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Risk Adjustment and Outcome Measures for Out-of-hospital Respiratory Distress

dc.contributor.authorKeim, Samuel M.en_US
dc.contributor.authorSpaite, Daniel W.en_US
dc.contributor.authorMaio, Ronald F.en_US
dc.contributor.authorGarrison, Herbert G.en_US
dc.contributor.authorDesmond, Jeffrey S.en_US
dc.contributor.authorGregor, Mary Annen_US
dc.contributor.authorO'Malley, Patricia J.en_US
dc.contributor.authorStiell, Ian G.en_US
dc.contributor.authorCayten, C. Geneen_US
dc.contributor.authorChew, John L.en_US
dc.contributor.authorMacKenzie, Ellen J.en_US
dc.contributor.authorMiller, David R.en_US
dc.date.accessioned2010-06-01T20:40:27Z
dc.date.available2010-06-01T20:40:27Z
dc.date.issued2004-10en_US
dc.identifier.citationKeim, Samuel M.; Spaite, Daniel W.; Maio, Ronald F.; Garrison, Herbert G.; Desmond, Jeffrey S.; Gregor, Mary Ann; O'Malley, Patricia J.; Stiell, Ian G.; Cayten, C. Gene; Chew, John L.; MacKenzie, Ellen J.; Miller, David R. (2004). "Risk Adjustment and Outcome Measures for Out-of-hospital Respiratory Distress." Academic Emergency Medicine 11(10): 1074-1081. <http://hdl.handle.net/2027.42/73779>en_US
dc.identifier.issn1069-6563en_US
dc.identifier.issn1553-2712en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/73779
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=15466151&dopt=citationen_US
dc.description.abstract: The purpose of the Emergency Medical Services Outcomes Project (EMSOP) is to develop a foundation and framework for out-of-hospital outcomes research. In prior work, this group delineated the priority conditions, described conceptual models, suggested core and risk adjustment measures potentially useful to emergency medical services research, and summarized out-of-hospital pain measurement. In this fifth article in the EMSOP series, the authors recommend specific risk-adjustment measures and outcome measures for use in out-of-hospital research on patients presenting with respiratory distress. The methodology included systematic literature searches and a structured review by an expert panel. The EMSOP group recommends use of pulse oximetry, peak expiratory flow rate, and the visual analog dyspnea scale as potential risk-adjustment measures and outcome measures for out-of-hospital research in patients with respiratory distress. Furthermore, using mortality as an outcome measure is also recommended. Future research is needed to alleviate the paucity of validated tools for out-of-hospital outcomes research.en_US
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dc.format.extent3109 bytes
dc.format.mimetypeapplication/octet-stream
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dc.publisherBlackwell Publishing Ltden_US
dc.rights© 2004 Society for Academic Emergency Medicineen_US
dc.subject.otherRespiratory Distressen_US
dc.subject.otherOutcomesen_US
dc.subject.otherPulse Oximetryen_US
dc.subject.otherPeak Expiratory Flow Rateen_US
dc.subject.otherVisual Analog Dyspnea Scaleen_US
dc.subject.otherMortalityen_US
dc.subject.otherOut-of-Hospital Researchen_US
dc.subject.otherRisk Adjustmenten_US
dc.titleRisk Adjustment and Outcome Measures for Out-of-hospital Respiratory Distressen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartment of Emergency Medicine, University of Michigan Medical CenterAnn Arbor, MIen_US
dc.contributor.affiliationotherArizona Emergency Medicine Research Center, Department of Emergency Medicine, University of Arizona College of MedicineTucson, AZen_US
dc.contributor.affiliationotherPediatric Emergency Services, Massachusetts General Hospital, Massachusetts Department of Public Health, Boston, MAen_US
dc.contributor.affiliationotherDivision of Emergency Medicine and the Loeb Health Research Institute, University of Ottawa, Ottawa, Ontario, Canadaen_US
