SwePub
Sök i LIBRIS databas

  Extended search

onr:"swepub:oai:lup.lub.lu.se:929840af-9fbd-4fcd-af1e-3c2b78dc5757"
 

Search: onr:"swepub:oai:lup.lub.lu.se:929840af-9fbd-4fcd-af1e-3c2b78dc5757" > A controlled trial ...

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist
  • Bellomo, Rinaldo (author)

A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards*

  • Article/chapterEnglish2012

Publisher, publication year, extent ...

  • 2012

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:929840af-9fbd-4fcd-af1e-3c2b78dc5757
  • https://lup.lub.lu.se/record/2966941URI
  • https://doi.org/10.1097/CCM.0b013e318255d9a0DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:125123141URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • OBJECTIVES: Deteriorating ward patients are at increased risk. Electronic automated advisory vital signs monitors may help identify such patients and improve their outcomes. SETTING: A total of 349 beds, in 12 general wards in ten hospitals in the United States, Europe, and Australia. PATIENTS: Cohort of 18,305 patients. DESIGN: Before-and-after controlled trial. INTERVENTION: We deployed electronic automated advisory vital signs monitors to assist in the acquisition of vital signs and calculation of early warning scores. We assessed their effect on frequency, type, and treatment of rapid response team calls; survival to hospital discharge or to 90 days for rapid response team call patients; overall type and number of serious adverse events and length of hospital stay. MEASUREMENTS AND MAIN RESULTS: We studied 9,617 patients before (control) and 8,688 after (intervention) deployment of electronic automated advisory vital signs monitors. Among rapid response team call patients, intervention was associated with an increased proportion of calls secondary to abnormal respiratory vital signs (from 21% to 31%; difference [95% confidence interval] 9.9 [0.1-18.5]; p = .029). Survival immediately after rapid response team treatment and survival to hospital discharge or 90 days increased from 86% to 92% (difference [95% confidence interval] 6.3 [0.0-12.6]; p = .04). Intervention was also associated with a decrease in median length of hospital stay in all patients (unadjusted p < .0001; adjusted p = .09) and more so in U.S. patients (from 3.4 to 3.0 days; unadjusted p < .0001; adjusted ratio [95% confidence interval] 1.03 [1.00-1.06]; p = .026). The time required to complete and record a set of vital signs decreased from 4.1 ± 1.3 mins to 2.5 ± 0.5 mins (difference [95% confidence interval] 1.6 [1.4-1.8]; p < .0001). CONCLUSIONS: Deployment of electronic automated advisory vital signs monitors was associated with an improvement in the proportion of rapid response team-calls triggered by respiratory criteria, increased survival of patients receiving rapid response team calls, and decreased time required for vital signs measurement and recording (NCT01197326).

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Ackerman, Michael (author)
  • Bailey, Michael (author)
  • Beale, Richard (author)
  • Clancy, Greg (author)
  • Danesh, Valerie (author)
  • Hvarfner, AndreasLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)anes-ahv (author)
  • Jimenez, Edgar (author)
  • Konrad, DavidKarolinska Institutet (author)
  • Lecardo, Michele (author)
  • Pattee, Kimberly S (author)
  • Ritchie, Josephine (author)
  • Sherman, Kathie (author)
  • Tangkau, Peter (author)
  • Anestesiologi och intensivvårdSektion II (creator_code:org_t)

Related titles

  • In:Critical Care Medicine40:8, s. 2349-23611530-0293

Internet link

Find in a library

To the university's database

  • 1 of 1
  • Previous record
  • Next record
  •    To hitlist

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view