Prolonged Elevated Heart Rate and 90-Day Survival in Acutely Ill Patients: Data From the MIMIC-III Database. (Record no. 4296)

000 -LEADER
fixed length control field 02901nam a22004097a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180220s20182018 xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number 29402151
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0885-0666
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1177/0885066618756828 [doi]
190 ## -
-- Sandfort V
190 ## -
-- Johnson AEW
190 ## -
-- Kunz LM
190 ## -
-- Vargas JD
190 ## -
-- Rosing DR
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Sandfort, Veit
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Vargas, Jose D
245 ## - TITLE STATEMENT
Title Prolonged Elevated Heart Rate and 90-Day Survival in Acutely Ill Patients: Data From the MIMIC-III Database.
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-- Journal of Intensive Care Medicine. :885066618756828, 2018 Jan 01
252 ## -
-- J Intensive Care Med. :885066618756828, 2018 Jan 01
253 ## -
-- Journal of intensive care medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2018
269 ## -
-- FY2018
501 ## - WITH NOTE
With note Available in print through MWHC library: 1992 - 2001
520 ## - SUMMARY, ETC.
Summary, etc. PURPOSE: We sought to evaluate the association of prolonged elevated heart rate (peHR) with survival in acutely ill patients.
520 ## - SUMMARY, ETC.
Summary, etc. METHODS: We used a large observational intensive care unit (ICU) database (Multiparameter Intelligent Monitoring in Intensive Care III [MIMIC-III]), where frequent heart rate measurements were available. The peHR was defined as a heart rate >100 beats/min in 11 of 12 consecutive hours. The outcome was survival status at 90 days. We collected heart rates, disease severity (simplified acute physiology scores [SAPS II]), comorbidities (Charlson scores), and International Classification of Diseases (ICD) diagnosis information in 31 513 patients from the MIMIC-III ICU database. Propensity score (PS) methods followed by inverse probability weighting based on the PS was used to balance the 2 groups (the presence/absence of peHR). Multivariable weighted logistic regression was used to assess for association of peHR with the outcome survival at 90 days adjusting for additional covariates.
520 ## - SUMMARY, ETC.
Summary, etc. RESULTS: The mean age was 64 years, and the most frequent main disease category was circulatory disease (41%). The mean SAPS II score was 35, and the mean Charlson comorbidity score was 2.3. Overall survival of the cohort at 90 days was 82%. Adjusted logistic regression showed a significantly increased risk of death within 90 days in patients with an episode of peHR ( P < .001; odds ratio for death 1.79; confidence interval, 1.69-1.88). This finding was independent of median heart rate.
520 ## - SUMMARY, ETC.
Summary, etc. CONCLUSION: We found a significant association of peHR with decreased survival in a large and heterogenous cohort of ICU patients.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
656 ## - INDEX TERM--OCCUPATION
Occupation Medicine/Internal Medicine
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Washington Hospital Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Health Research Institute
657 ## - INDEX TERM--FUNCTION
Function Journal Article
857 ## -
-- https://dx.doi.org/10.1177/0885066618756828
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Permanent Location Current Location Date acquired Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 2018-02-20 29402151 2018-02-20 2018-02-20 Journal Article

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