{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:44:36Z","timestamp":1747147476292,"version":"3.40.5"},"reference-count":9,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,8,12]],"date-time":"2019-08-12T00:00:00Z","timestamp":1565568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiac telemetry monitoring is widely utilized for a variety of clinical indications, yet indication\u2010specific event rates for monitored patients are seldomly reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>High\u2010risk hospitalized patients for clinical deterioration can be identified using standardized telemetry monitoring indications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adjudicated data from events triggering emergency response team (ERT) activation were systematically characterized at the Cleveland Clinic from among standardized telemetry indications ordered over a 13\u2010month period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 72\u2009199 orders created for telemetry monitored patients, ERT activation occurred in 2677 patients (3.7%), of which 1326 (49.5%) were cardiac\u2010related. Patients with deep venous thrombosis or pulmonary embolism (DVT\/PE) demonstrated the highest overall event rate (ERT: n = 41 of 593 pts [6.9%]; 25\/41 cardiac related [61%]). Cardiac\u2010related events were proportionally highest among patients with coronary disease awaiting revascularization (ERT: n = 19 of 847 patients [2.2%]; 13\/19 cardiac\u2010related [68.4%]). Arrhythmia\u2010specific events were highest among patients who underwent cardiac surgery (n = 78 of 193 cardiac\u2010related ERT [40.4%]), and patients with known or suspected tachyarrhythmias (n = 318 of 788 cardiac\u2010related ERT [40.4%]). Bubble plot analysis identified patients hospitalized with DVT\/PE, drug or alcohol exposures, and acute coronary syndrome as among the highest overall and cardiac\u2010related events while identifying patients with respiratory disorder monitoring indications as carrying the highest noncardiac event rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>High\u2010risk hospitalized patients can be identified by telemetry indication and prioritized according to concerns for cardiac, arrhythmia\u2010specific and noncardiac clinical deterioration. This is particularly useful when monitored bed resources are constrained.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.23244","type":"journal-article","created":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T06:43:05Z","timestamp":1565678585000},"page":"952-957","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Indication\u2010specific event rates among hospitalized patients undergoing continuous cardiac monitoring"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5823-5588","authenticated-orcid":false,"given":"Daniel J.","family":"Cantillon","sequence":"first","affiliation":[{"name":"Heart and Vascular Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Burkle","sequence":"additional","affiliation":[{"name":"Nursing Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Desiree","family":"Kirkwood","sequence":"additional","affiliation":[{"name":"Nursing Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Loy","sequence":"additional","affiliation":[{"name":"Nursing Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram","family":"Amuthan","sequence":"additional","affiliation":[{"name":"Internal Medicine\/Hospital Medicine Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Pengel","sequence":"additional","affiliation":[{"name":"Nursing Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Tote","sequence":"additional","affiliation":[{"name":"Nursing Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Morris","sequence":"additional","affiliation":[{"name":"Internal Medicine\/Hospital Medicine Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penny L.","family":"Houghtaling","sequence":"additional","affiliation":[{"name":"Lerner Research Institute Cleveland Clinic Lerner College of Medicine  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron C.","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Community Medicine\/Hospital Medicine Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Petre","sequence":"additional","affiliation":[{"name":"Clinical Engineering Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umesh N.","family":"Khot","sequence":"additional","affiliation":[{"name":"Heart and Vascular Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce D.","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Heart and Vascular Institute Cleveland Clinic  Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.10258"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.4491"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb02038.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)80270-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2005.05.015"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000527"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.76a.07260"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCI.0b013e3182a903f9"},{"key":"e_1_2_7_10_1","unstructured":"The Joint Commission. NPSG.06.01.01 on clinical alarm safety for hospitals. The Joint Commission website.http:\/\/www.jointcommission.org\/assets\/1\/18\/JCP0713_Announce_New_NSPG.pdf. Accessed January 1 2017."}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.23244","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/clc.23244","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.23244","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T02:21:55Z","timestamp":1694053315000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.23244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,12]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1002\/clc.23244"],"URL":"https:\/\/doi.org\/10.1002\/clc.23244","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"type":"print","value":"0160-9289"},{"type":"electronic","value":"1932-8737"}],"subject":[],"published":{"date-parts":[[2019,8,12]]},"assertion":[{"value":"2019-06-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}