Key result
Prehospital clinician predictions of no long-term survival prove inaccurate, with ~35% surviving 30 days.
Why the study?
Prehospital critical care physicians regularly attend to patients with poor prognosis and may limit advanced therapies, but the accuracy of their prognostication of poor long-term survival is unclear.
Does prehospital clinician prognostication of no long-term survival accurately predict mortality in critically ill patients?
Population
2053 HEMS patients evaluated as having no long-term survival despite surviving to admission due to prehospital interventions
Design
Nationwide retrospective cohort study
Follow-up
3 years
Authors
Loading...
Prehospital prognostication of no survival may overestimate mortality; supports caution in limiting care and leaves open prospective validation.
Cohort (n=2,053)
Yes
Does prehospital clinician prognostication of no long-term survival accurately predict mortality in critically ill patients?
Prehospital clinicians' prognostication of no long-term survival is only moderately accurate, as 35% of such patients survived to 30 days and 13% to 3 years, suggesting caution in limiting advanced care based solely on clinical judgment.
Heino et al. (2022) conducted a cohort in Critically ill patients (n=2,053). Prehospital clinician prognostication of no long-term survival was evaluated on Survival at 30 days, 1 year and 3 years (95% CI 33-37). Among critically ill patients prognosticated by prehospital clinicians to have no long-term survival, 35% (95% CI 33-37%) were still alive at 30 days, 26% at 1 year, and 13% at 3 years.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: