Annals for Hospitalists Inpatient Notes - Predicting Codes—A Future With Fewer In-Hospital Cardiac Arrests
Authors: Dana P. Edelson, Matthew M. Churpek
Journal: Annals of Internal Medicine (2017)

Web Exclusives16 May 2017Annals for Hospitalists Inpatient Notes - Predicting Codes—A Future With Fewer In-Hospital Cardiac ArrestsDana P. Edelson, MD, MS and Matthew M. Churpek, MD, MPH, PhDDana P. Edelson, MD, MSFrom University of Chicago Medical Center, Chicago, Illinois.Search for more papers by this author and Matthew M. Churpek, MD, MPH, PhDFrom University of Chicago Medical Center, Chicago, Illinois.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-0920 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Survival from in-hospital cardiac arrest (IHCA) has nearly doubled in recent years, probably because of improvements in cardiopulmonary resuscitation (1). Although many hospitalists recognize the need to provide high-quality chest compressions and rapid defibrillation, fewer may be aware that a large portion of arrests that occur in the hospital are predictable and, quite possibly, preventable.In contrast to out-of-hospital cardiac arrest, IHCA often relates to progressive deterioration of a noncardiac medical condition (such as sepsis or respiratory failure). It is clear that vital sign abnormalities, such as tachypnea, tachycardia, and hypotension, in hospital settings are often evident many hours before ...References1. Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, et al. Part 4: Systems of care and continuous quality improvement: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132:S397-413. [PMID: 26472992] doi:10.1161/CIR.0000000000000258 CrossrefMedlineGoogle Scholar2. Solomon RS, Corwin GS, Barclay DC, Quddusi SF, Dannenberg MD. Effectiveness of rapid response teams on rates of in-hospital cardiopulmonary arrest and mortality: A systematic review and meta-analysis. J Hosp Med. 2016;11:438-45. [PMID: 26828644] doi:10.1002/jhm.2554 CrossrefMedlineGoogle Scholar3. Galhotra S, DeVita MA, Simmons RL, Schmid A; members of the Medical Emergency Response Improvement Team (MERIT) Committee. Impact of patient monitoring on the diurnal pattern of medical emergency team activation. Crit Care Med. 2006;34:1700-6. [PMID: 16625132] CrossrefMedlineGoogle Scholar4. Smith GB, Prytherch DR, Jarvis S, Kovacs C, Meredith P, Schmidt PE, et al. A comparison of the ability of the physiologic components of medical emergency team criteria and the U.K. national early warning score to discriminate patients at risk of a range of adverse clinical outcomes. Crit Care Med. 2016;44:2171-2181. [PMID: 27513547] CrossrefMedlineGoogle Scholar5. Churpek MM, Yuen TC, Winslow C, Meltzer DO, Kattan MW, Edelson DP. Multicenter comparison of machine learning methods and conventional regression for predicting clinical deterioration on the wards. Crit Care Med. 2016;44:368-74. [PMID: 26771782] doi:10.1097/CCM.0000000000001571 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Chicago Medical Center, Chicago, Illinois.Disclosures: Dr. Edelson reports research support from Philips Healthcare and EarlySense and an ownership interest in Quant HC, which is developing products for risk stratification of hospitalized patients. Both Dr. Edelson and Dr. Churpek have a patent pending for risk stratification algorithms for hospitalized patients. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-0920.Requests for Single Reprints: Dana P. Edelson, MD, MS, Section of Hospital Medicine, University of Chicago Medical Center, 5841 South Maryland Avenue, MC 5000, Chicago, IL 60637; e-mail, [email protected]edu. Previousarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 16 May 2017 David H. Wesorick and Vineet Chopra Metrics 16 May 2017Volume 166, Issue 10Page: HO2-HO3KeywordsAlgorithmsDisclosureElectronic medical recordsForecastingHealth careHeartHospitalistsTachypneaThoraxVital signs ePublished: 16 May 2017 Issue Published: 16 May 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...