Characteristics of patients with cardiorespiratory instability in a step-down unit

American Journal of Critical Care

Volumn 21, Issue 5, 2012, Pages 344-350

  Yousef, Khalil ^a   Pinsky, Michael R ^a   DeVita, Michael A ^a   Sereika, Susan ^a   Hravnak, Marilyn ^a  

^a UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

OXYGEN;

ARTICLE; BLOOD; COMORBIDITY; ELECTROCARDIOGRAPHY; FEMALE; HEALTH STATUS INDICATOR; HOSPITAL SUBDIVISIONS AND COMPONENTS; HUMAN; LONGITUDINAL STUDY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PHYSIOLOGIC MONITORING; PILOT STUDY; PREDICTIVE VALUE; PROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; VITAL SIGN;

COMORBIDITY; ELECTROCARDIOGRAPHY; FEMALE; HEALTH STATUS INDICATORS; HOSPITAL UNITS; HUMANS; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; MULTIVARIATE ANALYSIS; OXYGEN; PILOT PROJECTS; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; VITAL SIGNS;

EID: 84865957728     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc2012797     Document Type: Article

References (19)

1. Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Arch Intern Med. 2008;168(2):1300-1308.
2. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288:1987-1993.
3. DeVita MA, Bellomo R, Hillman K, et al. Findings of the first consensus conference on medical emergency teams. Crit Care Med. 2006;34(9):2463-2478.
4. DeVita MA, Braithwaite RS, Mahidhara R, Stuart S, Foraida M, Simmons RL; Medical Emergency Response Improvement Team (MERIT). Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-254.
5. Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002; 324:387-390.
6. Trinkle RM, Flabouris A. Documenting rapid response system afferent limb failure and associated patient outcomes. Resuscitation. 2011;82(7):810-814.
7. DeVita MA, Smith GB, Adam SK, et al. Identifying the hospitalised patient in crisis-a consensus conference on the afferent limb of rapid response systems. Resuscitation. 2010; 81:375-382.
8. Eshelman LJ, Lee KP, Frassica JJ, Zong W, Nielsen L, Saeed M. Development and evaluation of predictive alerts for hemodynamic instability in ICU patients. AMIA Annu Symp Proc. 2008; Nov 6:379-383.
9. Smith GB, Prytherch DR, Schmidt PE, Featherstone PI. Review and performance evaluation of aggregate weighted 'track and trigger' systems. Resuscitation. 2008;77:170-179.
10. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613-619.
11. DePriest J. Low incidence of hemodynamic instability in patients with gastrointestinal hemorrhage. South Med J. 1996;89:386-390.
12. Dagan E, Novack V, Porath A. Adverse outcomes in patients with community acquired pneumonia discharged with clinical instability from internal medicine department. Scand J Infect Dis. 2006;38(10):860-866.
13. Rubinger D, Revis N, Pollak A, Luria MH, Sapoznikov D. Predictors of haemodynamic instability and heart rate variability during haemodialysis. Nephrol Dial Transplant. 2004; 19(8):2053-2060.
14. Gallotta G, Palmieri V, Piedimonte V, et al. Increased troponin I predicts in-hospital occurrence of hemodynamic instability in patients with sub-massive or non-massive pulmonary embolism independent to clinical, echocardiographic and laboratory information. Int J Cardiol. 2008;124(3):351-357.
15. Hravnak M, DeVita MA, Clontz A, Edwards L, Valenta C, Pinsky MR. Cardiorespiratory instability before and after implementing an integrated monitoring system. Crit Care Med. 2011;39:65-72.
16. Prytherch DR, Smith GB, Schmidt PE, Featherstone PI. ViEWS-towards a national early warning score for detecting adult inpatient deterioration. Resuscitation. 2010;81(8): 932-937.
17. Smith GB, Prytherch DR, Schmidt PE, et al. Should age be included as a component of track and trigger systems used to identify sick adult patients? Resuscitation. 2008;78(2): 109-115.
18. Goldhill DR, McNarry AF. Physiological abnormalities in early warning scores are related to mortality in adult inpatients. Br J Anaesth. 2004;92:882-884.
19. Goldhill DR, McNarry AF, Mandersloot G, McGinley A. A physiologically-based early warning score for ward patients: the association between score and outcome. Anaesthesia. 2005;60:547-553.