Publications by authors named "John Tote"
Research on traditional cardiac telemetry demonstrates that excessive alarms are related to lead failures and noise-related interruptions. Patch-based continuous cardiac rhythm monitoring (CCRM) has emerged in outpatient ambulatory monitoring situations as a means to improve recording fidelity. In this study, patients hospitalized but not in the intensive care unit were simultaneously monitored via telemetry in parallel with the use of the Vital Signs Patch™ (VSP) CCRM system (LifeWatch Services, Rosemont, IL, USA), applying standardized monitoring and notifications provided by an off-site central monitoring unit (CMU).
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- - The study analyzed telemetry monitoring data from 72,199 hospital patients over 13 months, finding that 3.7% activated emergency response teams (ERT), with nearly half of those events being cardiac-related.
- - Patients with deep venous thrombosis or pulmonary embolism had the highest ERT activation rates, with a significant portion of these events being cardiac-related, and patients awaiting coronary revascularization also showed notable cardiac issues.
- - The findings suggest that standardized telemetry monitoring can help identify high-risk patients, allowing for better prioritization of resources during times of limited availability, especially for cardiac and arrhythmia-specific events.