Advertisement

Topics

Identification of High-Risk Patients at Admission to an Emergency Department by Non-Invasive Hemodynamics

2019-05-06 17:20:27 | BioPortfolio

Summary

The goal of this study is to evaluate the prognostic values of non-invasive hemodynamic parameteres in relation to 30-day mortality and/or acute deterioration in patients who are admitted acutely to the department of emergency medicine or cardiology.

Description

Background

Identification of critically ill and high-risk patients at hospital admission is a major triage task in the emergency department. Rapid identification and treatment of such patients improves survival, reduces complications during admission, duration of hospitalization and the costs of treatment. Reduced heart rate variability (HRV), a marker of autonomic imbalance towards sympathetic dominance, has been shown in several studies to be associated with a poor prognosis in patient groups like myocardial infarction, heart failure, ischemic heart disease, and others. Besides HRV other hemodynamic variables like cardiac stroke volume, cardiac output and peripheral resistance will potentially improve diagnosis of critically ill patients by providing better prognostic value.

Aims & objectives

To develop and validate a prognostic model (based on selected variables derived from Finapres measurements, HRV, CO, and TP) for 30-day mortality and/or acute deterioration in patients who are admitted acutely to the department of emergency medicine or cardiology, University Hospitals of Bispebjerg & Frederiksberg

Methods & Materials

The study is designed as an observational prospective cohort study. The aim is to enroll 1635 patients in total. During a period of 6 to 9 months all patients admitted to the acute medical/emergency department at Bispebjerg Hospital, Copenhagen, Denmark adn who fulfills inclusion criterias will be examined with a 10 minutes examination with the Finapres Nova device. Patients admitted to the departments of medicine/emergency medicine / Cardiology at Bispebjerg Hospital will also be included.

Expected outcomes and perspectives

Several scoring algorithms have been used in the emergency departments to facilitate early recognition of patients with high risk of serious outcomes. There is need to develop better clinical tools to be used in the emergency departments.

The investigators expect to outperform current triage methods by including HRV and hemodynamic parameters.

Study Design

Conditions

Emergency Department Triage

Intervention

Finapres Nova

Location

Bispebjerg Hospital
Copenhagen
Hovedstaden
Denmark
2400

Status

Not yet recruiting

Source

University Hospital Bispebjerg and Frederiksberg

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-05-06T17:20:27-0400

Clinical Trials [1310 Associated Clinical Trials listed on BioPortfolio]

Effectiveness of a Four-level Chinese Emergency Triage Scale in Mainland China

Inter-rater reliability between experts and triage nurses was assessed in 484 emergency patients. The criterion-related validity was evaluated in other 30687 emergency patients, based on e...

Pain Evaluation and Treatment in the Emergency Department

All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the...

Measuring Fatigue in Triage: A Pilot Study

The purpose of this study is to determine how the length of a triage shift (i.e. 4 vs., 8 vs., 12 hours) affects fatigue levels among triage nurses in the Emergency Department (ED).

The Burnout Syndrome in Emergency Department Triage Nurses

Assessment of burnout syndrome of triage nurses from Emergency Departments from Cluj-Napoca, Romania.

Reliability of the Swiss Emergency Triage Scale (SETS®) Used by Emergency Medical Service (EMS) Providers

The Swiss Emergency Triage Scale (SETS) in used for triage in emergency departments in Switzerland, France and Belgium. No validated triage scale is actually used by Emergency Medical Ser...

PubMed Articles [2549 Associated PubMed Articles listed on BioPortfolio]

Machine Learning-Based Prediction of Clinical Outcomes for Children During Emergency Department Triage.

While machine learning approaches may enhance prediction ability, little is known about their utility in emergency department (ED) triage.

Comparing the Accuracy of Mass Casualty Triage Systems When Used in an Adult Population.

To use a previously published criterion standard to compare the accuracy of four different mass casualty triage systems (SALT, START, Triage Sieve, and CareFlight) when used in an emergency department...

Impact of a patient-flow physician coordinator on waiting times and length of stay in an emergency department: A before-after cohort study.

Overcrowding is common in most emergency departments (ED). Despite the use of validated triage systems, some patients are at risk of delayed medical evaluation. The objective of this study was to asse...

Advanced diagnostic imaging utilization during emergency department visits in the United States: A predictive modeling study for emergency department triage.

Emergency department (ED) crowding is associated with negative health outcomes, patient dissatisfaction, and longer length of stay (LOS). The addition of advanced diagnostic imaging (ADI), namely CT, ...

Major incident triage and the evaluation of the Triage Sort as a secondary triage method.

A key principle in the effective management of major incidents is triage, the process of prioritising patients on the basis of their clinical acuity. In many countries including the UK, a two-stage ap...

Medical and Biotech [MESH] Definitions

The specialty or practice of nursing in the care of patients admitted to the emergency department.

Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.

Services for reporting EMERGENCIES to the police department.

Branch of EMERGENCY MEDICINE dealing with the emergency care of children.

The practice of redirecting ambulances and patients seeking urgent care from one emergency department to others for various reasons such as overcrowding and shortage of skilled staff.

More From BioPortfolio on "Identification of High-Risk Patients at Admission to an Emergency Department by Non-Invasive Hemodynamics"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topics

Cardiology
Cardiology is a specialty of internal medicine.  Cardiac electrophysiology : Study of the electrical properties and conduction diseases of the heart. Echocardiography : The use of ultrasound to study the mechanical function/physics of the h...

Cardiovascular disease (CVD)
Acute Coronary Syndromes (ACS) Blood Cardiovascular Dialysis Hypertension Stent Stroke Vascular Cardiovascular disease (CVD) includes all the diseases of the heart and circulation including coronary heart disease (angina...


Searches Linking to this Trial