dc.contributor.affiliationotherInstitute for Trauma and Emergency Care, New York Medical College, Valhalla, NYen_US
dc.contributor.affiliationotherEMSSTAR Group, Annapolis, MDen_US
dc.contributor.affiliationotherSchool of Hygiene and Public Health, Johns Hopkins University, Baltimore, MDen_US
dc.contributor.affiliationotherHealthSpan Transportation Services and Allina Health System, St. Paul, MNen_US
dc.contributor.affiliationotherEmergency Medical Services for Children, Massachusetts Department of Public Health, Boston, MAen_US
dc.identifier.pmid15466151en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/73779/1/j.aem.2004.03.010.pdf
dc.identifier.doi10.1197/j.aem.2004.03.010en_US
dc.identifier.sourceAcademic Emergency Medicineen_US
dc.identifier.citedreferenceMaio RF, Garrison HG, Spaite DW et al. Emergency Medical Services Outcomes Project I (EMSOP I): prioritizing conditions for outcomes research. Ann Emerg Med. 1999; 33: 423 – 32.en_US
dc.identifier.citedreferenceSpaite DW, Maio RF, Garrison HG et al. Emergency Medical Services Outcomes Project (EMSOP) II: developing the foundation and conceptual models for out-of-hospital outcomes research. Ann Emerg Med. 2001; 37: 657 – 63.en_US
dc.identifier.citedreferenceGarrison HG, Maio RF, Spaite DW et al. Emergency Medical Services Outcomes Project III (EMSOP III): the role of risk adjustment in out-of-hospital outcomes research. Ann Emerg Med. 2002; 40: 79 – 88.en_US
dc.identifier.citedreferenceMaio RF, Garrison HG, Spaite DW et al. Emergency Medical Services Outcomes Project (EMSOP) IV: pain measurement in out-of-hospital outcomes research. Ann Emerg Med. 2002; 40: 172 – 9.en_US
dc.identifier.citedreferenceDonobedian, A, Elinson, J, Spitzer, W, Tarlow, A. Advances in health assessment conference discussion panel. J Chron Dis. 1987; 40 ( suppl 1 ): 183s – 91s.en_US
dc.identifier.citedreferenceFletcher RH, Fletcher SW, Wagner EH. Clinical Epidemiology: The Essentials. London, England: Williams and Wilkins, 1996. p 5.en_US
dc.identifier.citedreferenceStiell IG, Wells GA, Spaite DW et al. Multicenter controlled clinical trial to evaluate the impact of advanced life support on out-of-hospital respiratory distress [abstract]. Acad Emerg Med. 2002; 9: 357.en_US
dc.identifier.citedreferenceNichol G, Stiell IG, Blackburn J et al. Quality of life outcomes for respiratory distress patients treated by EMS [abstract]. Acad Emerg Med. 2003; 10: 449.en_US
dc.identifier.citedreferenceStiell IG, Wells GA, Spaite DW et al. The Ontario Prehospital Advanced Life Support (OPALS) study part II: rationale and methodology for trauma and respiratory distress patients. Ann Emerg Med. 1999; 34: 256 – 62.en_US
dc.identifier.citedreferenceStiell IG, DeMaio VJ, Nesbitt LP et al. Predictors of survival for out-of-hospital respiratory distress patients in the OPALS study [abstract]. Acad Emerg Med. 2003; 10: 431 – 2.en_US
dc.identifier.citedreferenceStiell IG, Nesbitt LP, Wells GA et al. Multicenter controlled clinical trial to evaluate the impact of advanced life support on out-of-hospital chest pain patients [abstract]. Acad Emerg Med. 2003; 10: 501 – 2.en_US
dc.identifier.citedreferenceKellermann AL, Hackman BB, Somes G. Predicting the outcome of unsuccessful prehospital advanced cardiac life support. JAMA. 1993; 270: 1433 – 6.en_US
dc.identifier.citedreferenceFuchs S, Lewis RJ. Tools for the measurement of outcome after minor head injury in children: summary from the Ambulatory Pediatric Association/EMSC Outcomes Research Conference. Acad Emerg Med. 2003; 10: 368 – 75.en_US
dc.identifier.citedreferenceCole, B, Finch, E, Gowland, C, Mayo, N. Physical Rehabilitation Outcome Measures. Toronto, Ontario, Canada: Canadian Physiotherapy Association, 1994.en_US
