Kutz et al reported the Triage-Pro-ADM score to risk stratify a medical patient in the Emergency Department. The authors are from Kantonspital Aarau, Assistance Publique-Hopitaux de Paris, Sorbonne University, Morton Plant Hospital (Clearwater, Florida) and University-Paris Descartes.
Patient selection: medical patient in the Emergency Department
ProADM(pro-adrenomedullin) is an inflammatory marker which can help to identify risk based on hemodynamic status and cardiovascular dysfunction.
Parameters:
(1) serum ProADM concentration in nmol/L
(2) triage category
ProADM
Triage Category
30-Day Mortality
<= 0.75 nmol/L
not urgent
0.3%
moderately urgent
0.7%
very urgent
1.6%
0.76 to 1.5 nmol/L
not urgent
3.1%
moderately urgent
2.7%
very urgent
8.3%
> 1.5 nmol/L
not urgent
13.6%
moderately urgent
13.3%
very urgent
19.3%
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