The prevalence and significance of abnormal vital signs prior to in-hospital cardiac arrest

The prevalence and significance of abnormal vital signs prior to in-hospital cardiac arrest
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DOI:
10.1016/j.resuscitation.2015.08.016
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发表时间:
2016-01-01
期刊:
影响因子:
6.5
通讯作者:
Donnino, Michael W.
Donnino, Michael W.
中科院分区:
医学2区
文献类型:
--
作者:
Andersen, Lars W.;Kim, Won Young;Donnino, Michael W.

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背景:住院心脏骤停患者往往在事件发生前表现出生理恶化的迹象。这项研究的目的是确定心脏骤停前1-4小时生命体征异常的发生率,并评估这些生命体征异常与住院死亡率之间的关系。方法:我们纳入了来自GET指南(R)-复苏登记的有住院心脏骤停的成年人。我们对生命体征使用了两个先验定义:异常(心率(HR)=100分钟(-1),呼吸频率(RR)20分钟(-1)和收缩压(SBP)
Background: Patients suffering in-hospital cardiac arrest often show signs of physiological deterioration before the event. The purpose of this study was to determine the prevalence of abnormal vital signs 1-4 h before cardiac arrest, and to evaluate the association between these vital sign abnormalities and in-hospital mortality.Methods: We included adults from the Get With the Guidelines (R) - Resuscitation registry with an in-hospital cardiac arrest. We used two a priori definitions for vital signs: abnormal (heart rate (HR) = 100 min(-1), respiratory rate (RR) 20 min(-1) and systolic blood pressure (SBP)