{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T20:14:17Z","timestamp":1788034457468,"version":"build-2784847793"},"reference-count":46,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>This study examined the occurrence rate of specific types of premature ventricular complex (PVC) alarms and whether patient demographic and\/or clinical characteristics were associated with PVC occurrences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Because PVCs can signal myocardial irritability, in\u2010hospital electrocardiographic (ECG) monitors are typically configured to alert nurses when they occur. However, PVC alarms are common and can contribute to alarm fatigue. A better understanding of occurrences of PVCs could help guide alarm management strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A secondary quantitative analysis from an alarm study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was followed. Seven PVC alarm types (vendor\u2010specific) were described, and included isolated, couplet, bigeminy, trigeminy, run PVC (i.e. VT\u2009&gt;2), R\u2010on\u2010T and PVCs\/min. Negative binomial and hurdle regression analyses were computed to examine the association of patient demographic and clinical characteristics with each PVC type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 797,072 PVC alarms (45,271 monitoring hours) occurred in 446 patients, including six who had disproportionately high PVC alarm counts (40% of the total alarms). Isolated PVCs were the most frequent type (81.13%) while R\u2010on\u2010T were the least common (0.29%). Significant predictors associated with higher alarms rates: older age (isolated PVCs, bigeminy and couplets); male sex and presence of PVCs on the 12\u2010lead ECG (isolated PVCs). Hyperkalaemia at ICU admission was associated with a lower R\u2010on\u2010T type PVCs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Only a few distinct demographic and clinical characteristics were associated with the occurrence rate of PVC alarms. Further research is warranted to examine whether PVCs were associated with adverse outcomes, which could guide alarm management strategies to reduce unnecessary PVC alarms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Targeted alarm strategies, such as turning off certain PVC\u2010type alarms and evaluating alarm trends in the first 24\u2009h of admission in select patients, might add to the current practice of alarm management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16408","type":"journal-article","created":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T06:46:57Z","timestamp":1655448417000},"page":"3469-3481","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Premature ventricular complexes during continuous electrocardiographic monitoring in the intensive care unit: Occurrence rates and associated patient characteristics"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0756-5720","authenticated-orcid":false,"given":"Sukardi","family":"Suba","sequence":"first","affiliation":[{"name":"School of Nursing University of Rochester  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Medicine, and Office of Research, School of Nursing University of California, San Francisco (UCSF)  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten E.","family":"Fleischmann","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine UCSF  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hildy","family":"Schell\u2010Chaple","sequence":"additional","affiliation":[{"name":"Center for Nursing Excellence &amp; Innovation UCSF Medical Center  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine UCSF  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory M.","family":"Marcus","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine UCSF  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Badilini","sequence":"additional","affiliation":[{"name":"Department of Physiological Nursing, School of Nursing UCSF  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Hu","sequence":"additional","affiliation":[{"name":"School of Nursing Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele M.","family":"Pelter","sequence":"additional","affiliation":[{"name":"Department of Physiological Nursing, School of Nursing UCSF  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.07.174"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2016.11.004"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrcr.2018.02.012"},{"key":"e_1_2_12_5_1","unstructured":"American College of Cardiology. 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