Respiratory rate predicts cardiopulmonary arrest for internal medicine inpatients.
Abstract
Objective To assess whether vital sign measurements could identify internal medicine patients at risk for cardiopulmonary arrest. Design Retrospective case-control study comparing 72 hours of pre-arrest vital sign measurements with 72 hours of vital sign measurements for patients from the same units who did not experience cardiopulmonary arrest. Setting Twelve non-intensive care internal medicine units at a large midwestern academic medical center. Patients Cases included all 59 inpatients who had experienced cardiopulmonary arrest between May 1989 and December 1990; patients who were designated do-not-resuscitate (DNR) or had less than 72 hours of vital sign recordings were excluded. Controls included 91 inpatients without cardiopulmonary arrest who were matched for units and who had 72 hours of vital sign recordings. Results The occurrence of one or more respiratory rates > 27 breaths per minute over a 72-hour period had a sensitivity of 0.54 and a specificity of 0.83 (odds ratio = 5.56, 95% CL = 2.67-11.49) in predicting cardiopulmonary arrest. Other respiratory rate thresholds were also predictive of arrest. The ability of respiratory rate to predict arrest was stronger in units with high incidences of arrest relative to units with low incidences, for example, in units for the management of gastrointestinal disease (sensitivity = 1.00, specificity = 0.86) and renal disease (sensitivity = 0.69, specificity = 0.87). Respiratory rate remained a significant predictor (p < 0.001) after controlling for patient age and gender. Pulse rate and blood pressure were not predictive of cardiopulmonary arrest. Conclusions Using elevated respiratory rates as a signal for focused diagnostic studies and therapeutic interventions in internal medicine patients may be useful in reducing the incidence of subsequent cardiopulmonary arrest, and lowering associated morbidity and mortality.
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High basal respiratory rates predict negative cardiopulmonary outcomes.
“High basal respiratory rates also predict negative cardiopulmonary outcomes (Fieselmann et al., 1993; Hodgetts et al., 2002).”
From Hypothesis: Pulmonary Afferent Activity Patterns During Slow, Deep Breathing Contribute to the Neural Induction of Physiological Relaxation (2019) · cites this paper as Fieselmann et al., 1993
Cites
Knaus, W. A., Draper, E. A., Wagner, D. P., & Zimmerman, J. E. (1985) · Critical Care Medicine · doi:10.1097/00003246-198510000-00009 · Cited by 15,333 · see citing works
APACHE II-A Severity of Disease Classification System
Knaus, W. A., Draper, E. A., Wagner, D. P., & Zimmerman, J. E. (1986) · Critical Care Medicine · doi:10.1097/00003246-198608000-00028 · Cited by 13,379 · see citing works
APACHE II: a severity of disease classification system.
Knaus, W. A., Draper, E. S., Wagner, D. P., & Zimmerman, J. E. (1985) · PubMed · Cited by 6,034 · see citing works
Clinical Antecedents to In-Hospital Cardiopulmonary Arrest
Schein, R. M. H., Hazday, N., Pena, M., Ruben, B. H., & Sprung, C. L. (1990) · CHEST Journal · doi:10.1378/chest.98.6.1388 · Cited by 902 · see citing works
Survival after Cardiopulmonary Resuscitation in the Hospital
Bedell, S. E., Delbanco, T. L., Cook, E. F., & Epstein, F. H. (1983) · New England Journal of Medicine · doi:10.1056/nejm198309083091001 · Cited by 860 · see citing works
Clinical manifestations of inspiratory muscle fatigue
Cohen, C., Zagelbaum, G. L., Gross, D. R., Roussos, C., & Macklem, P. T. (1982) · The American Journal of Medicine · doi:10.1016/0002-9343(82)90711-2 · Cited by 496 · see citing works
(1987) · Journal of Critical Care · doi:10.1016/0883-9441(87)90022-0 · Cited by 333 · see citing works
Pre-arrest morbidity and other correlates of survival after in-hospital cardiopulmonary arrest
George, A. L., Folk, B. P., Crecelius, P. L., & Campbell, W. B. (1989) · The American Journal of Medicine · doi:10.1016/s0002-9343(89)80479-6 · Cited by 253 · see citing works
Tobin, M. J., Perez, W., Guenther, S. M., Semmes, B. J., Mador, M. J., Allen, S. J., Lodato, R. F., & Dantzker, D. R. (1986) · PubMed · doi:10.1164/arrd.1986.134.5.1111 · Cited by 241 · see citing works
Incidence and characteristics of preventable iatrogenic cardiac arrests
Bedell, S. E. (1991) · JAMA · doi:10.1001/jama.265.21.2815 · Cited by 174 · see citing works
Medical patients at high risk for catastrophic deterioration
Sax, F. L., & Charlson, M. E. (1987) · Critical Care Medicine · doi:10.1097/00003246-198705000-00012 · Cited by 147 · see citing works
Raised respiratory rate in elderly patients: a valuable physical sign.
