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ECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical Score.

dc.contributor.authorKellett, J
dc.contributor.authorEmmanuel, A
dc.contributor.authorRasool, S
dc.date.accessioned2012-08-01T09:46:59Z
dc.date.available2012-08-01T09:46:59Z
dc.date.issued2012
dc.identifier.citationECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical Score. 2012, 11 (1):8-12 Acute Meden_GB
dc.identifier.issn1747-4892
dc.identifier.pmid22423340
dc.identifier.urihttp://hdl.handle.net/10147/236833
dc.description.abstractObjective: ECG dispersion mapping (ECG-DM) is a novel technique that reports abnormal ECG microalternations. We report the ability of ECG-DM to predict clinical deterioration of acutely ill medical patients, as measured by an increase in the Simple Clinical Score (SCS) the day after admission to hospital. Methods: 453 acutely ill medical patients (mean age 69.7 +/- 14.0 years) had the SCS recorded and ECGDM performed immediately after admission to hospital. Results: 46 patients had an SCS increase 20.8 +/- 7.6 hours after admission. Abnormal micro-alternations during left ventricular re-polarization had the highest association with SCS increase (p=0.0005). Logistic regression showed that only nursing home residence and abnormal micro-alternations during re-polarization of the left ventricle were independent predictors of SCS increase with an odds ratio of 2.84 and 3.01, respectively. Conclusion: ECG-DM changes during left ventricular re-polarization are independent predictors of clinical deterioration the day after hospital admission.
dc.language.isoenen
dc.rightsArchived with thanks to Acute medicineen_GB
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshBody Surface Potential Mapping
dc.subject.meshCohort Studies
dc.subject.meshDisease Progression
dc.subject.meshElectrocardiography
dc.subject.meshEmergency Service, Hospital
dc.subject.meshFemale
dc.subject.meshHospital Mortality
dc.subject.meshHospitalization
dc.subject.meshHumans
dc.subject.meshIreland
dc.subject.meshLogistic Models
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshMonitoring, Physiologic
dc.subject.meshOdds Ratio
dc.subject.meshPredictive Value of Tests
dc.subject.meshPrognosis
dc.subject.meshProspective Studies
dc.subject.meshRisk Assessment
dc.subject.meshSensitivity and Specificity
dc.subject.meshSurvival Analysis
dc.subject.meshTachycardia, Ventricular
dc.titleECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical Score.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland. jgkellett@eircom.neten_GB
dc.identifier.journalAcute medicineen_GB
dc.description.provinceMunsteren
html.description.abstractObjective: ECG dispersion mapping (ECG-DM) is a novel technique that reports abnormal ECG microalternations. We report the ability of ECG-DM to predict clinical deterioration of acutely ill medical patients, as measured by an increase in the Simple Clinical Score (SCS) the day after admission to hospital. Methods: 453 acutely ill medical patients (mean age 69.7 +/- 14.0 years) had the SCS recorded and ECGDM performed immediately after admission to hospital. Results: 46 patients had an SCS increase 20.8 +/- 7.6 hours after admission. Abnormal micro-alternations during left ventricular re-polarization had the highest association with SCS increase (p=0.0005). Logistic regression showed that only nursing home residence and abnormal micro-alternations during re-polarization of the left ventricle were independent predictors of SCS increase with an odds ratio of 2.84 and 3.01, respectively. Conclusion: ECG-DM changes during left ventricular re-polarization are independent predictors of clinical deterioration the day after hospital admission.


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