Novel Method of Atrial Fibrillation Case Identification and Burden Estimation Using the MIMIC-III Electronic Health Data Set.

Abstract:

BACKGROUND:Atrial fibrillation (AF) portends poor prognoses in intensive care unit patients with sepsis. However, AF research is challenging: Previous studies demonstrate that International Classification of Disease (ICD) codes may underestimate the incidence of AF, but chart review is expensive and often not feasible. We aim to examine the accuracy of nurse-charted AF and its temporal precision in critical care patients with sepsis. METHODS:Patients with sepsis with continuous electrocardiogram (ECG) waveforms were identified from the Medical Information Mart for Intensive Care (MIMIC-III) database, a de-identified, single-center intensive care unit electronic health record (EHR) source. We selected a random sample of ECGs of 6 to 50 hours' duration for manual review. Nurse-charted AF occurrence and onset time and ICD-9-coded AF were compared to gold-standard ECG adjudication by a board-certified cardiac electrophysiologist blinded to AF status. Descriptive statistics were calculated for all variables in patients diagnosed with AF by nurse charting, ICD-9 code, or both. RESULTS:From 142 ECG waveforms (58 AF and 84 sinus rhythm), nurse charting identified AF events with 93% sensitivity (95% confidence interval [CI]: 87%-100%) and 87% specificity (95% CI: 80%-94%) compared to the gold standard manual ECG review. Furthermore, nurse-charted AF onset time was within 1 hour of expert reader onset time for 85% of the reviewed tracings. The ICD-9 codes were 97% sensitive (95% CI: 88-100%) and 82% specific (95% CI: 74-90%) for incident AF during admission but unable to identify AF time of onset. CONCLUSION:Nurse documentation of AF in EHR is accurate and has high precision for determining AF onset to within 1 hour. Our study suggests that nurse-charted AF in the EHR represents a potentially novel method for AF case identification, timing, and burden estimation.

journal_name

J Intensive Care Med

authors

Ding EY,Albuquerque D,Winter M,Binici S,Piche J,Bashar SK,Chon K,Walkey AJ,McManus DD

doi

10.1177/0885066619866172

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

851-857

issue

10

eissn

0885-0666

issn

1525-1489

journal_volume

34

pub_type

杂志文章
  • Acute adrenal insufficiency after a single dose of etomidate.

    abstract::Acute adrenocortical insufficiency is a critical care emergency characterized by hemodynamic instability, lethargy, and cardiovascular collapse. Acute adrenal insufficiency has many etiologies, from rapid withdrawal of exogenous glucocorticoids to adrenocortical destruction to poor adrenal reserve after administration...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066606298140

    authors: Lundy JB,Slane ML,Frizzi JD

    更新日期:2007-03-01 00:00:00

  • Plasma Endothelial Glycocalyx Components as a Potential Biomarker for Predicting the Development of Disseminated Intravascular Coagulation in Patients With Sepsis.

    abstract:BACKGROUND:Sepsis coagulopathy or disseminated intravascular coagulation (DIC) mainly due to progressive endothelial disruption and damage. The glycocalyx is expressed on the endothelial cell surface and contributes to anti-thrombogenicity, anti-inflammatory, and regulates vascular permeability. We aimed to evaluate th...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620949131

    authors: Huang X,Hu H,Sun T,Zhu W,Tian H,Hao D,Wang T,Wang X

    更新日期:2020-08-17 00:00:00

  • Early Goal-Directed Therapy in Severe Sepsis and Septic Shock: A Meta-Analysis and Trial Sequential Analysis of Randomized Controlled Trials.

    abstract:INTRODUCTION:The Surviving Sepsis Campaign guidelines recommend early goal-directed therapy (EGDT) for the resuscitation of patients with sepsis; however, the recent evidences quickly evolve and convey conflicting results. We performed a meta-analysis to evaluate the effect of EGDT on mortality in adults with severe se...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1177/0885066616671710

    authors: Lu Y,Zhang H,Teng F,Xia WJ,Sun GX,Wen AQ

    更新日期:2018-05-01 00:00:00

  • Modern trends in infection control practices in intensive care units.

