کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6223540 1607465 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
What Are We Missing? Arrhythmia Detection in the Pediatric Intensive Care Unit
ترجمه فارسی عنوان
چه چیزی از دست رفته است؟ تشخیص آریتمی در بخش مراقبت های ویژه کودکان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectivesTo test the hypothesis that instituting a process of routine daily review of rhythm alarms in non-cardiac patients in the pediatric intensive care unit would yield clinically important disturbances that would otherwise go undetected.Study designA prospective observational study was performed over a consecutive 28-day period. Total bedside monitor alarms, rhythm alarms, and heart rate (HR) trends were recorded. Rhythm alarm recordings were reviewed independently by two study team members. Medical records for patients with critical arrhythmias were reviewed to evaluate for prior knowledge of the event and to correlate with clinical data.ResultsWe evaluated 86 patients (343 patient-days). There were 54 656 total monitor alarms (159.3 alarms/patient-day), of which 19 970 (37%) were rhythm alarms, including 4032 (20%) critical arrhythmias. Fifty-six percent of the critical alarms were artifactual. Seventeen of the 1786 ventricular tachycardia alarms represented true episodes that occurred in 5 patients. Two patients' care were altered as a result of detection of the arrhythmia in the review process. Eight hundred sixty-five (98%) of the 883 true critical alarms reviewed were for extreme HR. Eighty-three percent (5172) of the 6239 true non-critical alarms reviewed were HR alarms.ConclusionsDaily review of rhythm alarms improves detection of clinically relevant arrhythmias in non-cardiac pediatric intensive care unit patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 163, Issue 2, August 2013, Pages 511-514
نویسندگان
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