Comment évaluer l'acuité d'un patient ?

L'acuité est évaluée par des signes vitaux, l'historique médical et l'examen physique.

Quels outils aident au diagnostic d'acuité ?

Des échelles d'évaluation et des protocoles cliniques sont utilisés pour le diagnostic.

Quel rôle joue l'anamnèse dans l'acuité ?

L'anamnèse aide à comprendre les antécédents et les symptômes du patient pour l'évaluation.

Comment les urgences influencent-elles l'acuité ?

Les urgences nécessitent une évaluation rapide pour déterminer l'acuité des besoins immédiats.

Quels tests sont cruciaux pour l'acuité ?

Des tests sanguins, radiographies et ECG peuvent être cruciaux pour évaluer l'acuité.

Quels symptômes indiquent une haute acuité ?

Des douleurs intenses, des difficultés respiratoires ou des pertes de conscience signalent une haute acuité.

Comment les symptômes varient-ils selon l'âge ?

Les symptômes peuvent être plus aigus chez les personnes âgées en raison de comorbidités.

Quels symptômes nécessitent une attention immédiate ?

Les symptômes comme la douleur thoracique ou l'hémorragie nécessitent une attention immédiate.

Les symptômes psychologiques affectent-ils l'acuité ?

Oui, des symptômes comme l'anxiété ou la dépression peuvent influencer l'acuité des besoins.

Comment reconnaître une détresse aiguë ?

La détresse aiguë se manifeste par des signes de souffrance physique ou émotionnelle intense.

Comment prévenir l'aggravation de l'acuité ?

La prévention inclut un suivi régulier, une éducation à la santé et un mode de vie sain.

Quel rôle joue la vaccination dans l'acuité ?

La vaccination aide à prévenir des maladies qui pourraient entraîner une acuité élevée.

Comment l'alimentation influence-t-elle l'acuité ?

Une alimentation équilibrée peut réduire le risque de maladies chroniques et d'acuité associée.

Les examens réguliers sont-ils importants ?

Oui, les examens réguliers permettent de détecter précocement des problèmes de santé.

Comment le stress impacte-t-il l'acuité ?

Le stress chronique peut aggraver des conditions de santé et augmenter l'acuité des besoins.

Quels traitements sont prioritaires pour l'acuité ?

Les traitements prioritaires incluent la stabilisation des signes vitaux et la gestion de la douleur.

Comment les soins palliatifs s'intègrent-ils ?

Les soins palliatifs visent à soulager la souffrance et à améliorer la qualité de vie des patients.

Quel rôle joue la médication dans l'acuité ?

La médication est essentielle pour traiter les symptômes aigus et stabiliser l'état du patient.

Comment les interventions chirurgicales affectent-elles l'acuité ?

Les interventions chirurgicales peuvent être nécessaires pour traiter des conditions aiguës graves.

Les thérapies alternatives sont-elles efficaces ?

Certaines thérapies alternatives peuvent compléter les traitements conventionnels pour l'acuité.

Quelles complications peuvent survenir avec une haute acuité ?

Des complications comme le choc, l'insuffisance organique ou la septicémie peuvent survenir.

Comment prévenir les complications liées à l'acuité ?

La prévention des complications passe par une surveillance étroite et un traitement rapide.

Les complications psychologiques sont-elles fréquentes ?

Oui, des complications psychologiques comme l'anxiété peuvent survenir après des événements aigus.

Quel impact a l'acuité sur la récupération ?

Une acuité élevée peut prolonger le temps de récupération et augmenter le risque de complications.

Comment gérer les complications post-traitement ?

La gestion des complications post-traitement nécessite un suivi régulier et des ajustements thérapeutiques.

Quels facteurs augmentent l'acuité des besoins ?

L'âge avancé, les maladies chroniques et les antécédents médicaux augmentent l'acuité.

Le mode de vie influence-t-il l'acuité ?

Oui, un mode de vie sédentaire et une mauvaise alimentation peuvent augmenter l'acuité.

Les antécédents familiaux jouent-ils un rôle ?

Oui, des antécédents familiaux de maladies peuvent augmenter le risque d'acuité chez un patient.

Comment le stress affecte-t-il l'acuité ?

Le stress peut exacerber des conditions existantes et augmenter l'acuité des besoins de santé.

Les habitudes de sommeil influencent-elles l'acuité ?

Oui, un sommeil insuffisant peut aggraver des problèmes de santé et augmenter l'acuité.

Acuité des besoins du patient - Informations médicales vérifiées

Understanding triage assessment of acuity by emergency nurses at initial adult patient presentation: A qualitative systematic review.