    abstract::Hospital-acquired infections (HAIs) are common in intensive care unit (ICU) patients and are associated with increased morbidity and mortality. There has been an increasing effort to prevent HAIs, and infection control practices are paramount in avoiding these complications. In the last several years, numerous develop...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066613485215

    authors: Gandra S,Ellison RT 3rd

    更新日期:2014-11-01 00:00:00

  • Near-Infrared Spectroscopy in Adult Circulatory Shock: A Systematic Review.

    abstract:BACKGROUND:Circulatory shock affects every third patient in intensive care units and is associated with high mortality. Near-infrared spectroscopy (NIRS) could serve as a means for monitoring tissue perfusion in circulatory shock. PURPOSE:To assess the evidence of NIRS monitoring in circulatory shock, we conducted a s...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620907307

    authors: Varis E,Pettilä V,Wilkman E

    更新日期:2020-10-01 00:00:00

  • Management Strategies for Intracranial Pressure Crises in Subarachnoid Hemorrhage.

    abstract::Objectives: Standard management strategies for lowering intracranial pressure (ICP) in traumatic brain injury has been well-studied, but the use of lesser known interventions for ICP in subarachnoid hemorrhage (SAH) remains elusive. Searches were performed in PubMed and EBSCO Host to identify best available evidence f...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066618813073

    authors: Ravishankar N,Nuoman R,Amuluru K,El-Ghanem M,Thulasi V,Dangayach NS,Lee K,Al-Mufti F

    更新日期:2020-03-01 00:00:00

  • The Association Between Admission Magnesium Concentrations and Lactic Acidosis in Critical Illness.

    abstract:INTRODUCTION:Although magnesium plays an important role in aerobic metabolism and magnesium deficiency is a common phenomenon in critical illness, the association between magnesium deficiency and lactic acidosis in the intensive care unit (ICU) has not been defined. METHODS:This was a retrospective, cross-sectional st...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066614530659

    authors: Moskowitz A,Lee J,Donnino MW,Mark R,Celi LA,Danziger J

    更新日期:2016-03-01 00:00:00

  • Sedation, Analgesia, and Paralysis in COVID-19 Patients in the Setting of Drug Shortages.

    abstract::The rapid spread of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has led to a global pandemic. The 2019 coronavirus disease (COVID-19) presents with a spectrum of symptoms ranging from mild to critical illness requiring intensive care unit (ICU) admission. Acute respiratory distress syndrome is a m...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620951426

    authors: Ammar MA,Sacha GL,Welch SC,Bass SN,Kane-Gill SL,Duggal A,Ammar AA

    更新日期:2021-02-01 00:00:00

  • Diagnosis of ventilator-associated pneumonia: focus on nonbronchoscopic techniques (nonbronchoscopic bronchoalveolar lavage, including mini-BAL, blinded protected specimen brush, and blinded bronchial sampling) and endotracheal aspirates.

    abstract::The ideal diagnostic approach for ventilator-associated pneumonia currently is based on invasive procedures to obtain respiratory tract cultures. Given the lack of consensus and relatively poor acceptance of full bronchoscopic bronchoalveolar lavage (BAL) and protected specimen brush (PSB), less invasive procedures ha...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066605283094

    authors: Fujitani S,Yu VL

    更新日期:2006-01-01 00:00:00

  • Pediatric Longitudinal Clivus Fracture: Survival With Minimal Morbidity.

    abstract::Longitudinal clivus fractures are rare in children, with only 5 cases published in the English literature to date. Clivus fractures, particularly longitudinal type, are associated with high mortality and morbidity. We report a case of longitudinal clivus fracture in a teenager with survival and complete neurological r...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066614555481

    authors: Samraj RS,Stalets EL

    更新日期:2015-10-01 00:00:00

  • Bi-level positive airway pressure ventilation in pediatric oncology patients with acute respiratory failure.

