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Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine

Many patients visiting an emergency department are in reduced general condition of health and at risk of suffering further deterioration during their stay. We wanted to test the feasibility of a new monitoring system in a waiting area of an emergency department. In an observational cross-sectional s...

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Autores principales: Hubner, Pia, Schober, Andreas, Sterz, Fritz, Stratil, Peter, Wallmueller, Christian, Testori, Christoph, Grassmann, Daniel, Lebl, Nitaya, Ohrenberger, Iris, Herkner, Harald, Weiser, Chirstoph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4697987/
https://www.ncbi.nlm.nih.gov/pubmed/26705221
http://dx.doi.org/10.1097/MD.0000000000002322
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author Hubner, Pia
Schober, Andreas
Sterz, Fritz
Stratil, Peter
Wallmueller, Christian
Testori, Christoph
Grassmann, Daniel
Lebl, Nitaya
Ohrenberger, Iris
Herkner, Harald
Weiser, Chirstoph
author_facet Hubner, Pia
Schober, Andreas
Sterz, Fritz
Stratil, Peter
Wallmueller, Christian
Testori, Christoph
Grassmann, Daniel
Lebl, Nitaya
Ohrenberger, Iris
Herkner, Harald
Weiser, Chirstoph
author_sort Hubner, Pia
collection PubMed
description Many patients visiting an emergency department are in reduced general condition of health and at risk of suffering further deterioration during their stay. We wanted to test the feasibility of a new monitoring system in a waiting area of an emergency department. In an observational cross-sectional single-center study, patients with acute cardiac or pulmonary symptoms or in potentially life-threatening conditions were enrolled. Monitoring devices providing vital signs via short range radio (SRR) at certain time points and compliance evaluation forms were used. Out of 230 patients, 4 wanted to terminate their participation prematurely. No data was lost due to technical difficulties. Over a median monitoring period of 178 (118–258) min per patient, 684 h of vital sign data were collected and used to assist managing those patients. Linear regression analysis between clinical symptom category groups of patients showed significant differences in the respiratory rate and noninvasive blood pressure courses. Feedback from patients and users via questionnaires showed overall very good acceptance and patients felt that they were given better care. To assist medical staff of an emergency department waiting area to rapidly response to potentially life-threatening situations of its patients, a new monitoring system proved to be feasible and safe.
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spelling pubmed-46979872016-01-07 Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine Hubner, Pia Schober, Andreas Sterz, Fritz Stratil, Peter Wallmueller, Christian Testori, Christoph Grassmann, Daniel Lebl, Nitaya Ohrenberger, Iris Herkner, Harald Weiser, Chirstoph Medicine (Baltimore) 3900 Many patients visiting an emergency department are in reduced general condition of health and at risk of suffering further deterioration during their stay. We wanted to test the feasibility of a new monitoring system in a waiting area of an emergency department. In an observational cross-sectional single-center study, patients with acute cardiac or pulmonary symptoms or in potentially life-threatening conditions were enrolled. Monitoring devices providing vital signs via short range radio (SRR) at certain time points and compliance evaluation forms were used. Out of 230 patients, 4 wanted to terminate their participation prematurely. No data was lost due to technical difficulties. Over a median monitoring period of 178 (118–258) min per patient, 684 h of vital sign data were collected and used to assist managing those patients. Linear regression analysis between clinical symptom category groups of patients showed significant differences in the respiratory rate and noninvasive blood pressure courses. Feedback from patients and users via questionnaires showed overall very good acceptance and patients felt that they were given better care. To assist medical staff of an emergency department waiting area to rapidly response to potentially life-threatening situations of its patients, a new monitoring system proved to be feasible and safe. Wolters Kluwer Health 2015-12-28 /pmc/articles/PMC4697987/ /pubmed/26705221 http://dx.doi.org/10.1097/MD.0000000000002322 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 3900
Hubner, Pia
Schober, Andreas
Sterz, Fritz
Stratil, Peter
Wallmueller, Christian
Testori, Christoph
Grassmann, Daniel
Lebl, Nitaya
Ohrenberger, Iris
Herkner, Harald
Weiser, Chirstoph
Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine
title Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine
title_full Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine
title_fullStr Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine
title_full_unstemmed Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine
title_short Surveillance of Patients in the Waiting Area of the Department of Emergency Medicine
title_sort surveillance of patients in the waiting area of the department of emergency medicine
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4697987/
https://www.ncbi.nlm.nih.gov/pubmed/26705221
http://dx.doi.org/10.1097/MD.0000000000002322
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