Does cardiac output measured in the Emergency Department Predict organ failure and death at 48 hours?: A pilot study

Anisa Jafar; C Junghans; Chun Shing Kwok; C Hymers; Kerri J Monk; Ed Gold; TR. Harris

Does cardiac output measured in the Emergency Department Predict organ failure and death at 48 hours? A pilot study

Anisa Jafar, C Junghans, Chun Shing Kwok, C Hymers, Kerri J Monk, Ed Gold, TR. Harris

Research output: Contribution to specialist publication › Article

Abstract

Background : Cardiac performance is predictive of mortality in a wide range of conditions. We set out to study whether cardiac index
predicts outcome in emergency department (ED) patients.
Methods: We performed a prospective observational study using a convenience sample of 58 patients presenting to the
resuscitation area of an inner-city teaching hospital over 4 months. We measured cardiac index on initial presentation using
an Ultrasonic Cardiac Output Monitor (USCOM™). We looked primarily at whether cardiac index predicts organ failure at
48 hours.
Results: Cardiac index was shown to be predictive of organ failure at 48 hours with an OR 4.71 95% CI 1.12 to 19.70 p=0.03.
Conclusions: This pilot data found that cardiac index measured using USCOM™ predicts 48-hour organ failure. However the study is
limited in its conclusions by having only 58 full participants available for analysis.

Original language	English
Number of pages	7
Volume	3
No.	2
Specialist publication	Jacobs Journal of Emergency Medicine
Publisher	Jacobs Publishers
Publication status	Published - 2015

Keywords

cardiac index
Uscom
prediction tool
emergency department

Research Beacons, Institutes and Platforms

Humanitarian and Conflict Response Institute

Cite this

@misc{686604ce91f6436db7c80ae064ab1058,

title = "Does cardiac output measured in the Emergency Department Predict organ failure and death at 48 hours?: A pilot study",

abstract = "Background : Cardiac performance is predictive of mortality in a wide range of conditions. We set out to study whether cardiac indexpredicts outcome in emergency department (ED) patients.Methods: We performed a prospective observational study using a convenience sample of 58 patients presenting to theresuscitation area of an inner-city teaching hospital over 4 months. We measured cardiac index on initial presentation usingan Ultrasonic Cardiac Output Monitor (USCOM{\texttrademark}). We looked primarily at whether cardiac index predicts organ failure at48 hours.Results: Cardiac index was shown to be predictive of organ failure at 48 hours with an OR 4.71 95% CI 1.12 to 19.70 p=0.03.Conclusions: This pilot data found that cardiac index measured using USCOM{\texttrademark} predicts 48-hour organ failure. However the study islimited in its conclusions by having only 58 full participants available for analysis. ",

keywords = "cardiac index, Uscom, prediction tool, emergency department",

author = "Anisa Jafar and C Junghans and Kwok, {Chun Shing} and C Hymers and Monk, {Kerri J} and Ed Gold and TR. Harris",

year = "2015",

language = "English",

volume = "3",

journal = "Jacobs Journal of Emergency Medicine",

publisher = "Jacobs Publishers",

address = "United States",

}

TY - GEN

T1 - Does cardiac output measured in the Emergency Department Predict organ failure and death at 48 hours?

T2 - A pilot study

AU - Jafar, Anisa

AU - Junghans, C

AU - Kwok, Chun Shing

AU - Hymers, C

AU - Monk, Kerri J

AU - Gold, Ed

AU - Harris, TR.

PY - 2015

Y1 - 2015

N2 - Background : Cardiac performance is predictive of mortality in a wide range of conditions. We set out to study whether cardiac indexpredicts outcome in emergency department (ED) patients.Methods: We performed a prospective observational study using a convenience sample of 58 patients presenting to theresuscitation area of an inner-city teaching hospital over 4 months. We measured cardiac index on initial presentation usingan Ultrasonic Cardiac Output Monitor (USCOM™). We looked primarily at whether cardiac index predicts organ failure at48 hours.Results: Cardiac index was shown to be predictive of organ failure at 48 hours with an OR 4.71 95% CI 1.12 to 19.70 p=0.03.Conclusions: This pilot data found that cardiac index measured using USCOM™ predicts 48-hour organ failure. However the study islimited in its conclusions by having only 58 full participants available for analysis.

AB - Background : Cardiac performance is predictive of mortality in a wide range of conditions. We set out to study whether cardiac indexpredicts outcome in emergency department (ED) patients.Methods: We performed a prospective observational study using a convenience sample of 58 patients presenting to theresuscitation area of an inner-city teaching hospital over 4 months. We measured cardiac index on initial presentation usingan Ultrasonic Cardiac Output Monitor (USCOM™). We looked primarily at whether cardiac index predicts organ failure at48 hours.Results: Cardiac index was shown to be predictive of organ failure at 48 hours with an OR 4.71 95% CI 1.12 to 19.70 p=0.03.Conclusions: This pilot data found that cardiac index measured using USCOM™ predicts 48-hour organ failure. However the study islimited in its conclusions by having only 58 full participants available for analysis.

KW - cardiac index

KW - Uscom

KW - prediction tool

KW - emergency department

M3 - Article

VL - 3

JO - Jacobs Journal of Emergency Medicine

JF - Jacobs Journal of Emergency Medicine

PB - Jacobs Publishers

ER -

Does cardiac output measured in the Emergency Department Predict organ failure and death at 48 hours? A pilot study

Abstract

Keywords

Research Beacons, Institutes and Platforms

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