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Using rapid response system trigger clusters to characterize patterns by Rebecca J Piasecki, Elizabeth A Hunt et al

Background: Many rapid response system (RRS) events are activated using multiple triggers. However, the patterns in which multiple RRS triggers occur together to activate RRS events are unknown. The purpose of this study was to identify these patterns (RRS trigger clusters) and determine their association with outcomes among hospitalized adult patients. Methods: RRS events among adult patients from January 2015 to December 2019 in the Get With The Guidelines- Resuscitation registry's MET module were examined (n = 134,406). Cluster analysis methods were performed to identify RRS trigger clusters. Pearson's chi-squared and ANOVA tests were used to examine differences in patient characteristics across RRS trigger clusters. Multilevel logistic regressions were used to examine the associations between RRS trigger clusters and outcomes. Results: Six RRS trigger clusters were identified. Predominant RRS triggers for each cluster were: tachypnea, new onset difficulty in breathing, de

Penn Medicine doctors are testing whether this new technology can diagnose heart failure faster

Rehabilitation outcomes of survivors of cardiac arrest admitted to ICU by Vinodh Bhagyalakshmi Nanjayya, Zakary Doherty et al

Introduction: Rehabilitation outcomes in cardiac arrest survivors are largely unknown, with no data comparing out-of-hospital cardiac arrests (OHCA) and in-hospital cardiac arrests (IHCA). This study aimed to describe and compare inpatient rehabilitation outcomes in these patients who were admitted from intensive care units (ICU). Methods: A retrospective linkage and analysis of cardiac arrest patients in the Australian and New Zealand Intensive Care Society Adult Patient Database and the Australasian Rehabilitation Outcomes Centre inpatient dataset discharged to inpatient rehabilitation between January 2017 and June 2018. Primary outcome was the functional improvement during rehabilitation (difference between the Functional Independence Measurement (FIM) score on admission and discharge). Multivariate regression analyses were performed to determine factors associated with functional improvement. Results: In the 240 (84 OHCA and 156 IHCA) patients included, the median length of inpatie

Drug Combo Improves Resuscitation After Inhospital Cardiac Arrest

Vasopressin and methylprednisolone significantly increased the likelihood of return of spontaneous circulation in patients with inhospital cardiac arrest vs placebo, but any benefit for long-term survival is unclear.

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