    abstract::The aim of the study was to describe our experience with bi-level positive airway pressure (BiPAP) ventilation in oncology children with acute respiratory failure, hospitalized in a single tertiary pediatric tertiary center. This was a retrospective cohort study of all pediatric oncology patients in our center admitte...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066609344956

    authors: Schiller O,Schonfeld T,Yaniv I,Stein J,Kadmon G,Nahum E

    更新日期:2009-11-01 00:00:00

  • Epidemiology and Microbiology of Sepsis Syndromes in a University-Affiliated Urban Teaching Hospital and Level-1 Trauma and Burn Center.

    abstract:PURPOSE:To use the 2010 to 2011 data collected by structured chart review to provide a detailed up-to-date description of the epidemiology and microbiology of the sepsis syndromes. METHODS:Prospective observational study conducted at a university-affiliated urban teaching hospital and level-1 trauma and burn center. A...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066615592851

    authors: Tulloch LG,Chan JD,Carlbom DJ,Kelly MJ,Dellit TH,Lynch JB

    更新日期:2017-05-01 00:00:00

  • Effect of Interhospital ICU Relocation on Patient Physiology and Clinical Outcomes.

    abstract::Relocation of large numbers of critically ill patients between hospitals is sometimes necessary and the risks associated with relocation may be high. In the setting of adherence to an interhospital intensive care unit (ICU) relocation protocol, we aimed to determine whether the interhospital relocation of all ICU pati...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066617726754

    authors: Janz DR,Khan YA,Mooney JL,Semler MW,Rice TW,Johnson JL,deBoisblanc BP,ICU MOVE Investigators and the Pragmatic Critical Care Research Group.

    更新日期:2019-11-01 00:00:00

  • Central Venous Catheter Insertion in the Prone Position-A Last Resort in Critically Ill COVID-19 Patients.

    abstract:BACKGROUND:In the setting of the COVID pandemic, many patients falling ill with acute respiratory distress syndrome eventually require prone positioning for gas exchange. Traditionally, central venous catheters are inserted with patient in the supine or Trendelenburg position. However, when a patient cannot tolerate su...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620959649

    authors: Yang MX,Ng PK

    更新日期:2020-09-16 00:00:00

  • Extracorporeal life support in severe propranolol and verapamil intoxication.

    abstract::Combined poisoning with calcium-channel blockers and beta-blockers is usually associated with severe heart failure. This report shows the effectiveness of emergency extracorporeal life support in treating life-threatening simultaneous propranolol and verapamil intoxication. A 15-year-old girl presented in cardiogenic ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066607307528

    authors: Kolcz J,Pietrzyk J,Januszewska K,Procelewska M,Mroczek T,Malec E

    更新日期:2007-11-01 00:00:00

  • Computed tomography evaluation of diverticulitis.

    abstract::Acute diverticulitis is a frequent and important diagnosis in gastrointestinal disease, most commonly involving the colon. It is estimated that approximately 15% to 30% of patients with diverticulosis develop symptomatic diverticulitis at some point in the natural history of the condition, often requiring medical and/...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066604265260

    authors: Lawrimore T,Rhea JT

    更新日期:2004-07-01 00:00:00

  • Spinal aspergillus abscess in a patient with bronchocentric granulomatosis.

    abstract::Aspergillus fumigatus hyphae is often found in the lung tissue of patients with bronchocentric granulomatosis (BCG). This organism is believed to be one agent responsible for inciting the hypersensitivity response and subsequent development of the characteristic pathology that defines BCG. The definitive etiology of t...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/088506669501000106

    authors: Collier J,Wolfe R,Lerner R,Nathan S,Mohsenifar Z

    更新日期:1995-01-01 00:00:00

  • Effectiveness of Treatments and Diagnostic Tools and Declining Mortality in Patients With Severe Sepsis: A 12-Year Population-Based Cohort Study.