McFadden, J. P., Price, R. C., EASTWOOD, H. D. H., & BRIGGS, R. S. J. (1982) · BMJ · doi:10.1136/bmj.284.6316.626 · Cited by 142 · see citing works
Respiratory Rate as an Indicator of Acute Respiratory Dysfunction
Gravelyn, T. R. (1980) · JAMA · doi:10.1001/jama.1980.03310100041029 · Cited by 105 · see citing works
Factors Determining Survival in Patients with Cardiac Arrest
Castagna, J. T., Weil, M. H., & Shubin, H. (1974) · CHEST Journal · doi:10.1378/chest.65.5.527 · Cited by 78 · see citing works
Continuous Noninvasive Monitoring of Respiratory Rate in Critically III Patients
Krieger, B. P., Feinerman, D., Zaron, A., & Bizousky, F. (1986) · CHEST Journal · doi:10.1378/chest.90.5.632 · Cited by 54 · see citing works
Relationship between acute physiologic derangement and risk of death
Knaus, W. A., Wagner, D. P., & Draper, E. A. (1985) · Journal of Chronic Diseases · doi:10.1016/0021-9681(85)90075-x · Cited by 47 · see citing works
Browning, I., D’Alonzo, G. E., & Tobin, M. J. (1990) · CHEST Journal · doi:10.1378/chest.97.6.1317 · Cited by 40 · see citing works
ROUTINE MEASUREMENT OF RESPIRATORY RATE
Kory, R. C. (1957) · JAMA · doi:10.1001/jama.1957.02980230018005 · Cited by 38 · see citing works
Bedside Evaluation of Respiratory Distress
Pardee, N. E., Winterbauer, R. H., & Allen, J. D. (1984) · CHEST Journal · doi:10.1378/chest.85.2.203 · Cited by 26 · see citing works
Pre-arrest morbidity and other correlates of survival after in-hospital cardiopulmonary arrest
George, A. L., Folk, B. P., Crecelius, P. L., & Campbell, W. B. (1989) · The American Journal of Medicine · doi:10.1016/0002-9343(89)90534-2 · Cited by 15 · see citing works
Evaluation of Two Electronic Respiratory Rate Monitoring Systems
Arnson, L., Rau, J. L., & Dixon, R. J. (1981) · Respiratory Care · doi:10.1177/194336548102600303 · Cited by 10 · see citing works
Plasma inhibitor of glomerular fibrinolysis in the hemolytic-uremic syndrome
(1982) · The American Journal of Medicine · doi:10.1016/0002-9343(82)90707-0 · Cited by 8 · see citing works
Respiratory monitoring: current techniques and some new developments.
