Alteración de signos vitales dentro de las 72 h previas a la activación de código azul en pacientes adultos hospitalizados de un hospital universitario / Deterioration of vital signs as predictors of major medical emergencies in hospitalized patients
Rev. méd. Chile
; 146(9): 1024-1027, set. 2018. tab
Article
in Es
| LILACS
| ID: biblio-1043151
Responsible library:
CL1.1
ABSTRACT
Background:
Medical emergencies (ME) in hospitalized patients (cardiac and respiratory arrest, suffocation, asphyxia, seizures, unconsciousness) are associated with high morbidity and mortality. Most of these patients have signs of physiological deterioration prior to the appearance of the emergency. Early detection of warning signs by rapid response teams (RRT) may provide an opportunity for the prevention of major adverse events.Aim:
To identify clinical signs predicting death, need for mechanical ventilation, or transfer to a more complex unit during the 72 hours prior to the activation of the ME code. To evaluate the association of each trigger with specific major adverse events. Patients andMethods:
Medical records of 184 hospitalized adult patients in whom the ME code was activated between 2009 and 2014 were reviewed.Results:
Seventy five percent patients who experienced a ME had predictive signs of poor clinical outcome. Polypnea and airway involvement were associated to mechanical ventilation. Hypotension and hypoxemia were associated with mortality.Conclusions:
In the absence of RRT, special attention should be given to patients with polypnea, airway involvement, hypotension and desaturation, since these are associated with poor clinical outcomes.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Outcome and Process Assessment, Health Care
/
Hospital Mortality
/
Emergency Service, Hospital
/
Vital Signs
/
Hospital Rapid Response Team
/
Clinical Decision-Making
Type of study:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limits:
Humans
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2018
Document type:
Article
Affiliation country: