Relation of Telemetry Use and Mortality Risk, Hospital Length of Stay, and Readmission Rates in Patients With Respiratory Illness

Dawson, Nancy L.; Burton, M. Caroline; Hull, Bryan P.; Beliles, Gregory; Pritchard, Ingrid; Trautman, Christopher; Ferry, Laura; Doyon, Amanda; Colby, Rebecca; Chuu, Andy; Kung, Shu Ting; Khang, Tran; Durocher, Donna L.; Buras, Matthew R.; Kosiorek, Heidi E.; Agrwal, Neera; Sen, Ayan; Goss, Darin; Geyer, Holly

doi:10.1016/j.amjcard.2017.07.029

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…12 Additionally, the report also found that LOS was actually increased in patients on telemetry compared to those patients who were not monitored. 12 Although these referenced studies provide valuable information, no studies could be found that assessed telemetry specifically in geriatric trauma, and as such we feel that further research in this demographic is warranted.…”

Section: Discussionmentioning

confidence: 95%

“…12 One study found that in patients with respiratory illness the use of telemetry showed no difference in 30-day readmission rates, hospital mortality, or 90-day mortality rates when compared to non-monitored patients. 12 Additionally, the report also found that LOS was actually increased in patients on telemetry compared to those patients who were not monitored. 12 Although these referenced studies provide valuable information, no studies could be found that assessed telemetry specifically in geriatric trauma, and as such we feel that further research in this demographic is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…11 However, in contrast, there have been additional studies questioning the benefit of telemetry in patients with respiratory illness. 12 One study found that in patients with respiratory illness the use of telemetry showed no difference in 30-day readmission rates, hospital mortality, or 90-day mortality rates when compared to non-monitored patients. 12 Additionally, the report also found that LOS was actually increased in patients on telemetry compared to those patients who were not monitored.…”

Section: Discussionmentioning

confidence: 99%

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Benefit of continued noninvasive cardiac monitoring in geriatric trauma: A retrospective review of geriatric pelvis, hip, and femur fractures and analysis of cardiac events during immediate post-traumatic course

et al. 2021

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Objective: The geriatric population suffers from a predisposition to cardiac events due to physiologic changes commonly associated with aging. The majority of the trauma population seen at our facility is within the geriatric population (greater than 65 years old). Therefore, this study was aimed to determine which of those preexisting factors were associated with an increased risk for developing cardiac event. By assessing those risks, we hoped to determine a timeline for the highest risk of cardiac event occurrence, in order to identify a safe period of when cardiac monitoring was indicated. Methods: A retrospective study performed over 6 months reviewing geriatric trauma patients with hip, pelvis, or femur fractures, n = 125. A list of predetermined risk factors including comorbidities, pathologies, laboratory values, electrocardiogram findings, and surgery was crossed with the patient’s records in order to identify factors for increased risk of cardiac event. Once patients who had documented cardiac events were identified, a temporal pattern of cardiac event occurrence was analyzed in order to determine a period when noninvasive cardiac monitoring should remain in place. Results: In 125 patients, 40 cardiac events occurred in 30 patients. The analyzed variables with statistically significant associations for having a cardiac event were comorbidities (p = 0.019), elevated body mass index (p = 0.001), abnormal initial phosphorus (p = 0.002), and an electrocardiogram finding of other than normal sinus rhythm (p = 0.020). Of the identified cardiac events, we found that by hospital day 3 68% of cardiac event had occurred, with 85% by hospital day 4, 95% by day 5, and 100% within the first 7 days of admission. Conclusion: Patient history of cardiac comorbidities, elevated body mass index, abnormal phosphorus, and abnormal electrocardiogram findings were found to be significant risk factors for cardiac event development in geriatric trauma. All recorded events in our study occurred within 7 days of the initial trauma.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Benefit of continued noninvasive cardiac monitoring in geriatric trauma: A retrospective review of geriatric pelvis, hip, and femur fractures and analysis of cardiac events during immediate post-traumatic course

et al. 2021

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“…A 2017 multicenter retrospective cohort study analyzed outcomes with the use of telemetry monitoring in 765 adult patients hospitalized with respiratory infections who did not meet the 2004 American Heart Association (AHA) guidelines for telemetry, which generally restricts telemetry use to current or high-risk cardiac patients (defined as at risk for arrhythmia or ischemic events). 1 Patients who underwent telemetry monitoring (n=297) were compared with patients who received no monitoring (n=468). The median length of stay (LOS) was longer in patients who underwent telemetry (3 vs 2 days, P <.0001).…”

Section: Review Of Evidencementioning

confidence: 99%

Does continuous telemetry monitoring improve patient-centered outcomes in hospitalized general medical (noncardiac) patients?

Moon

Mullen

Mader

2021

EBPR

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Relation of Telemetry Use and Mortality Risk, Hospital Length of Stay, and Readmission Rates in Patients With Respiratory Illness

Cited by 2 publications

References 10 publications

Benefit of continued noninvasive cardiac monitoring in geriatric trauma: A retrospective review of geriatric pelvis, hip, and femur fractures and analysis of cardiac events during immediate post-traumatic course

Benefit of continued noninvasive cardiac monitoring in geriatric trauma: A retrospective review of geriatric pelvis, hip, and femur fractures and analysis of cardiac events during immediate post-traumatic course

Does continuous telemetry monitoring improve patient-centered outcomes in hospitalized general medical (noncardiac) patients?

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