Eberhart, R. C., & Weigelt, J. A. (1985) · PubMed · Cited by 5 · see citing works
Fallat, R. J. (1988) · Nursing Standard · doi:10.7748/ns.2.16.8.s17 · Cited by 1 · see citing works
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Sorted by citations
Deakin, C. D., Nolan, J. P., Soar, J., Sunde, K., Koster, R. W., Smith, G. B., & Perkins, G. D. (2010) · Resuscitation · doi:10.1016/j.resuscitation.2010.08.017 · Cited by 2,699 · see citing works
European Resuscitation Council Guidelines for Resuscitation 2015
Soar, J., Nolan, J. P., Böttiger, B. W., Perkins, G. D., Lott, C., Carli, P. A., Pellis, T., Sandroni, C., Skrifvars, M. B., Smith, G. B., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.07.016 · Cited by 1,498 · see citing works
European Resuscitation Council Guidelines for Resuscitation 2015
Perkins, G. D., Handley, A. J., Koster, R. W., Castrén, M. K., Smyth, M. A., Olasveengen, T. M., Monsieurs, K. G., Raffay, V. I., Gräsner, J., Wenzel, V., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.07.015 · Cited by 1,287 · see citing works
Respiratory rate: the neglected vital sign
Cretikos, M. A., Bellomo, R., Hillman, K., Chen, J., Finfer, S. R., & Flabouris, A. (2008) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2008.tb01825.x · Cited by 903 · see citing works
Nolan, J. P., Hazinski, M. F., Billi, J. E., Boettiger, B. W., Bossaert, L. L., de Caen, A. R., Deakin, C. D., Drajer, S., Eigel, B. N., Hickey, R. W., et al. (2010) · Resuscitation · doi:10.1016/j.resuscitation.2010.08.002 · Cited by 693 · see citing works
Respiration rate monitoring methods: A review
Al-Khalidi, F. Q., Saatchi, R., Burke, D. P., Elphick, H., & Tan, S. (2011) · Pediatric Pulmonology · doi:10.1002/ppul.21416 · Cited by 538 · see citing works
Paper‐Based Electrical Respiration Sensor
Güder, F., Ainla, A., Redston, J., Mosadegh, B., Glavan, A., Martin, T. J., & Whitesides, G. M. (2016) · Angewandte Chemie International Edition · doi:10.1002/anie.201511805 · Cited by 472 · see citing works
The Importance of Respiratory Rate Monitoring: From Healthcare to Sport and Exercise
Nicolò, A., Massaroni, C., Schena, E., & Sacchetti, M. (2020) · Sensors · doi:10.3390/s20216396 · Cited by 450 · see citing works
Hodgetts, T. J., Kenward, G., Vlachonikolis, I. G., Payne, S., & Castle, N. (2002) · Resuscitation · doi:10.1016/s0300-9572(02)00100-4 · Cited by 355 · see citing works
Part 12: Education, implementation, and teams
Soar, J., Mancini, M. E., Bhanji, F., Billi, J. E., Dennett, J., Finn, J., Huei‐Ming, M., Perkins, G. D., Rodgers, D. L., Hazinski, M. F., et al. (2010) · Resuscitation · doi:10.1016/j.resuscitation.2010.08.030 · Cited by 278 · see citing works
The prevalence and significance of abnormal vital signs prior to in-hospital cardiac arrest
Andersen, L. W., Kim, W. Y., Chase, M., Berg, K. M., Mortensen, S. J., Moskowitz, A. L., Novack, V., Cocchi, M. N., & Donnino, M. W. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.08.016 · Cited by 270 · see citing works
The objective medical emergency team activation criteria: A case–control study
Cretikos, M. A., Chen, J., Hillman, K., Bellomo, R., Finfer, S. R., & Flabouris, A. (2007) · Resuscitation · doi:10.1016/j.resuscitation.2006.08.020 · Cited by 256 · see citing works
Integrated monitoring and analysis for early warning of patient deterioration
Tarassenko, L., Hann, A., & Young, D. (2006) · British Journal of Anaesthesia · doi:10.1093/bja/ael113 · Cited by 250 · see citing works
Wearable technology: role in respiratory health and disease
Aliverti, A. (2017) · Breathe · doi:10.1183/20734735.008417 · Cited by 243 · see citing works
Vital Signs in Older Patients: Age-Related Changes
Chester, J. G., & Rudolph, J. L. (2010) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2010.04.009 · Cited by 239 · see citing works
Continuous Monitoring of Vital Signs Using Wearable Devices on the General Ward: Pilot Study
Weenk, M., van Goor, H., Frietman, B., Engelen, L. J., van Laarhoven, C. J. H. M., Smit, J. W. A., Bredie, S. J. H., & van de Belt, T. H. (2017) · JMIR mhealth and uhealth · doi:10.2196/mhealth.7208 · Cited by 226 · see citing works
In-hospital cardiac arrest: survival depends mainly on the effectiveness of the emergency response
Sandroni, C., Ferro, G., Santangelo, S., Tortora, F., Mistura, L., Cavallaro, F., Caricato, A., & Antonelli, M. M. (2004) · Resuscitation · doi:10.1016/j.resuscitation.2004.03.020 · Cited by 217 · see citing works
Lenglet, H., Sztrymf, B., Leroy, C., Brun, P., Dreyfuss, D., & Ricard, J.-D. (2012) · Respiratory Care · doi:10.4187/respcare.01575 · Cited by 202 · see citing works
Derivation of a cardiac arrest prediction model using ward vital signs*
Churpek, M. M., Yuen, T. C., Park, S. Y., Meltzer, D. O., Hall, J. B., & Edelson, D. P. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e318250aa5a · Cited by 197 · see citing works
Evaluation of a Medical Emergency Team one year after implementation
Kenward, G., Nicolas Castle, B., Hodgetts, T. J., & Shaikh, L. A. H. A. (2004) · Resuscitation · doi:10.1016/j.resuscitation.2004.01.021 · Cited by 199 · see citing works
Translating research into practice. Considerations for critical care investigators.
