看護とケアのジャーナル

Outcomes of Thai Emergency Department Patients with Non-traumatic Hypotension

Abstract

Wipa Sae Sia, Praneed Songwatthana, Tanormsri Pibansak and Waeyoh Wahama

Background: The expeditious management of hypotension of emergency department (ED) patients is crucial to prevent hypoxia and in-hospital mortality. This study aimed to identify in-hospital mortality rate, hospital admission rate, and intensive care unit admission rate in Thai ED patients with Non-Traumatic Hypotension (NTH).
Methods: Retrospective chart review of 796 patients with non-traumatic injuries admitted in ED within 3 months in two tertiary hospitals was conducted. A systolic blood pressure less than or equal to 100 mmHg was defined as NTH. A total of 318 (39.95%) ED records of patients with NTH were retrieved. The main outcome measures were mortality rate, length of intensive care unit stay, and hospital admission rate.
Results: The mortality rate and hospital admission rate were significantly higher in NTH patients than in those patients with normative systolic blood pressure. The results of this review study showed that hypotension in ED significantly influenced in-patient mortality (p=0.002) and hospital admission rate (p<0.001).
Conclusion: These findings suggest nurse’s work in the ED to provide effective care to restore hypotensive conditions in non-traumatic patients in order to prevent further adverse effects and also reduce the mortality rate.