PMID- 38454355
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240310
IS  - 1865-1372 (Print)
IS  - 1865-1380 (Electronic)
IS  - 1865-1372 (Linking)
VI  - 17
IP  - 1
DP  - 2024 Mar 7
TI  - Use of bitemporal NACA score documentation in prehospital emergency medical 
      services- a retrospective study.
PG  - 36
LID - 10.1186/s12245-024-00605-5 [doi]
LID - 36
AB  - BACKGROUND: The assessment of illness severity in the prehospital setting is 
      essential for guiding appropriate medical interventions. The National Advisory 
      Committee for Aeronautics (NACA) score is a validated tool commonly used for this 
      purpose. However, the potential benefits of using bitemporal documentation of 
      NACA scores to capture the dynamic changes in emergency situations remain 
      uncertain. The objective of this study was to evaluate the potential benefit of 
      bitemporal NACA score documentation in the prehospital setting, specifically in 
      assessing the dynamic changes of emergencies and facilitating quality improvement 
      through enhanced documentation practices. METHODS: In this retrospective study, 
      data from prehospital emergency patients were analyzed who received care from the 
      physician response unit between January 1, 2018, and May 31, 2021. Patient 
      demographics, NACA scores, indications for emergency care, and changes in NACA 
      scores were extracted from medical records. Statistical analyses were performed 
      to examine the associations between NACA scores, emergency categories, 
      indications, and changes in NACA scores. RESULTS: The study included 4005 
      patients, predominantly categorized as NACA III (33.7% at initial assessment, 
      41.8% at subsequent assessment) and NACA IV (31.6% at initial assessment, 22.4% 
      at subsequent assessment). There was a significant improvement in NACA scores 
      during the provision of prehospital care (p < 0.01). Notably, prehospital 
      emergencies attributed to internal medical, neurological, traumatic, and 
      paediatric causes demonstrated significant improvements in NACA scores 
      (p < 0.01). Gender-specific differences were also observed. CONCLUSION: Our study 
      suggests that the bitemporal documentation of NACA scores can be advantageous in 
      the prehospital setting and may have implications for research, practice, and 
      policy.
CI  - (c) 2024. The Author(s).
FAU - Eichinger, Michael
AU  - Eichinger M
AD  - Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of 
      Graz, Auenbruggerplatz 5, Graz, A-8036, Austria.
FAU - Reiterer, Sandro
AU  - Reiterer S
AD  - Division of Anaesthesiology and Intensive Care Medicine 2, Medical University of 
      Graz, Auenbruggerplatz 5, Graz, A-8036, Austria.
FAU - Rief, Martin
AU  - Rief M
AD  - Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of 
      Graz, Auenbruggerplatz 5, Graz, A-8036, Austria. martin.rief@medunigraz.at.
FAU - Eichlseder, Michael
AU  - Eichlseder M
AD  - Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of 
      Graz, Auenbruggerplatz 5, Graz, A-8036, Austria.
FAU - Pichler, Alexander
AU  - Pichler A
AD  - Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of 
      Graz, Auenbruggerplatz 5, Graz, A-8036, Austria.
FAU - Zoidl, Philipp
AU  - Zoidl P
AD  - Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of 
      Graz, Auenbruggerplatz 5, Graz, A-8036, Austria.
FAU - Prause, Gerhard
AU  - Prause G
AD  - Division of Anaesthesiology and Intensive Care Medicine 1, Medical University of 
      Graz, Auenbruggerplatz 5, Graz, A-8036, Austria.
LA  - eng
PT  - Journal Article
DEP - 20240307
PL  - England
TA  - Int J Emerg Med
JT  - International journal of emergency medicine
JID - 101469435
PMC - PMC10918989
OTO - NOTNLM
OT  - Classification
OT  - Documentation
OT  - Emergency medical services
COIS- The authors declare no competing interests.
EDAT- 2024/03/08 06:43
MHDA- 2024/03/08 06:44
PMCR- 2024/03/07
CRDT- 2024/03/08 00:34
PHST- 2023/11/04 00:00 [received]
PHST- 2024/02/22 00:00 [accepted]
PHST- 2024/03/08 06:44 [medline]
PHST- 2024/03/08 06:43 [pubmed]
PHST- 2024/03/08 00:34 [entrez]
PHST- 2024/03/07 00:00 [pmc-release]
AID - 10.1186/s12245-024-00605-5 [pii]
AID - 605 [pii]
AID - 10.1186/s12245-024-00605-5 [doi]
PST - epublish
SO  - Int J Emerg Med. 2024 Mar 7;17(1):36. doi: 10.1186/s12245-024-00605-5.