Titler, M. G., & Everett, L. Q. (2001) · PubMed · Cited by 193 · see citing works
Mitchell, I., McKay, H. A., Leuvan, C. V., Berry, R. B., McCutcheon, C., Avard, B. J., Slater, N., Neeman, T. M., & Lamberth, P. G. (2010) · Resuscitation · doi:10.1016/j.resuscitation.2010.03.001 · Cited by 192 · see citing works
Packaging: a grounded theory of how to report physiological deterioration effectively
Andrews, T., & Waterman, H. A. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03615.x · Cited by 189 · see citing works
Predicting Cardiac Arrest on the Wards
Churpek, M. M., Yuen, T. C., Huber, M. T., Park, S. Y., Hall, J. B., & Edelson, D. P. (2011) · CHEST Journal · doi:10.1378/chest.11-1301 · Cited by 185 · see citing works
Improving detection of patient deterioration in the general hospital ward environment
Vincent, J.-L., Einav, S., Pearse, R., Jaber, S., Kranke, P., Overdyk, F. J., Whitaker, D. K., Gordo, F., Dahan, A., & Hoeft, A. (2018) · European Journal of Anaesthesiology · doi:10.1097/eja.0000000000000798 · Cited by 174 · see citing works
Noble, D. J., & Hochman, S. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.01176 · Cited by 160 · see citing works
Chin, M. H. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.156.16.1814 · Cited by 165 · see citing works
Vital signs monitoring to detect patient deterioration: An integrative literature review
Mok, W. Q., Wang, W., & Liaw, S. Y. (2015) · International Journal of Nursing Practice · doi:10.1111/ijn.12329 · Cited by 158 · see citing works
Screen-printed graphene-carbon ink based disposable humidity sensor with wireless communication
Beniwal, A., Ganguly, P., Aliyana, A. K., Khandelwal, G., & Dahiya, R. (2022) · Sensors and Actuators B Chemical · doi:10.1016/j.snb.2022.132731 · Cited by 157 · see citing works
Waist-wearable wireless respiration sensor based on triboelectric effect
Zhang, H., Zhang, J., Hu, Z., Quan, L., Shi, L., Chen, J., Xuan, W., Zhang, Z., Dong, S., & Luo, J. (2019) · Nano Energy · doi:10.1016/j.nanoen.2019.01.063 · Cited by 155 · see citing works
Long-term effect of introducing an early warning score on respiratory rate charting on general wards
McBride, J., Knight, D., Piper, J., & Smith, G. B. (2005) · Resuscitation · doi:10.1016/j.resuscitation.2004.10.015 · Cited by 154 · see citing works
Wang, Y., Zhang, L., Zhang, Z., Sun, P., & Chen, H. (2020) · Langmuir · doi:10.1021/acs.langmuir.0c01315 · Cited by 152 · see citing works
Zheng, T., Chen, Z., Cai, C., Luo, J., & Zhang, X. (2020) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3397321 · Cited by 151 · see citing works
Advances in Respiratory Monitoring: A Comprehensive Review of Wearable and Remote Technologies
Vitazkova, D., Foltan, E., Kosnacova, H., Micjan, M., Donoval, M., Kuzma, A., Kopáni, M., & Vavrinský, E. (2024) · Biosensors · doi:10.3390/bios14020090 · Cited by 149 · see citing works
Missed opportunities? An observational study of vital sign measurements
Leuvan, C. V., & Mitchell, I. (2008) · Critical Care and Resuscitation · doi:10.1016/s1441-2772(23)01322-4 · Cited by 142 · see citing works
Make vital signs great again – A call for action
Kellett, J. G., & Sebat, F. (2017) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2017.09.018 · Cited by 135 · see citing works
Wireless and continuous monitoring of vital signs in patients at the general ward
