Rapid response team review of hemodynamically unstable ward patients: The accuracy of cardiac index assessment

CT Eyeington; P Lloyd-Donald; MJ Chan; GM Eastwood; H Young; L Peck; DA Jones; R Bellomo

Journal article

Rapid response team review of hemodynamically unstable ward patients: The accuracy of cardiac index assessment

CT Eyeington, P Lloyd-Donald, MJ Chan, GM Eastwood, H Young, L Peck, DA Jones, R Bellomo

Journal of Critical Care | W B SAUNDERS CO-ELSEVIER INC | Published : 2019

DOI: 10.1016/j.jcrc.2018.09.002

Abstract

Purpose: Intensive care doctors commonly attend rapid response team (RRT) reviews of hospital-ward patients with hemodynamic instability and estimate the patient's likely cardiac index (CI). We aimed to non-invasively measure the CI of such patients and assess the level of agreement between such measurements and clinically estimated CI categories (low 100BPM or hypotension < 90mmHg or both). Results: The CI was measured in 47/50(94%) patients and the mean CI was 3.5(95% CI 3.2-3.7) L/min/m2. Overall, 30(64%) patients had a high CI, 13(28%) and 4(9%) had a normal and a low CI, respectively. The level of agreement between measured and clinically estimated CI categories was low(19.2%). Sensiti..

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University of Melbourne Researchers

Glenn Eastwood Author

Daryl Jones Author

Grants

Funding Acknowledgements

This study was supported by a $10,000 (AUD) unrestricted educational grant from Edwards Lifesciences, who also supplied some of the single-use finger probes. Edwards Lifesciences were not involved in any other capacity (study concept and design; data collection, analysis, and interpretation; writing and editing of the manuscript; decision to submit for publication). This work was supported by an unrestricted educational grant from the Austin Hospital Anesthesia and Intensive Care Trust Fund.