Abstract
Introduction: Our study assesses the utility of telemetry in identifying decompensation in patients with documented cardiopulmonary arrest. Methods: A retrospective review of inpatients who experienced a cardiopulmonary arrest from May 1, 2008, until June 30, 2014, was performed. Telemetry records 24 hours prior to and immediately preceding cardiopulmonary arrest were reviewed. Patient subanalyses based on clinical demographics were made as well as analyses of survival comparing patients with identifiable rhythm changes in telemetry to those without. Results: Of 242 patients included in the study, 75 (31.0%) and 110 (45.5%) experienced telemetry changes at the 24-hour and immediately preceding time periods, respectively. Of the telemetry changes, the majority were classified as nonmalignant (n = 50, 66.7% and n = 66, 55.5% at 24 hours prior and immediately preceding, respectively). There was no difference in telemetry changes between intensive care unit (ICU) and non-ICU patients and among patients stratified according to the American Heart Association telemetry indications. There was no difference in survival when comparing patients with telemetry changes immediately preceding and at 24 hours prior to an event (n = 30, 27.3% and n = 15, 20.0%) to those without telemetry changes during the same periods (n = 27, 20.5% and n = 42, 25.2%; P =.22 and.39). Conclusion: Telemetry has limited utility in predicting clinical decompensation in the inpatient setting.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 166-175 |
| Number of pages | 10 |
| Journal | Journal of Intensive Care Medicine |
| Volume | 33 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2018 |
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Keywords
- cardiopulmonary arrest
- less is more
- outcomes
- telemetry efficacy
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
Cite this
Mayo Registry for Telemetry Efficacy in Arrest Study : An Assessment of the Utility of Telemetry in Predicting Clinical Decompensation. / Snipelisky, David; Ray, Jordan; Matcha, Gautam; Roy, Archana; Harris, Dana; Bosworth, Veronica; Dumitrascu, Adrian; Clark, Brooke; Vadeboncoeur, Tyler; Kusumoto, Fred; Bowman, Cammi; Burton, M. Caroline.
In: Journal of Intensive Care Medicine, Vol. 33, No. 3, 01.03.2018, p. 166-175.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Mayo Registry for Telemetry Efficacy in Arrest Study
T2 - An Assessment of the Utility of Telemetry in Predicting Clinical Decompensation
AU - Snipelisky, David
AU - Ray, Jordan
AU - Matcha, Gautam
AU - Roy, Archana
AU - Harris, Dana
AU - Bosworth, Veronica
AU - Dumitrascu, Adrian
AU - Clark, Brooke
AU - Vadeboncoeur, Tyler
AU - Kusumoto, Fred
AU - Bowman, Cammi
AU - Burton, M. Caroline
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Introduction: Our study assesses the utility of telemetry in identifying decompensation in patients with documented cardiopulmonary arrest. Methods: A retrospective review of inpatients who experienced a cardiopulmonary arrest from May 1, 2008, until June 30, 2014, was performed. Telemetry records 24 hours prior to and immediately preceding cardiopulmonary arrest were reviewed. Patient subanalyses based on clinical demographics were made as well as analyses of survival comparing patients with identifiable rhythm changes in telemetry to those without. Results: Of 242 patients included in the study, 75 (31.0%) and 110 (45.5%) experienced telemetry changes at the 24-hour and immediately preceding time periods, respectively. Of the telemetry changes, the majority were classified as nonmalignant (n = 50, 66.7% and n = 66, 55.5% at 24 hours prior and immediately preceding, respectively). There was no difference in telemetry changes between intensive care unit (ICU) and non-ICU patients and among patients stratified according to the American Heart Association telemetry indications. There was no difference in survival when comparing patients with telemetry changes immediately preceding and at 24 hours prior to an event (n = 30, 27.3% and n = 15, 20.0%) to those without telemetry changes during the same periods (n = 27, 20.5% and n = 42, 25.2%; P =.22 and.39). Conclusion: Telemetry has limited utility in predicting clinical decompensation in the inpatient setting.
AB - Introduction: Our study assesses the utility of telemetry in identifying decompensation in patients with documented cardiopulmonary arrest. Methods: A retrospective review of inpatients who experienced a cardiopulmonary arrest from May 1, 2008, until June 30, 2014, was performed. Telemetry records 24 hours prior to and immediately preceding cardiopulmonary arrest were reviewed. Patient subanalyses based on clinical demographics were made as well as analyses of survival comparing patients with identifiable rhythm changes in telemetry to those without. Results: Of 242 patients included in the study, 75 (31.0%) and 110 (45.5%) experienced telemetry changes at the 24-hour and immediately preceding time periods, respectively. Of the telemetry changes, the majority were classified as nonmalignant (n = 50, 66.7% and n = 66, 55.5% at 24 hours prior and immediately preceding, respectively). There was no difference in telemetry changes between intensive care unit (ICU) and non-ICU patients and among patients stratified according to the American Heart Association telemetry indications. There was no difference in survival when comparing patients with telemetry changes immediately preceding and at 24 hours prior to an event (n = 30, 27.3% and n = 15, 20.0%) to those without telemetry changes during the same periods (n = 27, 20.5% and n = 42, 25.2%; P =.22 and.39). Conclusion: Telemetry has limited utility in predicting clinical decompensation in the inpatient setting.
KW - cardiopulmonary arrest
KW - less is more
KW - outcomes
KW - telemetry efficacy
UR - http://www.scopus.com/inward/record.url?scp=85041719124&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85041719124&partnerID=8YFLogxK
U2 - 10.1177/0885066616631957
DO - 10.1177/0885066616631957
M3 - Review article
C2 - 26893319
AN - SCOPUS:85041719124
VL - 33
SP - 166
EP - 175
JO - Journal of Intensive Care Medicine
JF - Journal of Intensive Care Medicine
SN - 0885-0666
IS - 3
ER -