Nov 2023

DOI: 10.1016/j.ienj.2023.101334 PMID: 37716173

Nurses make complex triage decisions within emergency departments, which significantly affect patient outcomes. Understanding how nurses make these decisions and why they deviate from triage algorithm... This qualitative systematic review aimed to understand decision-making processes emergency nurses use to make acuity decisions during triage assessment at initial patient presentation.... Medline, CINAHL and Academic Search Complete were systematically searched to 15th December 2022. Data were analysed using thematic synthesis. Established themes were reviewed with GRADE-CERQual to eva... 28 studies were included in the review. Data analysis uncovered three superordinate themes of holistic reasoning, situational awareness, and informed decision-making. The findings show nurses value ho... This review presents new perspectives on nurses' decision-making processes about patient's acuity. Nurses holistically gather information about patients before translating that information into acuity...

Humans Adult Triage Decision Making Emergency Nursing +2 autres

Use of a Large Language Model to Assess Clinical Acuity of Adults in the Emergency Department.

01 May 2024

DOI: 10.1001/jamanetworkopen.2024.8895 PMID: 38713466

The introduction of large language models (LLMs), such as Generative Pre-trained Transformer 4 (GPT-4; OpenAI), has generated significant interest in health care, yet studies evaluating their performa... To determine whether an LLM can accurately assess clinical acuity in the emergency department (ED).... This cross-sectional study identified all adult ED visits from January 1, 2012, to January 17, 2023, at the University of California, San Francisco, with a documented Emergency Severity Index (ESI) ac... The potential of the LLM to classify acuity levels of patients in the ED based on the ESI across 10 000 patient pairs. Using deidentified clinical text, the LLM was queried to identify the patient wit... Accuracy score was calculated to evaluate the performance of both LLMs across the 10 000-pair sample. A 500-pair subsample was manually classified by a physician reviewer to compare performance betwee... From a total of 251 401 adult ED visits, a balanced sample of 10 000 patient pairs was created wherein each pair comprised patients with disparate ESI acuity scores. Across this sample, the LLM correc... In this cross-sectional study of 10 000 pairs of ED visits, the LLM accurately identified the patient with higher acuity when given pairs of presenting histories extracted from patients' first ED docu...

Humans Emergency Service, Hospital Cross-Sectional Studies Adult Male +5 autres

Redirection of low-acuity emergency department patients to nearby medical clinics using an electronic medical support system: effects on emergency department performance indicators.

13 Sep 2024

DOI: 10.1186/s12873-024-01080-0 PMID: 39272018

Overcrowded emergency departments (EDs) are associated with higher morbidity and mortality and suboptimal quality-of-care. Most ED flow management strategies focus on early identification and redirect... We performed a retrospective observational study in the ED of a Canadian tertiary trauma center where a redirection process for low-acuity patients was implemented. The process was based on a clinical... Of 242,972 ED attendees over the study period, 9546 (8% of 121,116 post-intervention patients) were redirected to a nearby primary medical clinic. After the redirection process was implemented, length... Implementing a redirection process for low-acuity ED patients based on a clinical support system was associated with improvements in two of four ED performance indicators....

Humans Retrospective Studies Female Male Triage +11 autres

"I do not know the advantages of having a general practitioner" - a qualitative study exploring the views of low-acuity emergency patients without a regular general practitioner toward primary care.

15 May 2024

DOI: 10.1186/s12913-024-10977-2 PMID: 38750500

Emergency departments (ED) worldwide have to cope with rising patient numbers. Low-acuity consulters who could receive a more suitable treatment in primary care (PC) increase caseloads, and lack of PC... Qualitative semi-structured telephone interviews were conducted with 32 low-acuity ED consulters with no self-reported attachment to a GP. Participants were recruited from three EDs in the city center... Interviewed patients reported heterogeneous factors contributing to their PC utilization behavior and underlying views and experiences. Participants most prominently voiced a rare need for medical ser... Understanding reasons of low-acuity ED patients for GP non-utilization can play an important role in the design and implementation of patient-centered care interventions for PC integration. Increasing... German Clinical Trials Register: DRKS00023480; date: 2020/11/27....

Humans Qualitative Research Male Primary Health Care Female +8 autres

The potential of virtual triage AI to improve early detection, care acuity alignment, and emergent care referral of life-threatening conditions.

