Physiological deterioration in the Emergency Department: The SNAP40-ED study
| Autor: | Matthew J. Reed, Rachel O'Brien, Polly L. Black, Steff Lewis, Hannah Ensor, Matt Wilkes, Christopher McCann, Stewart Whiting |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Emergency Care Journal, Vol 17, Iss 3 (2021) |
| Druh dokumentu: | article |
| ISSN: | 1826-9826 2282-2054 |
| DOI: | 10.4081/ecj.2021.9711 |
| Popis: | Continuous novel ambulatory monitoring may detect deterioration in Emergency Department (ED) patients more rapidly, prompting treatment and preventing adverse events. Single-centre, open-label, prospective, observational cohort study recruiting high/medium acuity (Manchester triage category 2 and 3) participants, aged over 16 years, presenting to ED. Participants were fitted with a novel wearable monitoring device alongside standard clinical care (wired monitoring and/or manual clinical staff vital sign recording) and observed for up to 4 hours in the ED. Primary outcome was time to detection of deterioration. Two-hundred and fifty (250) patients were enrolled. In 82 patients (32.8%) with standard monitoring (wired monitoring and/or manual clinical staff vital sign recording), deterioration in at least one vital sign was noted during their four-hour ED stay. Overall, the novel device detected deterioration a median of 34 minutes earlier than wired monitoring (Q1, Q3 67,194; n=73, mean difference 39.48, p |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
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