Weenk, M., Koeneman, M., van de Belt, T. H., Engelen, L. J., van Goor, H., & Bredie, S. J. H. (2019) · Resuscitation · doi:10.1016/j.resuscitation.2019.01.017 · Cited by 137 · see citing works
Peberdy, M. A., Cretikos, M. A., Abella, B. S., DeVita, M. A., Goldhill, D. R., Kloeck, W., Kronick, S. L., Morrison, L. J., Nadkarni, V., Nichol, G., et al. (2007) · Circulation · doi:10.1161/circulationaha.107.186227 · Cited by 135 · see citing works
The impact of introducing medical emergency team system on the documentations of vital signs
Chen, J., Hillman, K., Bellomo, R., Flabouris, A., Finfer, S. R., & Cretikos, M. A. (2008) · Resuscitation · doi:10.1016/j.resuscitation.2008.10.009 · Cited by 130 · see citing works
Translating Research into Practice
Titler, M. G., & Everett, L. Q. (2001) · Critical Care Nursing Clinics of North America · doi:10.1016/s0899-5885(18)30026-1 · Cited by 218 · see citing works
Video-based respiration monitoring with automatic region of interest detection
Janssen, R. J. M., Wang, W., Moço, A., & de Haan, G. (2015) · Physiological Measurement · doi:10.1088/0967-3334/37/1/100 · Cited by 121 · see citing works
Air-Filtering Masks for Respiratory Protection from PM2.5 and Pandemic Pathogens
Xu, J., Xiao, X., Zhang, W., Xu, R., Kim, S. C., Cui, Y., Howard, T. T., Wu, E., & Cui, Y. (2020) · One Earth · doi:10.1016/j.oneear.2020.10.014 · Cited by 116 · see citing works
Badawy, J., Nguyen, O. K., Clark, C., Halm, E. A., & Makam, A. N. (2017) · BMJ Quality & Safety · doi:10.1136/bmjqs-2017-006671 · Cited by 113 · see citing works
Eddahchouri, Y., Peelen, R. V., Koeneman, M., Touw, H. R. W., van Goor, H., & Bredie, S. J. H. (2022) · British Journal of Anaesthesia · doi:10.1016/j.bja.2022.01.036 · Cited by 112 · see citing works
Analysis of Medical Emergency Team calls comparing subjective to “objective” call criteria
Santiano, N., Young, L., Hillman, K., Parr, M. J., Jayasinghe, S. H., Baramy, L.-S., Stevenson, J., Heath, T., Chan, C., Claire, M., et al. (2008) · Resuscitation · doi:10.1016/j.resuscitation.2008.08.010 · Cited by 110 · see citing works
Monitoring of Heart and Breathing Rates Using Dual Cameras on a Smartphone
Nam, Y., Kong, Y., Reyes, B. A., Reljin, N., & Chon, K. H. (2016) · PLoS ONE · doi:10.1371/journal.pone.0151013 · Cited by 107 · see citing works
Data fusion for estimating respiratory rate from a single-lead ECG
Orphanidou, C., Fleming, S., Shah, S. A., & Tarassenko, L. (2012) · Biomedical Signal Processing and Control · doi:10.1016/j.bspc.2012.06.001 · Cited by 99 · see citing works
Nurmi, J. O., Harjola, V., Nolan, J. P., & Castrén, M. K. (2005) · Acta Anaesthesiologica Scandinavica · doi:10.1111/j.1399-6576.2005.00679.x · Cited by 98 · see citing works
Measurement of respiratory rate using wearable devices and applications to COVID-19 detection
Natarajan, A., Su, H.-W., Heneghan, C., Blunt, L., O’Connor, C., & Niehaus, L. (2021) · npj Digital Medicine · doi:10.1038/s41746-021-00493-6 · Cited by 99 · see citing works
Predicting clinical deterioration in the hospital: The impact of outcome selection
Churpek, M. M., Yuen, T. C., & Edelson, D. P. (2012) · Resuscitation · doi:10.1016/j.resuscitation.2012.09.024 · Cited by 98 · see citing works
Advances in triboelectric nanogenerators for self‐powered wearable respiratory monitoring