    abstract::Sepsis is a major cause of morbidity and mortality worldwide. With the advance of medical care, the mortality of sepsis has decreased in the past decades. Many treatments and diagnostic tools still lack supporting evidence. We conducted a retrospective population-based cohort study with propensity score matched subcoh...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619827270

    authors: Chen KF,Tsai MY,Wu CC,Han ST

    更新日期:2020-12-01 00:00:00

  • Implementation of a Protocol Using the 5-Item Brief Alcohol Withdrawal Scale for Treatment of Severe Alcohol Withdrawal in Intensive Care Units.

    abstract:BACKGROUND:There is variation in the treatment of patients with severe alcohol withdrawal and a need for effective protocols. The purpose of this study was to evaluate the implementation of a symptom-triggered benzodiazepine protocol using the 5-item Brief Alcohol Withdrawal Scale (BAWS) for treatment of alcohol withdr...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620952762

    authors: Rastegar DA,Jarrell AS,Chen ES

    更新日期:2020-08-27 00:00:00

  • Successful use of extracorporeal membrane oxygenation in an adult patient with toxic shock-induced heart failure.

    abstract::Cardiomyopathy secondary to toxic shock syndrome (TSS) is an uncommon but potentially life-threatening problem. We report the case of a 51-year-old male who presented with profound cardiogenic shock and multiorgan failure that could not be managed by conventional therapy with intravenous fluids, vasopressors and inotr...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066613517069

    authors: Gabel E,Gudzenko V,Cruz D,Ardehali A,Fink MP

    更新日期:2015-02-01 00:00:00

  • Venous Thromboembolism Prophylaxis: A Narrative Review With a Focus on the High-Risk Critically Ill Patient.

    abstract::Venous thromboembolism (VTE) is a major health concern associated with significant morbidity and mortality. Critically ill patients are at an increased risk of VTE compared to general medical patients due to unique risk factors: prolonged immobilization, invasive lines and devices, certain medications, and acquired th...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066618796486

    authors: Lewis TC,Cortes J,Altshuler D,Papadopoulos J

    更新日期:2019-11-01 00:00:00

  • Ultrasound-Guided Percutaneous Dilational Tracheostomy: A Systematic Review of Randomized Controlled Trials and Meta-Analysis.

    abstract:INTRODUCTION:Percutaneous dilational tracheostomy (PDT) is a common and increasingly used procedure in the intensive care unit (ICU). It is usually performed with bronchoscopy guidance. Ultrasound has emerged as a useful tool in order to assist PDT, potentially improving its success rate and reducing procedural-related...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1177/0885066618755334

    authors: Gobatto ALN,Besen BAMP,Cestari M,Pelosi P,Malbouisson LMS

    更新日期:2020-05-01 00:00:00

  • Noninvasive Ventilation in a Pediatric Trauma Center: A Cohort Study.

    abstract:OBJECTIVE:To determine whether non-invasive ventilation (NIV) can avoid the need for tracheal intubation and/or reduce the duration of invasive ventilation (IMV) in previously intubated patients admitted to the pediatric intensive care unit (PICU) and developing acute hypoxemic respiratory failure (AHRF) after major tr...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620983744

    authors: Piastra M,De Bellis A,Morena TC,De Luca D,Pezza L,Pizza A,Genovese O,Mancino A,Picconi E,Conti G

    更新日期:2021-01-19 00:00:00

  • After-Hours/Nighttime Transfers Out of the Intensive Care Unit and Patient Outcomes: A Systematic Review and Meta-Analysis.

