Abnormal vital signs are associated with an increased risk for critical events in US veteran inpatients

Lighthall, Geoffrey K.; Markar, Sharmin; Hsiung, Robert L.

doi:10.1016/j.resuscitation.2009.08.012

Cited by 55 publications

(39 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It provides insight into the general nature of the deteriorating patient in modern hospitals and a possible approach to reaching them with adequate measures. Previous studies have demonstrated that antecedents to adverse events occur [1,4,19], that they are a universal issue [5] and that they can be used to identify patients in need of help [20,21]. There are several approaches to this problem as previously outlined [6] and different centres have implemented different solutions based on their needs and resources.…”

Section: Discussionmentioning

confidence: 99%

The deteriorating ward patient: a Swedish–Australian comparison

et al. 2011

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

The deteriorating ward patient: a Swedish–Australian comparison

et al. 2011

View full text Add to dashboard Cite

show abstract

“…(2) Furthermore, approximately 50% of these hospitalizations are potentially preventable (3) because progressive clinical deterioration usually occurs. (4,5) …”

Section: Introductionmentioning

confidence: 99%

Failure to activate the in-hospital emergency team: causes and outcomes

Barbosa¹,

Gomes²,

Vaz³

et al. 2016

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

“…Respiratory distress is historically the VS most commonly associated with MET activation, but also associated with staff lack of recognition for MET need or hesitation in activating MET calls. 6, 13-17 Using aggregated warning scoring systems can objectify the unstable state and the need for RRS activation, 18-22 but seem to be more helpful when alerting systems do not depend upon a caregiver. 11, 19 Other solutions include integrated monitoring systems embedded into continuous monitoring systems, which move from single VS parameter alarms to indexed instability value and automated alarm.…”

Section: Discussionmentioning

confidence: 99%

Temporal distribution of instability events in continuously monitored step-down unit patients: Implications for Rapid Response Systems

et al. 2015

View full text Add to dashboard Cite

AIM Medical Emergency Teams (MET) activations are more frequent during daytime and weekdays, but whether due to greater patient instability, proximity from admission time, or caregiver concentration is unclear. We sought to determine if instability events, when they occurred, varied in their temporal distribution. METHODS Monitoring data were recorded (frequency 1/20Hz) in 634 SDU patients (41,635 monitoring hours). Vital sign excursion beyond our MET trigger thresholds defined alerts. The resultant 1,399 alerts from 216 patients were tallied according to clock hour and time elapsed since admission. We fit patient ID (n=216), clock hour, time since SDU admission, and alert present into a null model and three mixed effect logistic regression models: clock hour, hours elapsed since admission, and both clock hour and time elapsed since admission as fixed effect covariates. We performed likelihood ratio tests on these models to assess if, among all alerts, there were proportionally more alerts for any given clock hour, or proximity to admission time. RESULTS Only time elapsed since admission (p<0.001), and not clock hour adjusting for time elapsed since admission (p=0.885), was significant for temporal disproportion. Results were unchanged if the first 24 hours following admission were excluded from the models. CONCLUSION Although instability alerts are distributed most frequently within 24 hours after SDU admission in unstable patients, they are otherwise not more likely to distribute proportionally more frequently during certain clock hours. If MET utilization peaks do not coincide with admission time peaks, other variables contributing to unrecognized instability should be explored.

show abstract

Abnormal vital signs are associated with an increased risk for critical events in US veteran inpatients

Cited by 55 publications

References 7 publications

The deteriorating ward patient: a Swedish–Australian comparison

The deteriorating ward patient: a Swedish–Australian comparison

Failure to activate the in-hospital emergency team: causes and outcomes

Temporal distribution of instability events in continuously monitored step-down unit patients: Implications for Rapid Response Systems

Contact Info

Product

Resources

About