Kwak, W., Yin, J., Wang, S., & Chen, J. (2024) · FlexMat. · doi:10.1002/flm2.10 · Cited by 96 · see citing works
Funk, D. J., Sebat, F., & Kumar, A. (2009) · Current Opinion in Critical Care · doi:10.1097/mcc.0b013e32832e3825 · Cited by 93 · see citing works
Smart Vest for Respiratory Rate Monitoring of COPD Patients Based on Non-Contact Capacitive Sensing
Naranjo-Hernández, D., Taláminos-Barroso, A., Reina‐Tosina, J., Roa, L. M., Barbarov-Rostán, G., Cejudo, P., Martín, E. M., & Ruiz, F. Ó. (2018) · Sensors · doi:10.3390/s18072144 · Cited by 89 · see citing works
A Home Telemedicine System for Continuous Respiratory Monitoring
Angelucci, A., Kuller, D., & Aliverti, A. (2020) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2020.3012621 · Cited by 88 · see citing works
Part 12: Education, Implementation, and Teams
Mancini, M. E., Soar, J., Bhanji, F., Billi, J. E., Dennett, J., Finn, J., Huei‐Ming, M., Perkins, G. D., Rodgers, D. L., Hazinski, M. F., et al. (2010) · Circulation · doi:10.1161/circulationaha.110.971143 · Cited by 87 · see citing works
Non-invasive respiration rate monitoring using a single COTS TX-RX pair
Kaltiokallio, O., Yigitler, H., Jantti, R., & Patwari, N. (2014) · IPSN-14 Proceedings of the 13th International Symposium on Information Processing in Sensor Networks · doi:10.1109/ipsn.2014.6846741 · Cited by 101 · see citing works
Wireless non-invasive continuous respiratory monitoring with FMCW radar: a clinical validation study
van Loon, K., Breteler, M. J. M., van Wolfwinkel, L., Leyssius, A. T. V. R., Kossen, S., Kalkman, C. J., van Zaane, B., & Peelen, L. M. (2015) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-015-9777-5 · Cited by 85 · see citing works
Respiratory Rate: The Forgotten Vital Sign—Make It Count!
Loughlin, P. C., Sebat, F., & Kellett, J. G. (2018) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2018.04.014 · Cited by 82 · see citing works
Ensuring a proactive, evidence‐based, patient safety approach to patient assessment
Considine, J., & Currey, J. (2014) · Journal of Clinical Nursing · doi:10.1111/jocn.12641 · Cited by 80 · see citing works
Philip, K. E. J., Pack, E., Cambiano, V., Rollmann, H., Weil, S., & O’Beirne, J. P. (2014) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-014-9621-3 · Cited by 80 · see citing works
Non-invasive respiration rate monitoring using a single COTS TX-RX pair
Kaltiokallio, O., Yi̇ği̇tler, H., Jäntti, R., & Patwari, N. (2014) · doi:10.5555/2602339.2602347 · Cited by 78 · see citing works
Wang, Y., Hu, M., Zhou, Y., Li, Q., Yao, N., Zhai, G., Zhang, X.-P. S., & Yang, X. (2020) · IEEE Internet of Things Journal · doi:10.1109/jiot.2020.2991456 · Cited by 78 · see citing works
The Prognostic Significance of Respiratory Rate in Patients With Pneumonia
Strauß, R., Ewig, S., Richter, K. D., König, T., Heller, G., & Bauer, T. T. (2014) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2014.0503 · Cited by 76 · see citing works
Semler, M. W., Stover, D. G., Copland, A. P., Hong, G., Johnson, M. J., Kriss, M. S., Otepka, H., Wang, L. A., Christman, B. W., & Rice, T. W. (2012) · CHEST Journal · doi:10.1378/chest.12-1837 · Cited by 74 · see citing works
Peberdy, M. A., Cretikos, M. A., Abella, B. S., DeVita, M. A., Goldhill, D. R., Kloeck, W., Kronick, S. L., Morrison, L. J., Nadkarni, V., Nichol, G., et al. (2007) · Resuscitation · doi:10.1016/j.resuscitation.2007.09.009 · Cited by 72 · see citing works
