Risk for Cardiorespiratory Instability Following Transfer to a Monitored Step-Down Unit

Nguyen YL , Wunsch H , Angus DC . Critical care: the impact of organization and management on outcomes. Curr Opin Crit Care, 2010; 16(5):487–492.

Bell MB , Konrad D , Granath F , Ekbom A , Martling CR . Prevalence and sensitivity of MET-criteria in a Scandinavian University Hospital. Resuscitation, 2006; 70(1):66–73.

Lighthall GK , Markar S , Hsiung R . Abnormal vital signs are associated with an increased risk for critical events in US veteran inpatients. Resuscitation, 2009; 80(11):1264–1269.

Boniatti MM , Azzolini N , Viana MV , Ribeiro BS , Coelho RS , Castilho RK , et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med, 2014; 42(1):26–30.

Chen J , Bellomo R , Hillman K , Flabouris A , Finfer S . Triggers for emergency team activation: a multicenter assessment. J Crit Care, 2010; 25(2):359.e1–359.e7.

Chen J , Hillman K , Bellomo R , Flabouris A , Finfer S , Cretikos M , et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation, 2009; 80(1):35–43.

Ludikhuize J , Smorenburg SM , de Rooij SE , de Jonge E . Identification of deteriorating patients on general wards; measurement of vital parameters and potential effectiveness of the Modified Early Warning Score. J Crit Care, 2012; 27(4):424.e7–424.e13.

Santiano N , Young L , Hillman K , Parr M , Jayasinghe S , Baramy LS , et al. Analysis of medical emergency team calls comparing subjective to “objective” call criteria. Resuscitation, 2009; 80(1):44–49.

Churpek MM , Yuen TC , Edelson DP . Predicting clinical deterioration in the hospital: the impact of outcome selection. Resuscitation, 2013; 84(5):564–568.

Peterson PN , Rumsfeld JS , Liang L , Albert NM , Hernandez AF , Peterson ED , et al. A validated risk score for in-hospital mortality in patients with heart failure from the American Heart Association Get with the Guidelines program. Circ Cardiovasc Qual Outcomes, 2010; 3(1):25–32.

Smith GB , Prytherch DR , Schmidt PE , Featherstone PI , Higgins B . A review, and performance evaluation, of single-parameter “track and trigger” systems. Resuscitation, 2008; 79(1):11–21.

Brown H , Terrence J , Vasquez P , Bates DW , Zimlichman E . Continuous monitoring in an inpatient medical-surgical unit: a controlled clinical trial. Am J Med, 2014; 127(3):226–232.

Hravnak M , Chen L , Dubrawski A , Bose E , Pinsky MR . Temporal distribution of instability events in continuously monitored step-down unit patients: implications for rapid response systems. Resuscitation, 2015; 89:99–105.

Hravnak M , Chen L , Dubrawski A , Bose E , Clermont G , Pinsky MR . Real alerts and artifact classification in archived multi-signal vital sign monitoring data: implications for mining big data. J Clin Monit Comput, 2016; 30(6):875–888.

Deyo RA , Cherkin DC , Ciol MA . Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol, 1992; 45(6):613–619.

Cretikos MA , Bellomo R , Hillman K , Chen J , Finfer S , Flabouris A . Respiratory rate: the neglected vital sign. Med J Australia, 2008; 188(11):657–659.

Hodgetts TJ , Kenward G , Vlachonikolis IG , Payne S , Castle N . The identification of risk factors for cardiac arrest and formulation of activation criteria to alert a medical emergency team. Resuscitation, 2002; 54(2):125–131.

Nurmi J , Harjola VP , Nolan J , Castrén M . Observations and warning signs prior to cardiac arrest. Should a medical emergency team intervene earlier? Acta Anaesth Scand, 2005; 49(5):702–706.

Goldhill DR , McNarry AF . Physiological abnormalities in early warning scores are related to mortality in adult inpatients. Brit J Anaesth, 2004; 92(6):882–884.

Cooper S , Cant R , Sparkes L . Respiratory rate records: the repeated rate?. J Clin Nurs, 2014; 23(9):1236–1238.

Garland A , Connors AF . Optimal timing of transfer out of the intensive care unit. Am J Crit Care, 2013; 22(5):390–397.

Truog RD , Brock DW , Cook DJ , Danis M , Luce JM , Rubenfeld GD , et al. Rationing in the intensive care unit. Crit Care Med, 2006; 34(4):958–963.

Brown SE , Ratcliffe SJ , Kahn JM , Halpern SD . The epidemiology of intensive care unit readmissions in the United States. Am J Respir Crit Care Med, 2012; 185(9):955–964.

Kramer AA , Higgins TL , Zimmerman JE . The association between ICU readmission rate and patient outcomes. Crit Care Med, 2013; 41(1):24–33.

Niven DJ , Bastos JF , Stelfox HT . Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. Crit Care Med, 2014; 42(1):179–187.

Chen L , Dubrawski A , Hravnak M , Clermont G , Pinsky M . Forecasting cardio-respiratory instability in monitored patients: a machine learning approach. Crit Care Med, 2014; 42(12):A1378–A1379.

Fuhrmann L , Lippert A , Perner A , Østergaard D . Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation, 2008; 77(3):325–330.

Hravnak M , Edwards L , Clontz A , Valenta C , Devita MA , Pinsky MR . Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Arch Intern Med, 2008; 168(12):1300–1308.

Hravnak M , Devita MA , Clontz A , Edwards L , Valenta C , Pinsky MR . Cardiorespiratory instability before and after implementing an integrated monitoring system. Crit Care Med, 2011; 39(1):65–72.