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

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004652naa a2200541 4500
001oai:lup.lub.lu.se:929840af-9fbd-4fcd-af1e-3c2b78dc5757
003SwePub
008160401s2012 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:125123141
0247 a https://lup.lub.lu.se/record/29669412 URI
0247 a https://doi.org/10.1097/CCM.0b013e318255d9a02 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1251231412 URI
040 a (SwePub)lud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Bellomo, Rinaldo4 aut
2451 0a A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards*
264 1c 2012
520 a 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).
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
653 a rapid response team
653 a vital signs
653 a monitoring
653 a early warning score
653 a intensive care
7001 a Ackerman, Michael4 aut
7001 a Bailey, Michael4 aut
7001 a Beale, Richard4 aut
7001 a Clancy, Greg4 aut
7001 a Danesh, Valerie4 aut
7001 a Hvarfner, Andreasu Lund 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 Medicine4 aut0 (Swepub:lu)anes-ahv
7001 a Jimenez, Edgar4 aut
7001 a Konrad, Davidu Karolinska Institutet4 aut
7001 a Lecardo, Michele4 aut
7001 a Pattee, Kimberly S4 aut
7001 a Ritchie, Josephine4 aut
7001 a Sherman, Kathie4 aut
7001 a Tangkau, Peter4 aut
7102 a Anestesiologi och intensivvårdb Sektion II4 org
7730 t Critical Care Medicineg 40:8, s. 2349-2361q 40:8<2349-2361x 1530-0293
8564 u http://www.ncbi.nlm.nih.gov/pubmed/22809908?dopt=Abstracty FULLTEXT
8564 u http://dx.doi.org/10.1097/CCM.0b013e318255d9a0y FULLTEXT
8564 8u https://lup.lub.lu.se/record/2966941
8564 8u https://doi.org/10.1097/CCM.0b013e318255d9a0
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:125123141

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