Abstract
BackgroundObjectification of the spread of National Advisory Committee for Aeronautics (NACA) scoring system for selected homogeneous groups based on retrospective data, and diagnosis and analysis of the influence of a given validatation date to the valuation accuracy based on prospective data.Material and MethodsRecords of emergency operations from the data pool of the NACA-X database of emergency medical systems (EMS) Innsbruck and surroundings with a retrospective study period over 6 years and a prospective study period of 9 months with the possibility to record the NACA score on three different time points.ResultsAll diagnostic groups with 2596 records show a striking retrospective dispersion in the NACA evaluation. Prospectively “hypoglycemia” (n=31) and “intoxication” (n=93) show a highly (p <0.01) while “acute coronary syndroms (ACS)” (n=87) and “cardiopulmonary resuscitation/arrest (CPR)” (n=68) show a significant change (p <0.05) in the distribution of NACA evaluation between the evaluation time points.ConclusionsDepending on the classification stage partly significantly different NACA-values are assigned. The NACA system requires a clear definition of the classification time. For the intended aim of being used as a severity score, the time of maximum threat to emergency patients should be chosen.
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