Increases in Heart Rate Variability Signal Improved Outcomes in Rapid Response Team Consultations: A Cohort Study
المؤلفون المشاركون
Salahuddin, Nawal
Al-Ghamdi, Bandar
Shafquat, Azam
Marashly, Qussay
Zaza, Khaled Juan
Sharshir, Moh’d
Khurshid, Moazzum
Ali, Zeeshan
Malgapo, Melissa
Jamil, Mouhamad Ghyath
Shoukri, Mohamed
Hijazi, Mohammed
المصدر
Cardiology Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-03-01
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Reduced heart rate variability (HRV) indicates dominance of the sympathetic system and a state of “physiologic stress.” We postulated that, in patients with critical illness, increases in HRV might signal successful resuscitation and improved prognosis.
Methods.
We carried out a prospective observational study of HRV on all patients referred to the rapid response team (RRT) and correlated with serial vital signs, lactate clearance, ICU admission, and mortality.
Results.
Ninety-one patients were studied.
Significantly higher HRV was observed in patients who achieved physiological stability and did not need ICU admission: ASDNN 19 versus 34.5, p=0.032; rMSSD 13.5 versus 25, p=0.046; mean VLF 9.4 versus 17, p=0.021; mean LF 5.8 versus 12.4, p=0.018; and mean HF 4.7 versus 10.5, p=0.017.
ROC curves confirmed the change in very low frequencies at 2 hours as a strong predictor for ICU admission with an AUC of 0.772 (95% CI 0.633, 0.911, p=0.001) and a cutoff value of −0.65 associated with a sensitivity of 78.6% and a specificity of 61%.
Conclusions.
Reduced HRV, specifically VLF, appears closely related to greater severity of critical illness, identifies unsuccessful resuscitation, and can be used to identify consultations that need early ICU admission.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Salahuddin, Nawal& Shafquat, Azam& Marashly, Qussay& Zaza, Khaled Juan& Sharshir, Moh’d& Khurshid, Moazzum…[et al.]. 2018. Increases in Heart Rate Variability Signal Improved Outcomes in Rapid Response Team Consultations: A Cohort Study. Cardiology Research and Practice،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1151981
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Salahuddin, Nawal…[et al.]. Increases in Heart Rate Variability Signal Improved Outcomes in Rapid Response Team Consultations: A Cohort Study. Cardiology Research and Practice No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1151981
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Salahuddin, Nawal& Shafquat, Azam& Marashly, Qussay& Zaza, Khaled Juan& Sharshir, Moh’d& Khurshid, Moazzum…[et al.]. Increases in Heart Rate Variability Signal Improved Outcomes in Rapid Response Team Consultations: A Cohort Study. Cardiology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1151981
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1151981
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر