Document Detail

Clinical risk assessment: identifying patients at high risk for heart failure.
MedLine Citation:
PMID:  19200464     Owner:  NLM     Status:  MEDLINE    
Care requirements differ for individual patients in the heart failure continuum of care. Few tools exist that enable the bedside nurse to assess the cardiac surgical patient effectively. A quality improvement project was conducted at a level I trauma center in the mid-Atlantic United States to identify perioperative heart failure patients who do poorly after cardiac surgery. The surgical patient who is at high risk for adverse events after coronary artery bypass graft surgery can be identified by clustering 11 characteristics. Of 1,971 patients studied, 294 had adverse outcomes. Data indicated that any cluster of the characteristics was intensified when emergency status was added.
Marsha Babb
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  AORN journal     Volume:  89     ISSN:  0001-2092     ISO Abbreviation:  AORN J     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-09     Completed Date:  2009-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  273-4, 277-88     Citation Subset:  IM; N    
Copyright Information:
Copyright (c) AORN, Inc, 2009.
Christiana Care Health System, Newark, DE, USA.
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MeSH Terms
Aged, 80 and over
Analysis of Variance
Chi-Square Distribution
Cluster Analysis
Coronary Artery Bypass / adverse effects*,  nursing,  statistics & numerical data
Heart Failure / diagnosis*,  epidemiology,  etiology*,  prevention & control
Length of Stay / statistics & numerical data
Mid-Atlantic Region / epidemiology
Nursing Assessment / organization & administration*
Nursing Evaluation Research
Operating Room Nursing / organization & administration
Postoperative Care / methods,  nursing
Predictive Value of Tests
Retrospective Studies
Risk Assessment / organization & administration*
Severity of Illness Index
Statistics, Nonparametric
Total Quality Management / organization & administration
Trauma Centers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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