13 10 198 https://repository.horizon.ac.id/files/original/e08cda001950fdf5ef0c4dca1d5eeb27.pdf 4350371a8650697202ee8fdef15369fe Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Mortality predictors in patients with suspected sepsis in the emergency department of a tertiary care hospital: a retrospective cohort study Subject The topic of the resource Emergency department, Sepsis, Septicemia, Quick sofa, Intensive care unit Description An account of the resource Abstract Background Sepsis remains a worldwide major cause of hospitalization, mortality, and morbidity. To enhance the identification of patients with suspected sepsis at high risk of mortality and adverse outcomes in the emergency department (ED), the use of mortality predictors is relevant. This study aims to establish whether quick sofa (qSOFA) and the severity criteria applied in patients with suspicion of sepsis in a monitored ED are in fact predictors of mortality. Methods We performed a retrospective cohort study among adult patients with suspicion of sepsis at the ED of a tertiary care hospital in Brazil between January 1st, 2019 and December 31, 2020. All adult patients (ages 18 and over) with suspected sepsis that scored two or more points on qSOFA score or at least one point on the severity criteria score were included in the study. Results The total of patients included in the study was 665 and the average age of the sample was 73±19 years. The ratio of men to women was similar. Most patients exhibited qSOFA≥2 (58.80%) and 356 patients (53.61%) scored one point in the severity criteria at admission. The overall mortality rate was 19.7% (131 patients) with 98 patients (14.74%) having positive blood cultures, mainly showing Escherichia coli as the most isolated bacteria. Neither scores of qSOFA nor the severity criteria were associated with mortality rates, but scoring any point on qSOFA was considered as an independent factor for intensive care unit (ICU) admission (qSOFA=1 point, p=0.02; qSOFA=2 points, p=0.03, and qSOFA=3 points, p=0.04). Positive blood cultures (RR, 1.63;95% CI, 1.10 to 2.41) and general administration of vasopressors at the ED (RR, 2.14;95% CI, 1.44 to 3.17) were associated with 30-day mortality. The administration of vasopressors at the ED (RR, 2.25; CI 95%, 1.58 to 3.21) was found to be a predictor of overall mortality. Conclusions Even though an association was found between qSOFA and ICU admission, there was no association of qSOFA or the severity criteria with mortality. Therefore, patients with a tendency toward greater severity could be identified and treated more quickly and effectively in the emergency department. Further studies are necessary to assess novel scores or biomarkers to predict mortality in sepsis patients admitted to the ED’s initial care. Creator An entity primarily responsible for making the resource João P. M. Bidart1*, Regis G. Rosa2 , Marina Bessel3 , Luana G. Pedrotti3 and Luciano Z. Goldani4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00655-9 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Emergency department, Sepsis, Septicemia, Quick sofa, Intensive care unit https://repository.horizon.ac.id/files/original/d714bf5f356078f0badd9946d0bb430a.pdf 9455bd7edc02001cee3de165360864ce Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Prediction of the future number of fall-related emergency medical services calls in older individuals Subject The topic of the resource Emergency medical services, Falls, Future projection, Older population Description An account of the resource Abstract Background Falls among older individuals contribute significantly to the rise in ambulance transport use. To recognize the importance of future countermeasures, we estimated the projected number and percentage of fall- related emergency medical service (EMS) calls. Methods We examined the sex, age group, and location of falls among patients aged≥65 years who contacted emergency services in Sapporo City from 2013 to 2021. Annual fall-related calls per population subgroup were calculated, and trends were analyzed. Four models were used to estimate the future number of fall-related calls from the 2025–2060 projected population: (1) based on the 2022 data, estimates from the 2013–2022 data using (2) Poisson progression, (3) neural network, (4) estimates from the 2013–2019 data using neural network. The number of all EMS calls was also determined using the same method to obtain the ratio of all EMS calls. Results During 2013–2022, 70,262 fall-related calls were made for those aged≥65 years. The rate was higher indoors among females and outdoor among males in most age groups and generally increased with age. After adjusting for age, the rate increased by year. Future estimates of the number of fall calls are approximately double the number in 2022 in 2040 and three times in 2060, with falls accounting for approximately 11% and 13% of all EMS calls in 2040 and 2060, respectively. Conclusion