Literature DB >> 32102049

Actionable Ventricular Tachycardia During In-Hospital ECG Monitoring and Its Impact on Alarm Fatigue.

Michele M Pelter1, Sukardi Suba1, Cass Sandoval2, Jessica K Zègre-Hemsey3, Sarah Berger2, Amy Larsen2, Fabio Badilini1, Xiao Hu4.   

Abstract

BACKGROUND: Ventricular tachycardia (V-tach) is the most common lethal arrhythmia, yet 90% of alarms are false and contribute to alarm fatigue. We hypothesize that some true V-tach also causes alarm fatigue because current criteria are too sensitive (i.e., ≥6 beats ≥100 beats/min [bpm]).
PURPOSE: This study was designed to determine (1) the proportion of clinically actionable true V-tach events; (2) whether true actionable versus nonactionable V-tach differs in terms of heart rate and/or duration (seconds); and (3) if actionable V-tach is associated with adverse outcomes.
METHODS: This was a secondary analysis in 460 intensive care unit (ICU) patients. Electronic health records were examined to determine if a V-tach event was actionable or nonactionable. Actionable V-tach was defined if a clinical action(s) was taken within 15 minutes of its occurrence (i.e., new and/or change of medication, defibrillation, and/or laboratory test). Maximal heart rate and duration for each V-tach event were measured from bedside monitor electrocardiography. Adverse patient outcomes included a code blue event and/or death.
RESULTS: In 460 ICU patients, 50 (11%) had 151 true V-tach events (range 1-20). Of the 50 patients, 40 (80%) had only nonactionable V-tach (97 events); 3 (6%) had both actionable and nonactionable V-tach (32 events); and 7 patients (14%) had only actionable V-tach (23 events). There were differences in duration comparing actionable versus nonactionable V-tach (mean 56.19 ± 116.87 seconds vs. 4.28 ± 4.09 seconds; P = 0.001) and maximal heart rate (188.81 ± 116.83 bpm vs. 150.79 ± 28.26 bpm; P = 0.001). Of the 50 patients, 3 (6%) had a code blue, 2 died, and all were in the actionable V-tach group.
CONCLUSIONS: In our sample, <1% experienced a code blue following true V-tach. Heart rate and duration for actionable V-tach were much faster and longer than that for nonactionable V-tach. Current default settings typically used for electrocardiographic monitoring (i.e., ≥6 beats ≥100 bpm) appear to be too conservative and can lead to crisis/red level nuisance alarms that contribute to alarm fatigue. A prospective study designed to test whether adjusting default settings to these higher levels is safe for patients is needed.

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Year:  2020        PMID: 32102049      PMCID: PMC7413570          DOI: 10.1097/HPC.0000000000000216

Source DB:  PubMed          Journal:  Crit Pathw Cardiol        ISSN: 1535-2811


  31 in total

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Journal:  Am J Cardiol       Date:  1992-09-15       Impact factor: 2.778

2.  Long-term follow-up of asymptomatic healthy subjects with frequent and complex ventricular ectopy.

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Journal:  N Engl J Med       Date:  1985-01-24       Impact factor: 91.245

Review 3.  2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.

Authors:  Sana M Al-Khatib; William G Stevenson; Michael J Ackerman; William J Bryant; David J Callans; Anne B Curtis; Barbara J Deal; Timm Dickfeld; Michael E Field; Gregg C Fonarow; Anne M Gillis; Christopher B Granger; Stephen C Hammill; Mark A Hlatky; José A Joglar; G Neal Kay; Daniel D Matlock; Robert J Myerburg; Richard L Page
Journal:  J Am Coll Cardiol       Date:  2017-10-30       Impact factor: 24.094

4.  Attitudes and practices related to clinical alarms.

Authors:  Marjorie Funk; J Tobey Clark; Thomas J Bauld; Jennifer C Ott; Paul Coss
Journal:  Am J Crit Care       Date:  2014-05       Impact factor: 2.228

5.  What are we missing? Arrhythmia detection in the pediatric intensive care unit.

Authors:  Eliyahu C Rosman; Andrew D Blaufox; Amanda Menco; Randi Trope; Howard S Seiden
Journal:  J Pediatr       Date:  2013-02-28       Impact factor: 4.406

6.  Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms.

Authors:  Sue Sendelbach; Sharon Wahl; Anita Anthony; Pam Shotts
Journal:  Crit Care Nurse       Date:  2015-08       Impact factor: 1.708

7.  A data mining approach to reduce the false alarm rate of patient monitors.

Authors:  Benedikt Baumgartner; Kolja Rödel; Alois Knoll
Journal:  Conf Proc IEEE Eng Med Biol Soc       Date:  2012

Review 8.  Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency.

Authors:  Christine Weirich Paine; Veena V Goel; Elizabeth Ely; Christopher D Stave; Shannon Stemler; Miriam Zander; Christopher P Bonafide
Journal:  J Hosp Med       Date:  2015-12-14       Impact factor: 2.960

9.  Reducing false alarms of intensive care online-monitoring systems: an evaluation of two signal extraction algorithms.

Authors:  M Borowski; S Siebig; C Wrede; M Imhoff
Journal:  Comput Math Methods Med       Date:  2011-02-27       Impact factor: 2.238

10.  Changes in Default Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensive Care Unit: A Pilot Project.

Authors:  Azizeh Khaled Sowan; Tiffany Michelle Gomez; Albert Fajardo Tarriela; Charles Calhoun Reed; Bruce Michael Paper
Journal:  JMIR Hum Factors       Date:  2016-01-11
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