    abstract:PURPOSE:We evaluated the effects of after-hours/nighttime patient transfers out of the ICU on patient outcomes, by performing a systematic review and meta-analysis (PROSPERO CRD 42017074082). DATA SOURCES:MEDLINE, PubMed, EMBASE, Google Scholar, CINAHL, and the Cochrane Library from 1987-November 2019. Conference abst...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620984410

    authors: Moshynskyy AI,Mailman JF,Sy EJ

    更新日期:2020-12-28 00:00:00

  • Mortality in Patients With Septic Shock by Multidrug Resistant Bacteria: Risk Factors and Impact of Sepsis Treatments.

    abstract:BACKGROUND::Patients with septic shock by multidrug resistant (MDR) microorganism maybe considered a specific population of critical patients at very high risk of death in whom the effects of standard sepsis treatment has never been assessed. The objective of this retrospective analysis was to evaluate the risk factors...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066616688165

    authors: Busani S,Serafini G,Mantovani E,Venturelli C,Giannella M,Viale P,Mussini C,Cossarizza A,Girardis M

    更新日期:2019-01-01 00:00:00

  • Diagnostic Laparoscopy in the Intensive Care Unit.

    abstract::Primary and acquired abdominal pathology accounts for a significant proportion of sepsis and SIRS in the ICU population. Abdominal processes often present a difficult diagnostic dilemma in the truly critically ill patient who, due to hemodynamic instability or severe acute respiratory distress syndrome (ARDS) requirin...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066613492102

    authors: Zemlyak A,Heniford BT,Sing RF

    更新日期:2015-07-01 00:00:00

  • Lung injury and bronchopulmonary dysplasia in newborn infants.

    abstract::Bronchopulmonary dysplasia is the most common morbidity among surviving premature infants. Injury to the developing lung is the result of the interaction between a susceptible host and a number of contributing factors such as mechanical ventilation and infection. The resulting persistent impairment of pulmonary functi...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066604273494

    authors: Christou H,Brodsky D

    更新日期:2005-03-01 00:00:00

  • Postseptic Cognitive Impairment and Expression of APOE in Peripheral Blood: The Cognition After SepsiS (CASS) Observational Pilot Study.

    abstract:BACKGROUND:Cognitive impairment after sepsis is an important clinical problem. Determinants of postseptic cognitive impairment are not well understood. We thus undertook a systems biology approach to exploring a possible role for apolipoprotein E (APOE) in postseptic cognitive impairment. DESIGN:Prospective, observati...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619897604

    authors: Brown SM,Beesley SJ,Stubben C,Wilson EL,Presson AP,Grissom C,Maguire C,Rondina MT,Hopkins RO

    更新日期:2020-01-09 00:00:00

  • Impact of Low-Dose Hydrocortisone on the Incidence of Atrial Fibrillation in Patients With Septic Shock: A Propensity Score-Inverse Probability of Treatment Weighting Cohort Study.

    abstract:PURPOSE:Atrial fibrillation (AF) is common in the intensive care unit (ICU), notably in patients with septic shock for whom inflammation is an already identified risk factor. The aim of this study was to evaluate the effect of low-dose hydrocortisone on AF occurrence in patients with septic shock. METHODS:We performed...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066617696847

    authors: Launey Y,Lasocki S,Asehnoune K,Gaudriot B,Chassier C,Cinotti R,Maguet PL,Laksiri L,Mimoz O,Tawa A,Nesseler N,Malledant Y,Perrot B,Seguin P

    更新日期:2019-03-01 00:00:00

  • Argatroban for suspected heparin-induced thrombocytopenia: contemporary experience at a large teaching hospital.

    abstract::Heparin-induced thrombocytopenia requires immediate alternative anticoagulation to prevent or treat thromboembolic complications. Argatroban was approved based on multiple-center studies from the 1990s, but subsequent changes in prevailing awareness, diagnostic testing and therapeutic strategies for heparin-induced th...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066605284590

    authors: Kodityal S,Nguyen PH,Kodityal A,Sherer J,Hursting MJ,Rice L

    更新日期:2006-03-01 00:00:00