The number of fall-related EMS calls among older people is expected to increase in the future, and the percentage of EMS calls will also increase; therefore, countermeasures are urgently needed. Keywords Emergency medical services, Falls, Future projection, Older population Creator An entity primarily responsible for making the resource Shuji Uemura1,2* , Ryuichi Nakayama1 , Masayuki Koyama3 , Yukiko Taguchi2,4, Naofumi Bunya1,2, Keigo Sawamoto1,2, Hirofumi Ohnishi3 and Eichi Narimatsu1,2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00654-w Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Emergency medical services, Falls, Future projection, Older population https://repository.horizon.ac.id/files/original/3736a8e807780f78a4ac6e9ee6e17767.pdf 412a99cdf5302b5b16e60dee7d30b01c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Violence in the emergency department: a quantitative survey study of healthcare providers in India Subject The topic of the resource Healthcare workplace violence, Violence against Healthcare workers, Developing emergency care systems, India Description An account of the resource Abstract Background Workplace violence (WPV) in Emergency Departments (EDs) is an increasingly recognized challenge healthcare providers face in low-resource settings. While studies have highlighted the increased prevalence of WPV in healthcare, most of the existing research has been conducted in developed countries with established laws and repercussions for violence against healthcare providers. More data on WPV against ED providers practicing in low- resource settings is necessary to understand these providers’ unique challenges. Objective This study aims to gain insight into the incidence and characteristics of WPV among ED healthcare providers in India. Methods This study was conducted at two EDs in geographically distinct regions of India. A survey was designed to assess violence in EDs among healthcare providers. Surveys were distributed to ED workplace providers, completed by hand, and returned anonymously. Data was entered and stored in the RedCAP database to facilitate analysis. Results Two hundred surveys were completed by physicians, nurses, and paramedics in Indian EDs. Most reported events involved verbal abuse (68%), followed by physical abuse (26%), outside confrontation (17%), and stalking (5%). By far, the most common perpetrators of violence against healthcare workers were bystanders including patient family members or other accompanying individuals. Notably, reporting was limited, with most cases conveyed to ED or hospital administration. Conclusion These results underscore the prevalence of WPV among Indian ED healthcare providers. High rates of verbal abuse followed by physical abuse are of concern. Most perpetrators of WPV against healthcare providers in this study were patient family members or bystanders rather than the patients themselves. It is imperative to prioritize implementing prevention strategies to create safer work environments for healthcare workers. Keywords Healthcare workplace violence, Violence against Healthcare workers, Developing emergency care systems, India Creator An entity primarily responsible for making the resource Tania Ahluwalia1*, Sukhpreet Singh2 , Navvin Gandhi3 , Serkan Toy4 , Katherine Douglass5 , Janice Blanchard5 and Kevin Davey5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00653-x Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Healthcare workplace violence https://repository.horizon.ac.id/files/original/0181343ea6f0f5fbfacc8a1b614ca6c3.pdf 0efd4ec98fb19958c4d23ed0321360d0 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Implementing enhanced extracorporeal membrane oxygenation for CPR (ECPR) in the emergency department Subject The topic of the resource ECMO, ECPR, Cardiac, Arrest, Resuscitation Description An account of the resource Abstract Refractory out-of-hospital cardiac arrest (OHCA) has a very poor prognosis, with survival rates at around 10%. Extra- corporeal membrane oxygenation (ECMO) for patients in refractory arrest, known as ECPR, aims to provide perfusion to the patient whilst the underlying cause of arrest can be addressed. ECPR use has increased substantially, with vary- ing survival rates to hospital discharge. The best outcomes for ECPR occur when the time from cardiac arrest to imple- mentation of ECPR is minimised. To reduce this time, systems must be in place to identify the correct patient, expedite transfer to hospital, facilitate rapid cannulation and ECMO circuit flows. We describe the process of activation of ECPR, patient selection, and the steps that emergency department clinicians can utilise to facilitate timely cannulation to ensure the best outcomes for patients in refractory cardiac arrest. With these processes in place our survival to hos- pital discharge for OHCA patients is 35%, with most patients having a good neurological function. Keywords ECMO, ECPR, Cardiac, Arrest, Resuscitation