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Appendix 12: Discharge and risk of consequential medical event
Consensus disposition classification and tolerance for rate of consequential medical events - from Kelen et al. 70*
Risk of consequential medical event | Basis | Mean upper limit of tolerance for consequential medical events (interquartile range) |
|---|
Minimum | Minimum to no anticipated medical events during next 72 hours | 3.8% (2-5) |
Low | Calculated risk of non-fatal medical event. Transfer to low acuity facility appropriate. Consider early discharge when effects of disaster exceed risks of remaining in hospital | 11.7% (8-15) |
Moderate | Consequential medical event quite likely without clinical intervention Discharge to home not advisable Transfer to facility of moderate capabilities | 33.1% (25-50) |
High | Patient care cannot be interrupted without virtually assured morbidity or mortality. Highly skilled care required Transfer to major acute-care facility only | 61% (45-80) |
Very high | Patient cannot be moved or readily transferred Unstable for transport Consider ICU-capable transport only | 92.3% (95-100) |
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