Randomized trial of automated, electronic monitoring to facilitate early detection of sepsis in the intensive care unit*.

Critical Care Medicine
Michael H HooperTodd W Rice

Abstract

To determine whether automated identification with physician notification of the systemic inflammatory response syndrome in medical intensive care unit patients expedites early administration of new antibiotics or improvement of other patient outcomes in patients with sepsis. : A prospective randomized, controlled, single center study. Medical intensive care unit of an academic, tertiary care medical center. Four hundred forty-two consecutive patients admitted over a 4-month period who met modified systemic inflammatory response syndrome criteria in a medical intensive care unit. Patients were randomized to monitoring by an electronic "Listening Application" to detect modified (systemic inflammatory response syndrome) criteria vs. usual care. The listening application notified physicians in real time when modified systemic inflammatory response syndrome criteria were detected, but did not provide management recommendations. The median time to new antibiotics was similar between the intervention and usual care groups when comparing among all patients (6.0 hr vs. 6.1 hr, p = .95), patients with sepsis (5.3 hr vs. 5.1 hr; p = .90), patients on antibiotics at enrollment (5.2 hr vs. 7.0 hr, p = .27), or patients not on antibiotics a...Continue Reading

References

Jul 11, 2001·Critical Care Medicine·D C Angus, R S Wax
Jan 17, 2002·The New England Journal of Medicine·E RiversUNKNOWN Early Goal-Directed Therapy Collaborative Group
Mar 22, 2002·Intensive Care Medicine·Corinne AlbertiRoger Le Gall
Apr 12, 2003·Critical Care Medicine·Mitchell M LevyUNKNOWN SCCM/ESICM/ACCP/ATS/SIS
Apr 18, 2003·The New England Journal of Medicine·Greg S MartinMarc Moss
Nov 30, 2004·Critical Care : the Official Journal of the Critical Care Forum·Martijn PoezeMitchel Levy
Sep 1, 2006·Critical Care Medicine·Scott T MicekMarin H Kollef
May 22, 2008·JAMA : the Journal of the American Medical Association·Ricard FerrerUNKNOWN Edusepsis Study Group
Feb 25, 2009·Critical Care Medicine·Steven W ThielMarin H Kollef
Mar 13, 2009·Intensive Care Medicine·Vitaly HerasevichOgnjen Gajic
Dec 21, 2010·Critical Care Medicine·Amber M SawyerMarin H Kollef
Jan 14, 2011·Annals of Emergency Medicine·Jessica L NelsonJohn G Younger

❮ Previous
Next ❯

Citations

Jul 23, 2013·Applied Clinical Informatics·M KashiourisV Herasevich
May 28, 2016·Clinics in Chest Medicine·Andrew M HarrisonVitaly Herasevich
Jun 4, 2014·Chest·Matthew W Semler, Arthur P Wheeler
Oct 16, 2014·Kidney International·Mark E ThomasMarlies Ostermann
Feb 2, 2013·IEEE Reviews in Biomedical Engineering·Shermeen NizamiCarolyn McGregor
Mar 12, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Anil N MakamAndrew D Auerbach
Mar 31, 2015·Critical Care Clinics·Omar Badawi, Erkan Hassan
Jan 13, 2015·Mayo Clinic Proceedings·Andrew M HarrisonVitaly Herasevich
May 21, 2016·The International Journal of Pharmacy Practice·Kathrin CresswellAziz Sheikh
Mar 10, 2017·Current Opinion in Anaesthesiology·Thomas T KlumpnerSachin Kheterpal
Oct 18, 2016·American Journal of Respiratory and Critical Care Medicine·Matthew W SemlerUNKNOWN SALT Investigators
Nov 12, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Robert C Amland, Kristin E Hahn-Cover
Jun 28, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Bristol N BrandtSteven Q Simpson
Dec 23, 2017·Biomedizinische Technik. Biomedical Engineering·Björn AndersenJosef Ingenerf
Oct 13, 2017·Journal of the American Medical Informatics Association : JAMIA·Jonathan S AustrianSaul Blecker
Sep 16, 2016·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Laurel A Despins
Jun 26, 2018·The Cochrane Database of Systematic Reviews·Sheryl WarttigAndrew F Smith
Mar 2, 2018·Clinical Microbiology Reviews·Mridu SinhaStephanie I Fraley
Sep 4, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Robert C Amland, Kristin E Hahn-Cover
Jan 22, 2020·Clinical Journal of Oncology Nursing·Jean E Boucher, Dawn Carpenter
May 16, 2019·The Journal of Trauma and Acute Care Surgery·Justin S HatchimonjiDaniel N Holena
Jun 9, 2016·Journal of Nursing Care Quality·Evelyn M OlenickDanielle Jones
Jul 22, 2016·Critical Care Medicine·Holger A LindnerVerena Schneider-Lindner
Apr 14, 2015·Critical Care Medicine·Matthew W SemlerArthur P Wheeler
Sep 21, 2013·Journal of Nursing Care Quality·Kristen M Buck
Jun 20, 2012·Critical Care Medicine·Gaurav Singal, Paul Currier
Jun 27, 2020·Clinical Trials : Journal of the Society for Clinical Trials·Benjamin A Goldstein
Aug 18, 2020·The Cochrane Database of Systematic Reviews·Natalie LeonKaren Daniels
Nov 3, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·B Alex DummettGabriel J Escobar
Aug 19, 2020·Journal of Patient Safety·Bryan M Gale, Kendall K Hall
Aug 20, 2018·Journal of Clinical Monitoring and Computing·Caroline M RuminskiJ Forrest Calland
Jun 22, 2016·Research in Nursing & Health·Ji-Sun BackSun-Mi Lee
Jan 16, 2017·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Philippe LachanceSean M Bagshaw
Aug 3, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Gabrielle M HaeuslerKarin A Thursky
Mar 6, 2015·Critical Care Nursing Quarterly·Lisa KurczewskiKevin Halbritter
Jul 17, 2015·Critical Care Medicine·Andrew M HarrisonOgnjen Gajic
Sep 25, 2020·The Western Journal of Emergency Medicine·Matthew I HwangEmilie S Powell

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.