Creator An entity primarily responsible for making the resource Matthew Oliver1,2,3* , Andrew Coggins2,4, Natalie Kruit2,5,6,10, Brian Burns2,6, Brian Plunkett7 , Steve Morgan8 , Tim J. Southwood9 , Richard Totaro9 , Paul Forrest10, Saartje Berendsen Russell1,3, Ruaidhri Carey9 and Mark Dennis2,11 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00652-y Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text ECMO, ECPR, Cardiac, Arrest, Resuscitation https://repository.horizon.ac.id/files/original/097def1a145a5a1f5f750e101f902b22.pdf b2f48f95f583e97148fc1477b779dff4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Case series: star anise toxicity presenting to the emergency department in Eastern Regional Referral Hospital in Bhutan Subject The topic of the resource Star anise, Toxicity, Emergency Department, Bhutan Description An account of the resource Abstract Background Star anise fruit has been used in spice in Asian cuisine, ingredient for traditional medicines, component for antiviral drugs and as parts of tea and beverage across the globe. Toxicity from these plants has been reported due to adulteration with similar toxic species and from consumption with high toxic dose. Most physician and public are unaware of these adverse effects. Cases We present two cases of star anise toxicity. Both of the patients presented with gastrointestinal and neurological symptoms after consumption of the said fruit. All of the labs and imaging test was negative for other causes and star anise toxicity diagnosis was made after detailed history, events and related symptoms. They were managed supportively and discharged after 24 h of observation. Conclusion Emergency department doctors should be vigilant about possible star anise toxicity in patient presenting with suggestive symptoms, negative investigation for other possible cause and in area where these plant species is available. A detailed drug and ingestion history is essential. Keywords Star anise, Toxicity, Emergency Department, Bhutan Creator An entity primarily responsible for making the resource Sherab Wangdi1*, Jurmi Wangdi1 and Nima Wangchuk1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00651-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Star anise, Toxicity, Emergency Department, Bhutan https://repository.horizon.ac.id/files/original/35cf2bb399442b77580d1d4fe49cdc67.pdf 5a4082f294a5b8aa8e81f9188961344b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Identifying trigger cues for hospital blood transfusions based on ensemble of machine learning methods Subject The topic of the resource Prehospital transfusion, Early hospital transfusion, Hemorrhagic shock, Prehospital lactate concentration, Fast frugal trees, Bayesian analysis, Decision support models Description An account of the resource Abstract Background Traumatic shock is the leading cause of preventable death with most patients dying within the first six hours from arriving to the hospital. This underscores the importance of prehospital interventions, and growing evidence suggests prehospital transfusion improves survival. Optimizing transfusion triggers in the prehospital set‐ ting is key to improving outcomes for patients in hemorrhagic shock. Our objective was to identify factors associated with early in-hospital transfusion requirements available to prehospital clinicians in the field to develop a simple algorithm for prehospital transfusion, particularly for patients with occult shock. Methods We included trauma patients transported by a single critical care transport service to a level I trauma center between 2012 and 2019. We used logistic regression, Fast and Frugal Trees (FFTs), and Bayesian analysis to identify fac‐ tors associated with early in-hospital blood transfusion as a potential trigger for prehospital transfusion. Results We included 2,157 patients transported from the scene or emergency department (ED) of whom 207 (9.60%) required blood transfusion within four hours of admission. The mean age was 47 (IQR=28 – 62) and 1,480 (68.6%) patients were male. From 13 clinically relevant factors for early hospital transfusions, four were incorporated into the FFT in following order: 1) SBP, 2) prehospital lactate concentration, 3) Shock Index, 4) AIS of chest (sensitiv‐ ity=0.81, specificity=0.71). The chosen thresholds were similar to conventional ones. Using conventional thresholds resulted in lower model sensitivity. Consistently, prehospital lactate was among most decisive factors of hospital transfusions identified by Bayesian analysis (OR=2.31; 95% CI 1.55 – 3.37). Conclusions Using an ensemble of frequentist statistics, Bayesian analysis and machine learning, we developed a simple, clinically relevant prehospital algorithm to help identify patients requiring transfusion within 4 h of hospital arrival. Keywords Prehospital transfusion, Early hospital transfusion, Hemorrhagic shock, Prehospital lactate concentration, Fast frugal