Background: Little is known about patients admitted with chest pain to inpatient telemetry units directly from an emergency department.
Methods: We analyzed data from 105 consecutive patients who presented with chest pain to an emergency department and who were hospitalized in an inpatient telemetry unit but who were at low risk for a coronary event.
Results: Telemetry yielded no information which was used to manage any patient. None of the 105 patients (0%) developed a myocardial infarction or died during hospitalization. At 4.8-year follow-up, 8 of 105 patients (8%) died. Significant risk factors for long-term mortality were age (p < .001), prior coronary artery disease (p < .05), and diabetes (p < .02).
Conclusions: Inpatient telemetry was of no value in predicting short-term coronary events or mortality or long-term mortality in low-risk patients hospitalized with chest pain.
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http://dx.doi.org/10.1093/gerona/60.5.605 | DOI Listing |
Simul Healthc
January 2025
From the Department of Human Factors (H.S., Y.P., E.T., L.D.W.), Center for the Simulation, Research, and Patient Safety, Carilion Clinic, Roanoke, VA; and Health Systems and Implementation Science (S.H.P.), Virginia Tech Carilion School of Medicine, Roanoke, VA.
Introduction: Virtual Monitor Technicians (VMTs) are crucial in remotely monitoring inpatient telemetry. However, little is known about VMT workload and intratask performance changes, and their potential impact on patient safety. This exploratory study used a high-fidelity simulation aimed to evaluate VMTs' workload and performance changes over time in telemetry monitoring and identify future research directions for performance improvement.
View Article and Find Full Text PDFCureus
October 2024
Department of Emergency Medicine, Memorial Healthcare System, Hollywood, USA.
Epilepsia
January 2025
Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Objective: This study was undertaken to determine whether admission to dedicated seizure monitoring units (SMUs) result in reduced health care use (HCU).
Methods: This was a retrospective open cohort study covering the years 2010-2018 of patients residing in Alberta, Canada, who were referred to the Calgary Comprehensive Epilepsy Program and admitted to a level 4 SMU. Patients were required to have ≥3 years pre- and postadmission follow-up.
JMIR Mhealth Uhealth
November 2024
Department of Surgery, Wake Forest School of Medicine, Winston Salem, NC, United States.
Background: ViSi Mobile has the capability of monitoring a patient's posture continuously during hospitalization. Analysis of ViSi telemetry data enables researchers and health care providers to quantify an individual patient's movement and investigate collective patterns of many patients. However, erroneous values can exist in routinely collected ViSi telemetry data.
View Article and Find Full Text PDFJ Acad Consult Liaison Psychiatry
October 2024
Medical Psychiatry Unit Consortium; University of Rochester School of Medicine and Dentistry, Departments of Psychiatry and Family Medicine, Rochester, NY.
Medical psychiatry units (MPUs), also known as complexity intervention units, represent an important innovation for integrating medical and behavioral health care in the hospital setting, thereby reducing the need for sequential medical and psychiatric hospitalization. As US hospitals face an increased demand for mental health services, interest in the MPU model is gaining momentum. However, there is no shared definition for what constitutes an MPU, and significant variation exists among units across the United States that have been designated as an MPU.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!