Combinations of early signs of critical illness predict in-hospital death—The SOCCER Study (signs of critical conditions and emergency responses)

Harrison, G. A.; Jacques, Theresa; McLaws, Mary‐Louise; Kilborn, Gabrielle

doi:10.1016/j.resuscitation.2006.05.008

Cited by 84 publications

(57 citation statements)

References 12 publications

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“…In some cases the cause of postpartum tachycardia is evident (haemorrhage, sepsis) (8)(9)(10)(11)(12). 77…”

Section: Table2mentioning

confidence: 99%

“…Knowledge of what constitutes normal during this period is clinically 75 pertinent to facilitate identification of sick women, and avoid inappropriate investigation of healthy 76 women. In some cases the cause of postpartum tachycardia is evident (haemorrhage, sepsis) (8)(9)(10)(11)(12). 77…”

mentioning

confidence: 99%

“…Central tendency for heart rate at each time period postpartum (6,12,24 and 48 hours) was 117 calculated using the mea μ . Spread as calculated usi g standard deviation (SD) and suggested 118 normal range upper thresholds were calculated using the mean in addition to two and three 119 sta dard de iatio s μ+ SD, μ+ SD).…”

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confidence: 99%

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Maternal heart rate during the first 48 h postpartum: a retrospective cross sectional study

Samways

Vause

Kontopantelis

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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Throughout pregnancy and the puerperium significant cardiovascular changes occur. Maternal heart 70 rate increases by approximately 20% from the pre-conception baseline to the third trimester of 71 pregnancy (1, 2), with a further increase during labour (3). Whilst these changes are well 72 understood, the changes in the postpartum period are less well defined. Studies show maternal 73 heart rate returns to baseline weeks to months post-delivery (4-7), yet the early postpartum period 74 remains poorly described. Knowledge of what constitutes normal during this period is clinically 75 pertinent to facilitate identification of sick women, and avoid inappropriate investigation of healthy 76 women. In some cases the cause of postpartum tachycardia is evident (haemorrhage, sepsis) (8)(9)(10)(11)(12). 77In other cases it is less obvious and should prompt further investigation for causes such as occult 78 bleeding, cardiac pathology or pulmonary embolism (3,(13)(14)(15). 79Modified Early Obstetric Warning Scores (MEOWS) are widely used. The parameters used vary (16, 80 17) and have often been developed from a non-pregnant population. Data derived from a 81 postpartum population would improve the pre-existing MEOWS scores validity; providing a platform 82 for further investigation into the relationship between postpartum heart rate and negative 83 outcomes and ultimately the creation of a postpartum specific clinical assessment tool. 84Study Aims 85 1. Describe the distribution of heart rate in the first 48 hours postpartum (at 6, 12, 24 and 48 86 hours post-delivery), in women with no evidence of sepsis, haemorrhage or anaemia. 87 2. Investigate the relationship between postpartum heart rate and other maternal factors 88(maternal BMI at booking, maternal age, method of delivery, puerperal blood loss, discharge 89 haemoglobin and length of hospital stay). 90 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 3 Gynaecologists' guidelines for major postpartum haemorrhage (19)) or whose discharge 111 haemoglobin was < 100 g/l (British Society of Haematology guidelines on maternal and postpartum 112 anaemia (20)). 113 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 4 Materials and Methods 91 Study Design Statistical Analyses 114Statistical analyses were performed using IBM® SPSS® Statistics 22 (The International Business 115 Machines Corporation®, New York, NY, USA). 116Central tendency for heart rate at each time period postpartum (6, 12, 24 and 48 hours) was 117 calculated using the mea μ . Spread as calculated usi g standard deviation (SD) and suggested 118 normal range upper thresholds were calculated using the me...

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“…In some cases the cause of postpartum tachycardia is evident (haemorrhage, sepsis) (8)(9)(10)(11)(12). 77…”

Section: Table2mentioning

confidence: 99%

mentioning

confidence: 99%

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Maternal heart rate during the first 48 h postpartum: a retrospective cross sectional study

Samways

Vause

Kontopantelis

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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“…[7] An increased early warning score has been found to be associated with ICU admission and increased risk for mortality. [8,9] The best model incorporates heart rate, breathing rate, temperature, mean blood pressure, consciousness level and age.…”

Section: Discussionmentioning

confidence: 99%

A scoring system for assessing the severity of acute diarrhea of adult patients

Xiao

et al. 2016

World Journal of Emergency Medicine

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BACKGROUND: Diarrhea is frequently seen in developed and developing countries, and severe diarrhea is characterized by the high risk of death. Thus, it is very important to assess the severity of diarrhea early. We conducted a multi-center study to identify risk factors for the severity of diarrhea in adult patients and formulate an adult diarrhea state score (ADSS) for out-patient clinicians.METHODS: A total of 219 adult patients with acute diarrhea were divided into two groups: 132 patients with mild diarrhea and 87 with severe diarrhea. Logistic regression was used to determine risk factors for the severity of diarrhea. The risk factors were assessed and an ADSS was formulated. Receiver operating characteristic (ROC) analysis was made to evaluate the diagnostic accuracy of ADSS, and the Kappa test was used to confi rm the diagnostic reliability. RESULTS:Five risk factors for evaluating the severity of diarrhea in adults included age (P<0.05), axillary temperature (P<0.01), mean arterial pressure (P<0.01), white blood cell count (WBC; P<0.01), and WBC in stool (P<0.01). The area under the ROC curve for ADSS was 0.958 when the cut off value was 4 (a sensitivity of 0.909; a specifi city of 0.874), and the Kappa value was 0.781 (P<0.05). CONCLUSION:The risk factors associated with the pathogenic condition of diarrhea were identifi ed, quantifi ed and formulated into an ADSS, which has high diagnostic accuracy and reliability for the early identifi cation of patients with severe acute diarrhea.

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“…Routine measurement of temperature and blood pressure in AE was shown to have lower predictive value of mortality [10,11]. Combination of various clinical parameters has been shown to increase the predictive value of the scoring systems [12].…”

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confidence: 99%

Early Warning Scores-Are We Doing it Right?

Samarakoon¹

2015

J Nurs Care

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Combinations of early signs of critical illness predict in-hospital death—The SOCCER Study (signs of critical conditions and emergency responses)

Cited by 84 publications

References 12 publications

Maternal heart rate during the first 48 h postpartum: a retrospective cross sectional study

Maternal heart rate during the first 48 h postpartum: a retrospective cross sectional study

A scoring system for assessing the severity of acute diarrhea of adult patients

Early Warning Scores-Are We Doing it Right?

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