Emergency department tachypnea predicts transfer to a higher level of care in the first 24 hours after ED admission

Academic Emergency Medicine

Volumn 17, Issue 7, 2010, Pages 718-722

  Farley, Heather ^a   Zubrow, Marc T ^a   Gies, Jonna ^a,b   Kolm, Paul ^a   Mascioli, Susan ^a   Mahoney, Donna D ^a   Weintraub, William S ^a  

^a CHRISTIANA CARE HEALTH SYSTEM   (United States)

^b Ivinson Memorial Hospital   (United States)

Author keywords

Emergency service; Intensive care unit; Respiration

Indexed keywords

ADVERSE OUTCOME; AGED; ARTICLE; BREATHING RATE; CASE CONTROL STUDY; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; EMERGENCY PATIENT; EMERGENCY WARD; FEMALE; GENERAL CONDITION DETERIORATION; HEALTH CARE QUALITY; HEART RATE; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT TRANSPORT; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SYSTOLIC BLOOD PRESSURE; TACHYPNEA;

AGED; CASE-CONTROL STUDIES; DELAWARE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HUMANS; LOGISTIC MODELS; MALE; PATIENT ADMISSION; PATIENT TRANSFER; PREDICTIVE VALUE OF TESTS; RESPIRATORY RATE; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS;

EID: 77955876132     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2010.00796.x     Document Type: Article

References (23)

1. Peberdy MA, Kaye W, Ornato JP, et al. Cardiopulmonary resuscitation of adults in the hospital: a report of 14, 720 cardiac arrests from the national Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003;58:297-308.
2. Franklin C, Mathew J. Developing strategies to prevent in-hospital cardiac arrest: analyzing responses of physicians and nurses in the hours before the event. Crit Care Med. 1994;22:244-7.
3. Schein RM, Hazday N, Pena M, Ruben BH, Spring CL. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990;98:1388-92.
4. Naeem N, Montenegro H. Beyond the intensive care unit: a review of interventions aimed at anticipating and preventing in-hospital cardiopulmonary arrest. Resuscitation. 2005;67:13-23.
5. Dumot JA, Burval DJ, Sprung J, et al. Outcome of adult cardiopulmonary resuscitations at a tertiary referral center including results of "limited" resuscitations. Arch Intern Med. 2001;161:1751-8.
6. Bedell SE, Delbanco TL, Cook EF, Epstein FH. Survival after cardiopulmonary resuscitation in the hospital. N Engl J Med. 1983;309:569-76.
7. Peatfield RC, Sillett RW, Taylor D, McNicol MW. Survival after cardiac arrest in hospital. Lancet. 1977;1:1223-5.
8. Weerasinghe DP, MacIntyre CR, Rubin GL. The epidemiology of cardiac arrests in a Sydney hospital. Resuscitation. 2002;53:53-62.
9. Hodgetts TJ, Kenward G, Vlackonikolis I, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation. 2002;54:115-23.
10. McGloin H, Adam SK, Singer M. Unexpected deaths and referrals to intensive care of patients on general wards. Are some cases potentially avoidable? J R Coll Physicians Lond. 1999;33:255-9.
11. Hillman KM, Bristow PJ, Chey T, et al. Antecedents to hospital deaths. Intern Med J. 2001;31:343-8.
12. Buist MD, Jarmolowski E, Burton PR, Bernard SA, Waxman BP, Anderson J. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care. A pilot study in a tertiary-care hospital. Med J Aust. 1999;171:22-5.
13. Bamber D. The area above the ordinal dominance graph and the area below the receiver operating characteristic graph. J Math Psychol. 1975;12:387-415.
14. Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiologic track and trigger warning systems for identifying at-risk patients on the ward. Intensive Care Med. 2007;33:667-79.
15. Sharek PJ, Parast LM, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA. 2007;298:2267-74.
16. Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62:1223-7.
17. McGaughey J, Alderdice F, Fowler R, et al. Outreach and early warning systems (EWS) for the prevention of intensive care admission and death of critically ill adult patients on general hospital wards. Cochrane Database Syst Rev. 2007; (3): CD005529.
18. Shapiro NI, Wolfe RE, Moore RB, Smith E, Burdick E, Bates DW. Mortality in emergency department sepsis (MEDS) score: a prospectively derived and validated clinical prediction rule. Crit Care Med. 2003;31:670-5.
19. Farr BM, Sloman AJ, Fisch MJ. Predicting death in patients hospitalized for community-acquired pneumonia. Ann Intern Med. 1991;115:428-36.
20. Chin MH, Goldman L. Correlates of major complications or death in patients admitted to the hospital with congestive heart failure. Arch Intern Med. 1996;156:1814-20.
21. Sax FL, Charlson ME. Medical patients at high risk for catastrophic deterioration. Crit Care Med. 1987;15:510-5.
22. Fieselmann JF, Hendryx MS, Helms CM, Wakefield DS. Respiratory rate predicts cardiopulmonary arrest for internal medicine inpatients. J Gen Intern Med. 1993;8:354-60.
23. Buist M, Bernard S, Nguyen TV, Moore G, Anderson J. Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study. Resuscitation. 2004;62:137-41.