dc.identifier.citedreferenceAmerican Thoracic Society Lung function testing: selection of reference values and interpretative strategies. Am Rev Respir Dis. 1991; 144: 1202 – 18.en_US
dc.identifier.citedreferenceAmerican Thoracic Society Standardization of spirometry—1987 update. Statement of the American Thoracic Society. Am Rev Respir Dis. 1987; 136: 1285 – 98.en_US
dc.identifier.citedreferenceWright BM, McKerrow CB. Maximum forced expiratory flow rate as a measure of ventilatory capacity. BMJ. 1959; 2: 1041.en_US
dc.identifier.citedreferenceCosio M, Ghezzo H, Hogg JC et al. The relations between structural changes in small airways and pulmonary-function tests. N Engl J Med. 1978; 298: 1277 – 81.en_US
dc.identifier.citedreferenceThurlbeck WM. Small airways: physiology meets pathology. N Engl J Med. 1978; 298: 1310 – 1.en_US
dc.identifier.citedreferenceLebowitz MD. The use of peak expiratory flow rate measurements in respiratory disease. Pediatr Pulmonol. 1991; 11: 166 – 74.en_US
dc.identifier.citedreferenceHiggins B. Peak expiratory flow variability in the general population. Eur Respir J Suppl. 1997; 24: 45S – 8S.en_US
dc.identifier.citedreferenceGardner, RM, Crapo, RO, Jackson, BR, Jensen, RL. Evaluation of accuracy and reproducibility of peak flow meters at 1,400 m. Chest. 1992; 101: 948 – 52.en_US
dc.identifier.citedreferenceThomas PS, Harding RM, Milledge JS. Peak expiratory flow at altitude. Thorax. 1990; 45: 620 – 2.en_US
dc.identifier.citedreferenceDekker, FW, Schrier, AC, Sterk, PJ, Dijkman, JH. Validity of peak expiratory flow measurement in assessing reversibility of airflow obstruction. Thorax. 1992; 47: 162 – 6.en_US
dc.identifier.citedreferenceQuanjer, PH, Lebowitz, MD, Gregg, I, Miller, MR, Pedersen, OF. Peak expiratory flow: conclusions and recommendations of a working party of the European Respiratory Society. Eur Respir J Suppl. 1997; 24: 2S – 8S.en_US
dc.identifier.citedreferenceCross D, Nelson HS. The role of the peak flow meter in the diagnosis and management of asthma. J Allergy Clin Immunol. 1991; 87: 120 – 8.en_US
dc.identifier.citedreferenceMower, WR, Myers, G, Nicklin, EL, Kearin, KT, Baraff, LJ, Sachs, C. Pulse oximetry as a fifth vital sign in emergency geriatric assessment. Acad Emerg Med. 1998; 5: 858 – 65.en_US
dc.identifier.citedreferenceMcNamara RM, Cionni DJ. Utility of the peak expiratory flow rate in the differentiation of acute dyspnea. Cardiac vs pulmonary origin. Chest. 1992; 101: 129 – 32.en_US
dc.identifier.citedreferenceMorrill, CG, Dickey, DW, Weiser, PC, Kinsman, RA, Chai, H, Spector, SL. Calibration and stability of standard and mini-Wright peak flow meters. Ann Allergy. 1981; 46: 70 – 3.en_US
dc.identifier.citedreferenceBrown LA, Sly RM. Comparison of mini-Wright and standard Wright peak flow meters. Ann Allergy. 1980; 45: 72 – 4.en_US
dc.identifier.citedreferenceChiaramonte LT, Prabhu SL. Comparative evaluation of five peak flow devices. J Allergy Clin Immunol. 1982; 69: 509 – 15.en_US
dc.identifier.citedreferencePistelli, R, Fuso, L, Muzzolon, R, Bevignani, G, Patalano, F, Ciappi, G. Comparison of the performance of two mini peak flow meters. Respiration. 1989; 56: 103 – 9.en_US
dc.identifier.citedreferenceChiaramonte LT, Goldstein S, Rockwell W. Report of a newly redesigned peak flow whistle. Ann Allergy. 1984; 52: 155 – 8.en_US
dc.identifier.citedreferenceBhoomkar, A, Davies, S, Greary, M, Hills, E. Comparison of peak flow gauge and peak flow meter. Thorax. 1975; 30: 225 – 7.en_US
dc.identifier.citedreferenceDE Hamel, FA. The miniWright peak flow meter as a lung-function measuring device. N Z Med J. 1982; 95: 666 – 9.en_US
dc.identifier.citedreferencePerks, WH, Tams, IP, Thompson, DA, Prowse, K. An evaluation of the mini-Wright peak flow meter. Thorax. 1979; 34: 79 – 81.en_US
