The use and effectiveness of electrocardiographic telemetry monitoring in a community hospital general care setting.

Abstract:

UNLABELLED:The purpose of this study was to determine if rates of telemetry events differ between patients whose monitoring is appropriately "indicated" versus "not indicated" by systematically applying rigorous criteria for appropriateness of electrocardiogram (ECG) telemetry usage. We performed a retrospective cohort study on 1097 telemetry admissions between January 1, 2000 and March 31, 2000. A convenience sample of 218 patients generated 236 telemetry admissions. One-hundred-sixty-two arrhythmic events were detected during 400 "indicated" telemetry days. Nine arrhythmic events were detected during 345 "not indicated" telemetry days. The relative rate for arrhythmic events was significantly different, at P < 0.0001, with the incidence rate ratio of 15 indicating a very large effect size. Consequently, current use of ECG telemetry may not be optimal, and a prospective analysis of the application of rigorous indications for ECG telemetry needs to be undertaken. IMPLICATIONS:The application of standard criteria to electrocardiogram telemetry admissions found that the majority of abnormal heart rhythms were found when patients met appropriate criteria.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Curry JP,Hanson CW 3rd,Russell MW,Hanna C,Devine G,Ochroch EA

doi

10.1213/01.ane.0000081720.49358.53

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

1483-7

issue

5

eissn

0003-2999

issn

1526-7598

journal_volume

97

pub_type

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