Classification of Kelen et al for Disposition of Hospital Inpatients During a Critical Surge in Admissions

Description

Kelen et al developed a classification of inpatients that can be used to guide transfer the patients out of the hospital (reverse triage) during a critical surge in admissions. This can help minimized serious complications as a result of the transfer. The authors are from the Johns Hopkins University in Baltimore.

Patient Condition	Risk of Consequential Medical Event	Risk Group
no or minimal risk of a medical event during the next 72 hours without care	minimum	1
requires intermittent care but no critical interventions	low	2
requires a critical intervention but not continuous care	moderate	3
requires continuous, uninterrupted skilled care	high	4
unstable for transport, cannot be moved or cannot be readily transferred	very high	5

Risk Group	Transfer Point	Transfer Mechanism
1	discharge home	self, family or friends
2	low acuity facility; some can be discharged home	depends on available resources
3	moderate care facility	regular ambulance
4	major acute care facility	transfer with skilled attendance
5	do not transfer OR send to a major acute care facility	only use ICU-capable transport

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Description

Specialty

ICD-10