dc.identifier.citedreferenceGeelhoed GC, Landau LI, LeSouef PN. Oximetry and peak expiratory flow in assessment of acute childhood asthma. J Pediatr. 1990; 117: 907 – 9.en_US
dc.identifier.citedreferenceSanz, J, Martorell, A, Saiz, R, Alvarez, V, Carrasco, JI. Peak expiratory flow measured with the mini Wright peak flow meter in children. Pediatr Pulmonol. 1990; 9: 86 – 90.en_US
dc.identifier.citedreferenceFriedman M, Walker S. Assessment of lung function using an air-flow meter. Lancet. 1975; 1: 310 – 1.en_US
dc.identifier.citedreferenceLeiner GC, Abramowitz S, Small MJ et al. Expiratory peak flow rate. Standard values for normal subjects. Use as a clinical test of ventilatory function. Am Rev Respir Dis. 1963; 88: 644 – 51.en_US
dc.identifier.citedreferenceVan As, A. The accuracy of peak expiratory flow meters [editorial]. Chest 1982; 82: 263.en_US
dc.identifier.citedreferenceMeltzer, AA, Smolensky, MH, D'Alonzo, GE, Harrist, RB, Scott, PH. An assessment of peak expiratory flow as a surrogate measurement of FEV1 in stable asthmatic children. Chest. 1989; 96: 329 – 33.en_US
dc.identifier.citedreferenceVaughan, MTR, Weber, RW, Tipton, WR, Nelson, HS. Comparison of PEFR and FEV1 in patients with varying degrees of airway obstruction. Effect of modest altitude. Chest. 1989; 95: 558 – 62.en_US
dc.identifier.citedreferenceDi Maria GU, Di Grazia P, Bellofiore S et al. Studio comparativo di tre dispositivi portatili per la valutazione dell'espirazione forzata. G Medi Pneumol. 1983; 1: 87 – 93.en_US
dc.identifier.citedreferenceEmerman CL, Cydulka RK. Use of peak expiratory flow rate in emergency department evaluation of acute exacerbation of chronic obstructive pulmonary disease. Ann Emerg Med. 1996; 27: 159 – 63.en_US
dc.identifier.citedreferenceKulick RM. Pulse oximetry. Pediatr Emerg Care. 1987; 3: 127 – 30.en_US
dc.identifier.citedreferenceTremper KK, Barker SJ. Pulse oximetry. Anesthesiology. 1989; 70: 98 – 108.en_US
dc.identifier.citedreferenceTaylor MB, Whitwam JG. The accuracy of pulse oximeters. A comparative clinical evaluation of five pulse oximeters. Anaesthesia. 1988; 43: 229 – 32.en_US
dc.identifier.citedreferenceServinghaus JW. History, status and future of pulse oximetry. Adv Exp Med Biol. 1987; 220: 3 – 8.en_US
dc.identifier.citedreferenceRies AL, Farrow JT, Clausen JL. Accuracy of two ear oximeter at rest and during exercise in pulmonary patients. Am Rev Respir Dis. 1985; 132: 685 – 9.en_US
dc.identifier.citedreferenceRoss Russell RI, Helms PJ. Comparative accuracy of pulse oximetry and transcutaneous oxygen in assessing arterial saturation in pediatric intensive care. Crit Care Med. 1990; 18: 725 – 7.en_US
dc.identifier.citedreferenceNickerson BG, Sarkisian C, Tremper K. Bias and precision of pulse oximeters and arterial oximeters. Chest. 1988; 93: 515 – 7.en_US
dc.identifier.citedreferenceJones, J, Heiselman, D, Cannon, L, Gradisek, R. Continuous emergency department monitoring of arterial saturation in adult patients with respiratory distress. Ann Emerg Med. 1988; 17: 463 – 8.en_US
dc.identifier.citedreferenceAughey K, Hess D, Eitel D et al. An evaluation of pulse oximetry in prehospital care. Ann Emerg Med. 1991; 20: 887 – 91.en_US
dc.identifier.citedreferenceMcGuire TJ, Pointer JE. Evaluation of a pulse oximeter in the prehospital setting. Ann Emerg Med. 1988; 17: 1058 – 62.en_US
dc.identifier.citedreferenceRalston AC, Webb RK, Runciman WB. Potential errors in pulse oximetry. I. Pulse oximeter evaluation. Anaesthesia. 1991; 46: 202 – 6.en_US
dc.identifier.citedreferenceZeballos RJ, Weisman IM. Reliability of noninvasive oximetry in black subjects during exercise and hypoxia. Am Rev Respir Dis. 1991; 144: 1240 – 4.en_US
dc.identifier.citedreferenceHanning CD, Alexander-Williams JM. Pulse oximetry: a practical review. BMJ. 1995; 311: 367 – 70.en_US
