Elevated Heart Rate and Risk of Revisit With Admission in Pediatric Emergency Patients.

Pediatric Emergency Care
Carrie DaymontElizabeth R Alpern

Abstract

The aim of this study was to identify emergency department (ED) heart rate (HR) values that identify children at elevated risk of ED revisit with admission. We performed a retrospective cohort study of patients 0 to 18 years old discharged from a tertiary-care pediatric ED from January 2013 to December 2014. We created percentile curves for the last recorded HR for age using data from calendar year 2013 and used receiver operating characteristic (ROC) curves to characterize the performance of the percentiles for predicting ED revisit with admission within 72 hours. In a held-out validation data set (calendar year 2014 data), we evaluated test characteristics of last-recorded HR-for-age cut points identified as promising on the ROC curves, as well as those identifying the highest 5% and 1% of last recorded HRs for age. We evaluated 183,433 eligible ED visits. Last recorded HR for age had poor discrimination for predicting revisit with admission (area under the curve, 0.61; 95% confidence interval, 0.58-0.63). No promising cut points were identified on the ROC curves. Cut points identifying the highest 5% and 1% of last recorded HRs for age showed low sensitivity (10.1% and 2.5%) with numbers needed to evaluate of 62 and 50, resp...Continue Reading

References

Jan 8, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brahm GoldsteinUNKNOWN International Consensus Conference on Pediatric Sepsis
Sep 7, 2005·Statistics in Medicine·E BorghiUNKNOWN WHO Multicentre Growth Reference Study Group
Oct 24, 2006·Emergency Medicine Journal : EMJ·C P SubbeL Gemmell
Mar 14, 2007·Pediatric Emergency Care·Florence T Bourgeois, Michael W Shannon
Nov 21, 2008·Archives of Disease in Childhood·M ThompsonD Mant
Feb 21, 2009·Journal of Advanced Nursing·Julie ConsidineRobyn Potter
Mar 17, 2009·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Susan E Domagala
Aug 15, 2009·Critical Care : the Official Journal of the Critical Care Forum·Christopher S ParshuramKristen Middaugh
Aug 25, 2009·Emergency Medicine Journal : EMJ·P Davies, I Maconochie
Apr 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Julius Cuong PhamBeatrice Hoffmann
Dec 27, 2011·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Weili HongMarcus Eng Hock Ong
Apr 12, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Charlotte BarfodKai Henrik Wiborg Lange
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Eric J LeyAli Salim
Jan 29, 2013·The Journal of Emergency Medicine·Jameel AbualenainJesse M Pines
Feb 1, 2013·Pediatric Emergency Care·Timothy Horeczko, Garen J Wintemute
Apr 20, 2013·The Western Journal of Emergency Medicine·Tony BergerNathan Shapiro
Apr 29, 2015·Pediatrics·Carrie DaymontPatrick W Brady
Feb 18, 2016·JAMA : the Journal of the American Medical Association·Amber K SabbatiniRenee Y Hsia
Aug 10, 2016·Journal of General Internal Medicine·Oanh Kieu NguyenEthan A Halm

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