2024

DOI: 10.3389/fpubh.2024.1362246 PMID: 38807993

To evaluate the extent to which patient-users reporting symptoms of five severe/acute conditions requiring emergency care to an AI-based virtual triage (VT) engine had no intention to get such care, a... A dataset of 3,022,882 VT interviews conducted over 16 months was evaluated to quantify and describe patient-users reporting symptoms of five potentially life-threatening conditions whose pre-triage h... Healthcare intent data was obtained for 12,101 VT patient-user interviews. Across all five conditions a weighted mean of 38.5% of individuals whose VT indicated a condition requiring emergency care ha... AI-based VT may offer a vehicle for early detection and care acuity alignment of severe evolving pathology by engaging patients who believe their symptoms are not serious, and for accelerating care re...

Humans Triage Female Male Referral and Consultation +8 autres

Refractive Surgery Patient Characteristics Associated With Satisfaction Scores.

Aug 2024

DOI: 10.3928/1081597X-20240611-02 PMID: 39120021

To determine factors influencing patient satisfaction scores in recipients of refractive surgery.... In this prospective survey-based study, patients who had refractive surgery at an outpatient refractive clinic completed a survey of selected questions from the Press Ganey survey and the National Eye... Fifty-three patients were recruited over a 3-year period. Most were male (55%) and middle aged (mean age: 34 years). Eleven percent underwent photorefractive keratectomy surgery and the rest had laser... This study found persistent high patient satisfaction score across a variation of characteristics, suggesting that optimal scores are mainstay after refractive surgery procedures with excellent visual...

Humans Prospective Studies Male Patient Satisfaction Female +12 autres

Adipokine levels and their association with clinical disease severity in patients with dengue.

09 2023

DOI: 10.1371/journal.pntd.0011613 PMID: 37676889

Adipokines have not been studied in acute dengue, despite their emerging role in inducing and regulating inflammation. Therefore, we sought to identify adipokine levels in patients with varying severi...

Humans Adipokines Leptin Resistin Adiponectin +3 autres

Relationship of irisin with disease severity and dopamine uptake in Parkinson's disease patients.

2024

DOI: 10.1016/j.nicl.2023.103555 PMID: 38134742

This study was designed to investigate the relationship of irisin with the severity of Parkinson's disease (PD) and dopamine (DOPA) uptake in patients with PD and to understand the role of irisin in P... The plasma levels of irisin and α-syn were measured by enzyme-linked immunosorbent assay (ELISA). Motor and nonmotor symptoms were assessed with the relevant scales. DOPA uptake was measured with DOPA... The plasma levels of α-syn and irisin in patients with PD gradually increased and decreased, respectively, with the progression of the disease. There was a negative correlation between plasma α-syn an... Irisin plays a neuroprotective role by decreasing the level of α-syn. Irisin is negatively correlated with the severity of motor symptoms and cognitive impairment. More importantly, irisin can improve...

Humans Caudate Nucleus Corpus Striatum Dihydroxyphenylalanine Dopamine +3 autres

Can artificial intelligence help ED nurses more accurately triage patients?

01 Jun 2024

DOI: 10.1097/NSG.0000000000000019 PMID: 38757997

The Emergency Severity Index (ESI) is the most popular tool used to triage patients in the US and abroad. Evidence has shown that ESI has its limitations in correctly assigning acuity. To address this...

Triage Humans Artificial Intelligence Emergency Nursing Emergency Service, Hospital +2 autres

TREM-1, TREM-2 and their association with disease severity in patients with COVID-19.

2023

DOI: 10.1080/07853890.2023.2269558 PMID: 37848000

Delayed diagnosis and inadequate treatment caused by limited biomarkers are associated with the outcomes of COVID-19 patients. It is necessary to identify other promising biomarkers and candidate targ... The triggering receptors expressed on myeloid cell (TREM)-1 and TREM-2 expression from hospitalized COVID-19 patients were characterized using ELISA and flow cytometry, respectively. Their correlation... Increased expression of soluble TREM-1 and TREM-2 in the plasma of COVID-19 patients was found compared to the control group. Moreover, membrane-bound TREM-1 and TREM-2 expression was upregulated on t... TREM-2 and TREM-1 are critical host immune factors that response to SARS-COV-2 infection and could serve as potential diagnostic biomarkers and therapeutic targets for COVID-19....

Humans Triggering Receptor Expressed on Myeloid Cells-1 Membrane Glycoproteins Receptors, Immunologic COVID-19 +7 autres

Acuité des besoins du patient : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Indice de gravité de la maladie

Indice APACHE

Score d'alerte précoce

Indice de performance de Karnofsky

Scores de dysfonction d'organes

Indice de gravité simplifié

Auteurs principaux

Sources (10000 au total)