dc.identifier.citedreferenceAitken RCB. Measurement of feelings using visual analogue scales. Proc R Soc Med. 1969; 62: 989 – 93.en_US
dc.identifier.citedreferenceGift AG. Validation of a vertical visual analogue scale as a measure of clinical dyspnea. Rehabil Nurs. 1989; 14: 323 – 5.en_US
dc.identifier.citedreferenceGift AG, Plaut SM, Jacox A. Psychologic and physiologic factors related to dyspnea in subjects with chronic obstructive pulmonary disease. Heart Lung. 1986; 15: 595 – 601.en_US
dc.identifier.citedreferenceJulius SM, Davenport KL, Davenport PW. Perception of intrinsic and extrinsic respiratory loads in children with life-threatening asthma. Pediatr Pulmonol. 2002; 34: 425 – 33.en_US
dc.identifier.citedreferenceMador MJ, Kufel TJ. Reproducibility of visual analog scale measurements of dyspnea in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis. 1992; 146: 82 – 7.en_US
dc.identifier.citedreferenceBrown ML, Carrieri V, Janson-BjerklieDodd MJ. Lung cancer and dyspnea: the patient's perception. Oncol Nurs Forum. 1986; 13: 19 – 24.en_US
dc.identifier.citedreferenceStiell IG, Spaite DW, Wells GA et al. The Ontario Prehospital Advanced Life Support (OPALS) study: rationale and methodology for cardiac arrest patients. Ann Emerg Med. 1998; 32: 180 – 90.en_US
dc.identifier.citedreferenceRichard, J. Stiell, IG, Osmond, M et al. How are pediatric patients managed by EMS and what are their outcomes? [abstract] Acad Emerg Med 2003; 10: 443.en_US
dc.identifier.citedreferenceWare JJ, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30: 473 – 83.en_US
dc.identifier.citedreferenceStiell IG, Wells GA, Field BJ et al. Improved out-of-hospital cardiac arrest survival through the inexpensive optimization of an existing defibrillation program: OPALS study phase II. Ontario Prehospital Advanced Life Support. JAMA. 1999; 281: 1175 – 81.en_US
dc.identifier.citedreferenceNichol G, Laupacis A, Stiell IG et al. Cost–effectiveness analysis of potential improvements to emergency medical services for victims of out-of-hospital cardiac arrest. Ann Emerg Med. 1996; 27: 711 – 20.en_US
dc.identifier.citedreferenceStiell IG, Nichol G, Martin M et al. What is the quality of life of survivors of out-of-hospital cardiac arrest? [abstract] Acad Emerg Med. 1999; 6: 446.en_US
dc.identifier.citedreferenceStiell I, DE Maio V, Nichol G et al. Predictors of good quality of life in prehospital cardiac arrest survivors [abstract]. Acad Emerg Med. 2000; 7: 425.en_US
dc.identifier.citedreferenceSanders AB. Capnometry in emergency medicine. Ann Emerg Med. 1989; 18: 1287 – 90.en_US
dc.identifier.citedreferenceAbramo, TJ, Wiebe, RA, Scott, SM, Primm, PA, Mc Intyre, D, Mydler, T. Noninvasive capnometry in a pediatric population with respiratory emergencies. Pediatr Emerg Care. 1996; 12: 252 – 4.en_US
dc.identifier.citedreferenceYaron, M, Padyk, P, Hutsinpiller, M, Cairns, CB. Utility of the expiratory capnogram in the assessment of bronchospasm. Ann Emerg Med. 1996; 28: 403 – 7.en_US
dc.identifier.citedreferenceBrown LH, Gough JE, Seim RH. Can quantitative capnometry differentiate between cardiac and obstructive causes of respiratory distress?. Chest. 1998; 113: 323 – 6.en_US
dc.identifier.citedreferenceWard KR, Yealy DM. End-tidal carbon dioxide monitoring in emergency medicine, part 1: basic principles. Acad Emerg Med. 1998; 5: 628 – 36.en_US
dc.identifier.citedreferenceWard KR, Yealy DM. End-tidal carbon dioxide monitoring in emergency medicine, part 2: clinical applications. Acad Emerg Med. 1998; 5: 637 – 46.en_US
dc.identifier.citedreferenceSoubani AO. Noninvasive monitoring of oxygen and carbon dioxide. Am J Emerg Med. 2001; 19: 141 – 6.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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