@article{หาสาสน์ศรี_ฉันท์เรืองวณิชย์_โตสิงห์_ริยาพันธ์_2019, title={Factors Predicting Shock in Emergency Patients}, volume={34}, url={https://he02.tci-thaijo.org/index.php/TJONC/article/view/173801}, abstractNote={<p>Objective: To study the factors of age, comorbidity, time spent on transporting patients to hospital, type of transport service and emergency severity, and their power to predict shock in emergency patients.</p> <p>Design: Correlational predictive design.</p> <p>Methodology: The sample was 200 patients with physical illnesses or injuries treated at two suburban tertiary hospitals. Six instruments were used to collect data: 1) a personal information questionnaire; 2) an illness/injury form; 3) a form recording the transport time, transport service type and treatment/care given during transport; 4) a comorbidity assessment form; 5) the Emergency Severity Index (ESI); and 6) the Shock Index (SI). The data were analysed using chi-square and binary logistic regression analysis, with the statistical signifcance level determined at 0.05.</p> <p>Results: The patients’ average age was 52.04 years (SD = 21.78; range = 18-93 years). Sixty-three percent of the patients were treated for illnesses, and over half (54%) had comorbid diseases. In nearly half of the cases (48.5%), the patients had been transported to hospital by their friends or relatives. In three-fourths of the cases (75.5%), the transporting time had exceeded 60 minutes, and the patients (76.5%) had not received medical treatment or care during transportation. More than half (53.5%) suffered from shock; of these, 43% (SI > 0.8) were already in shock upon admission.</p> <p>The patients’ shock was found to be correlated with the factors of age, comorbidity, type of transport and symptomatic severity. In addition, emergency severity level 1 (critical) and level 2 (high-risk) displayed signifcant shock-predicting powers, at Nagelkerke R2 = .296 (OR = 35.198, 95% CI = 7.726-160.351, p < 0.01; and OR = 4.545, 95% CI = 1.498-13.786, p < 0.05, respectively).</p> <p>Recommendations: It is recommended that emergency unit nurses apply the ESI and SI to assessing trauma patients’ emergency severity to prevent shock in patients with physical illnesses and injuries.</p>}, number={3}, journal={The Journal of Thailand Nursing and Midwifery Council }, author={หาสาสน์ศรี นันทพร and ฉันท์เรืองวณิชย์ วัลย์ลดา and โตสิงห์ อรพรรณ and ริยาพันธ์ ศรัทธา}, year={2019}, month={Jun.}, pages={60–75} }