trees, Bayesian analysis, Decision support models Creator An entity primarily responsible for making the resource Eva V. Zadorozny1* , Tyler Weigel2 , Samuel M. Galvagno Jr.3 , Christian Martin‐Gill4 , Joshua B. Brown5 and Francis X. Guyette4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00650-0 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Prehospital transfusion, Early hospital transfusion, Hemorrhagic shock https://repository.horizon.ac.id/files/original/02333aaef9718a6e2d4dbccbcd7422dd.pdf de8dbb4464893947b5560295209a38ff Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Evaluation and treatment of gastrointestinal bleeding in patients taking anticoagulants presenting to the emergency department Subject The topic of the resource Gastrointestinal bleeding, Reversal of oral anticoagulant bleeding, Direct oral anticoagulants, Life threatening bleeding, Factor Xa inhibitors Description An account of the resource Abstract This manuscript is a consensus document of an expert panel on the Evaluation and Treatment of Gastrointestinal Bleeding in Patients Taking Anticoagulants Presenting to the Emergency Department, sponsored by the American College of Emergency Physicians. Keywords Gastrointestinal bleeding, Reversal of oral anticoagulant bleeding, Direct oral anticoagulants, Life threatening bleeding, Factor Xa inhibitors Creator An entity primarily responsible for making the resource Adam J. Singer1 , Neena S. Abraham2 , Latha Ganti3,9*, W. Frank Peacock4 , Janaé Dark5 , Hajirah Ishaq6 , Ana Negrete7 , Brandon Mount8 and James Neuenschwander6 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00649-7 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Gastrointestinal bleeding https://repository.horizon.ac.id/files/original/68c32bbbb5007dbf86f4c458c7abd005.pdf 3ff77df54746d5b8dddf04c7c14c2c30 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Emergency medicine residents and performance under pressure: learning from elite athletes’ experience Subject The topic of the resource The skills of coping with stress and pressure Description An account of the resource Abstract Objective The skills of coping with stress and pressure within emergency medicine are conveyed informally and inconsistently throughout residency training. This study aims to identify key psychological competencies used by elite athletes in high-pressure situations, which can be integrated into a formal curriculum to support emergency medicine residents’ performance in high acuity settings. Design We conducted a scoping review spanning 20 years to identify the relevant psychological competencies used by elite athletes (Olympic or World level) to perform under pressure. We used controlled vocabulary to search within Medline, PsycInfo and SportDiscuss databases. A standardized charting method was used by the team of four authors to extract relevant data. Results The scoping review identified 18 relevant articles, including 707 athletes from 49 different sports and 11 countries, 64 data items were extracted, and 6 main themes were identified. The main psychological competencies included the ability to sustain a high degree of motivation and confidence, to successfully regulate thoughts, emo- tions and arousal levels, and to maintain resilience in the face of adversity. Conclusion We used the main psychological competencies identified from our scoping review to develop a hypoth- esis generated framework to guide the integration of performance psychology principles into future emergency medicine residency programs. Creator An entity primarily responsible for making the resource Gabrielle Trepanier1* , Viviane Falardeau2 , Gurpreet Sohi3 and Veronique Richard4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00648-8 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text The skills of coping with stress and pressure https://repository.horizon.ac.id/files/original/66bce09f8fbcc6334e10e629ce9f264f.pdf a35bacf46cbe0cfceaa4f766c89febc4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Clinical and laboratory parameters as predictors of mortality in patients with chronic liver disease presenting to emergency department- a cross sectional study Subject The topic of the resource Chronic liver disease, Child-pugh score, Cirrhosis, Hepatic encephalopathy Description An account of the resource Abstract Background The World Health Organization (WHO) reports that Asia and Africa have the highest Chronic Liver Disease (CLD) mortality rate. Cirrhosis, responsible for 22.2 fatalities per 100,000 people, is India’s 10th most common cause of mortality. The increasing prevalence of chronic liver disease necessitates a study to identify predictive factors for patients who visit the emergency department. Identifying elements that enhance the predictive value of mortality in unstable patients with CLD complications is important in emergency departments. This study aims to determine Clinical and Laboratory Parameters as mortality predictors in adult chronic liver disease patients. Methodology The study was conducted at the emergency department of a tertiary healthcare center in Northern India. Patients with chronic liver disease above 18 years of age who satisfied the inclusion criteria were clinically evaluated. Clinical and demographic details were collected, and data was analyzed. Results Two hundred thirty-six patients were enrolled. The mean age was 50.77±14.26 years. 