HOUR Prediction Rule - Letter to the Editor.

Authors

Andrew L. Koons DO, Lehigh Valley Health NetworkFollow
Robert D. Cannon DO, FACMT, Lehigh Valley Health NetworkFollow
Gillian A. Beauchamp MD, Lehigh Valley Health NetworkFollow
Kenneth D. Katz MD, Lehigh Valley Health NetworkFollow
Matthew D. Cook DO, Lehigh Valley Health NetworkFollow
Ryan M. Surmaitis DO, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

10-2019

Abstract

In a recent issue of Academic Emergency Medicine, we read with interest the article titled: Hospital Observation Upon Reversal (HOUR) with Naloxone: A Prospective Clinical Prediction Rule Validation Study by Clemency et al. In order to avoid over-reliance on this decision rule and possible untoward effects of early discharge, we feel that there are some key points worth considering in this regard. It is important to note that the average dose of prehospital naloxone was 3.1mg, which was administered intranasally (IN) in 85% of the patients. This fact was briefly discussed in the paper in terms of area under the curve (AUC). However, since AUC terminology may not readily translate to clinical meaning for many readers, we feel expanded discussion on this potential confounder is necessary. This article is protected by copyright. All rights reserved.

Volume

26

Issue

10

First Page

1201

Last Page

1202

ISSN

1553-2712

Published In/Presented At

Koons, A. L., Cannon, R. D., Beauchamp, G. A., Katz, K. D., Cook, M. D., Surmaitis, R. M. (2019). HOUR Prediction Rule - Letter to the Editor. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 26(10), 1201-1202.

Disciplines

Emergency Medicine

PubMedID

31002439

Department(s)

Department of Emergency Medicine, Department of Emergency Medicine Faculty, Department of Emergency Medicine Residents

Document Type

Letter to the Editor