1 August 2022 - 31 August 2023. A total of 295 participants’ medical records of emergency patients were reviewed. Instruments of this study were the Sudden Deterioration Criteria, that the reliability were 0.82. Data were analyzed using descriptive statistical, Chisquare test and multiple logistic regression. The results showed the most of participants were males 63.05 percent and females were 33.33 percent. Age was statistical significantly relationship with deterioration. Factors that significantly predicted deterioration in critical ill patients were comorbidities, Nagelkerke R2 =0.331 (OR=4.48, 95%CI=96.4889 - 229.4963), and the level of consciousness in patients can predict deterioration in critically ill patients, Nagelkerke R2 =0.331 (OR=2.17, 95%CI=9.50778 - 4.4420696). The results of this research can be used to consider protocol for evaluating, and providing assistance patients during emergency transport to hospital by ALS. This is to prevent the worsening of symptoms of critically ill patients before arriving at the hospital. and standardizing patient care guidelines for those patients with critical ill should be recommended.