78.4% of the participants were men. Abdominal distension, affecting 59.7% of patients, was the most common presenting ailment, followed by melena and hematemesis, affecting 41.9% and 32.6%, respectively. The mean stay in the emergency department was 10.29±8.10 h. Refractory septic shock, the leading cause of mortality, accounts for 69.2% of all deaths, alongside grade 4 hepatic encephalopathy and massive Upper Gastrointestinal (UGI) bleeding, as identified in our study. Factors such as altered mental sensorium, high respiratory rate, low SpO2, increased heart rate, low systolic blood pressure, low diastolic blood pressure, and low Glasgow Coma Scale (GCS) on Emergency Department (ED) arrival are significantly associated with mortality. Conclusions Chronic liver disease, a prevalent condition in India, most commonly seen in middle aged men and lower socioeconomic groups. The parameters independently associated with mortality in our study were presence of altered mental sensorium, Glasgow coma scale, Child Pugh class and need for ICU admission. Understanding the presentation pattern, and mortality predictors can help ED physicians in managing acute events and follow-ups. Creator An entity primarily responsible for making the resource Salva Ameena M S1 , Vempalli Nagasubramanyam2*, Anand Sharma3 , Nidhi Kaeley1 , Bharat Bhushan Bhardwaj1 , Poonam Arora1 , Althaf Assis4 , Takshak Shankar1 , Hari Prasad1 , Mukund Rajta1 and Ashwani Pundir1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00647-9 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Chronic liver disease, Child-pugh score, Cirrhosis, Hepatic encephalopathy https://repository.horizon.ac.id/files/original/43671924bc35e4b89ce61e922da55e5f.pdf f3eaecc4bb5e13fe4c6a7c2a1b59dc38 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 17 Issue 1 2024 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Factors and clinical prediction score for complication development after cellulitis diagnosis in adult patients Subject The topic of the resource Prediction score, Cellulitis, Sepsis, Bacteremia, Necrotizing fasciitis Description An account of the resource Abstract Background Cellulitis is defined as a bacterial infection of the skin and subcutaneous tissue that can cause multiple complications, such as sepsis and necrotizing fasciitis. In extreme cases, it may lead to multiorgan failure and death. We sought to analyze the clinical factors that contribute to the development of complicated disease, including demographics, clinical presentation, initial vital signs, and laboratory studies. Methods Our study is a retrospective cohort study carried out in a university-based tertiary care hospital in Bangkok, Thailand. Adult patients who presented with cellulitis from January 1, 2018, to December 31, 2022, were evaluated for eligibility and inclusion in this study. All related variables for both outcomes, bacteremia and necrotizing fasciitis, were gathered from electronic medical records and analyzed using multivariable logistic regression analysis. Results Of the 1,560 visits to this hospital, 47 cases reported at least one complication, with bacteremia noted in 27 visits (1.73%) and necrotizing fasciitis in 20 visits (1.27%). From the multivariable logistic regression analysis, six variables emerge as predictors of cellulitis complications. These are: Age≥65 years, Body Mass Index≥30 kg/ m2 , diabetes mellitus, body temperature≥38 °C, systolic blood pressure≤100 mmHg, and involvement of lower extremities. The predictive score was developed from these factors and was named the Ramathibodi Necrotizing Fasciitis/Bacteremia (RAMA-NFB) Prediction Score. Our predictive score has an accuracy of 82.93% (95% CI, 0.77–0.89). Patients in the high-risk group (RAMA NFB score>6) have a likelihood ratio of 8.75 (95% CI, 4.41–18.12; p<0.001) times to develop complications of cellulitis. Conclusion In our study, the RAMA-NFB Prediction Score predicts complications of necrotizing fasciitis and bacteremia in adult patients who present with cellulitis. External validation of this predictive score is still needed for further practical application. Creator An entity primarily responsible for making the resource Welawat Tienpratarn1 , Chaiyaporn Yuksen1 , Joseph Daniel Pauly2*, Diana Vu3 , Anisa Noiwong Benbourenane3 and Nuttamon Sangskul1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00646-w Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Prediction score, Cellulitis, Sepsis, Bacteremia, Necrotizing fasciitis