Abstract
Objective To reveal short-term outcome and risk factors for patients Transported with No Medical assistance (TNM) after mobile intensive care unit (MICU) intervention. Method We realized a prospective regional survey including consecutively 500 TNM patients. The following events occurring within 72 hours were registered: unexpected and expected death, MICU and hospital medical procedures, MICU and hospital diagnosis. Data were collected from MICU dispatching center computer, telephone follow-up on Day 3 and medical report for hospitalized patients. Results There were no lost to follow-up. Rate events and confidence intervals were: 1.2% [0-3%] for unexpected death, 51% [47-56%] for hospitalization among which 5% [3-7%] in intensive care unit, 1% [0-3%] for emergency procedures delivery within 4 hours, and 12% [10-15%] for diagnostic disagreement. Patients presenting with chest pain or dyspnea were at higher risk together for intensive care requirement and diagnostic disagreement (p < 0.01). Conclusion Unexpected short term outcome is not uncommon for patients TNM after MICU intervention. As main risk factors seem to be chest pain and dyspnea, MICU transport should be encouraged whenever these symptoms are encountered.
Published Version
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