Table 7. Documented assessment for warning signs and physical examination and hemodynamic status.
| Clinical variables | Outpatient (N = 65), n (%) |
Emergency department (N = 228), n (%) |
Medical team (N = 215),n (%) |
ICU team (N = 5), n (%) |
|---|---|---|---|---|
| Assessment for warning signs | ||||
| Abdominal pain or tenderness | 45 (69.2) | 217 (95.2) | 206 (95.8) | 5 (100) |
| Persistent vomiting | 45 (69.2) | 217 (95.2) | 204 (94.9) | 4 (80) |
| Clinical fluid accumulation (pleural effusion, ascites) | 33 (50.8) | 219 (96.1) | 203 (94.4) | 4 (80) |
| Mucosal bleed | 32 (49.2) | 166 (72.8) | 170 (79.1) | 3 (60) |
| Restlessness or lethargy | 25 (38.5) | 60 (26.3) | 75 (34.9) | 1 (20) |
| Tender enlarged liver | 15 (23.1) | 86 (37.7) | 126 (58.6) | 3 (60) |
| Laboratory: Increase in HCT concurrent with rapid decrease in platelet | 54 (83.1) | 197 (86.4) | 173 (80.5) | 5 (100) |
| Physical examination | ||||
| Assess mental state and Glasgow Coma Scale (GCS) score | 34 (52.3) | 211 (92.5) | 205 (95.3) | 5 (100) |
| Assess hydration status | 39 (60.0) | 187 (82.0) | 174 (80.9) | 5 (100) |
| Look out for tachypnoea/ acidotic breathing | 36 (55.4) | 183 (80.3) | 168 (78.1) | 3 (60) |
| Look out for pleural effusion | 38 (58.5) | 220 (96.5) | 202 (94.0) | 5 (100) |
| Examine for bleeding manifestation | 35 (53.8) | 73 (32.0) | 85 (39.5) | 2 (40) |
| Check for abdominal tenderness | 34 (52.3) | 214 (93.9) | 209 (97.2) | 5 (100) |
| Check for hepatomegaly | 8 (12.3) | 54 (23.7) | 109 (50.7) | 1 (20) |
| Check for ascites | 15 (23.1) | 22 (9.7) | 35 (16.3) | 1 (20) |