Birrenkott, D. A., Pimentel, M. A. F., Watkinson, P. J., & Clifton, D. A. (2018) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2017.2778265 · Cited by 71 · see citing works
Eddahchouri, Y., Koeneman, M., Plokker, M., Brouwer, E., van de Belt, T. H., van Goor, H., & Bredie, S. J. H. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103849 · Cited by 71 · see citing works
Hong, W., Earnest, A., Sultana, P., Koh, Z. X., Shahidah, N., & Ong, M. E. H. (2011) · European Journal of Emergency Medicine · doi:10.1097/mej.0b013e32834fdcf3 · Cited by 71 · see citing works
Qian, Y. H., Najafikhoshnoo, S., Das, P., Noh, S., Hoang, E., Kim, T., & Esfandyarpour, R. (2021) · Advanced Materials Technologies · doi:10.1002/admt.202101034 · Cited by 69 · see citing works
Respiratory Rate Estimation from the Built-in Cameras of Smartphones and Tablets
Nam, Y., Lee, J., & Chon, K. H. (2013) · Annals of Biomedical Engineering · doi:10.1007/s10439-013-0944-x · Cited by 68 · see citing works
Activation of a Medical Emergency Team Using an Electronic Medical Recording–Based Screening System*
Huh, J. W., Lim, C., Koh, Y., Lee, J., Jung, Y.-K., Seo, H.-S., & Hong, S. (2013) · Critical Care Medicine · doi:10.1097/ccm.0000000000000031 · Cited by 68 · see citing works
Non-Contact Monitoring of Respiration in the Neonatal Intensive Care Unit
Jorge, J., Villarroel, M., Chaichulee, S., Guazzi, A., Davis, S., Green, G., McCormick, K. P., & Tarassenko, L. (2017) · International Conference on Automatic Face and Gesture Recognition · doi:10.1109/fg.2017.44 · Cited by 67 · see citing works
Dehkordi, P., Garde, A., Molavi, B., Ansermino, J. M., & Dumont, G. A. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00948 · Cited by 66 · see citing works
Ultrafast response flexible breath sensor based on vanadium dioxide
Liao, F., Zhu, Z., Yan, Z., Yao, G., Huang, Z., Gao, M., Pan, T., Zhang⋆, Y., Li, Q., Feng, X., et al. (2017) · Journal of Breath Research · doi:10.1088/1752-7163/aa757e · Cited by 66 · see citing works
Orphanidou, C. (2016) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2016.12.005 · Cited by 64 · see citing works
Shuzan, M. N. I., Chowdhury, M. H., Hossain, M. S., Chowdhury, M. E. H., Reaz, M. B. I., Uddin, M. M., Khandakar, A. A., Mahbub, Z. B., & Ali, S. H. M. (2021) · IEEE Access · doi:10.1109/access.2021.3095380 · Cited by 63 · see citing works
Staff perceptions of respiratory rate measurement in a general hospital
Philip, K. E. J., Richardson, R., & Cohen, M. (2013) · British Journal of Nursing · doi:10.12968/bjon.2013.22.10.570 · Cited by 63 · see citing works
Tracking human face features in thermal images for respiration monitoring
Al-Khalidi, F. Q., Saatchi, R., Burke, D. P., & Elphick, H. (2010) · IEEE/ACS International Conference on Computer Systems and Applications (AICCSA) · doi:10.1109/aiccsa.2010.5586994 · Cited by 63 · see citing works
Physical assessment: whose role is it anyway?
West, S. (2006) · Nursing in Critical Care · doi:10.1111/j.1362-1017.2006.00161.x · Cited by 61 · see citing works
Erweiterte Reanimationsmaßnahmen für Erwachsene („adult advanced life support“)
Soar, J., Nolan, J. P., Böttiger, B. W., Perkins, G. D., Lott, C., Carli, P. A., Pellis, T., Sandroni, C., Skrifvars, M. B., Smith, G. B., et al. (2015) · Notfall + Rettungsmedizin · doi:10.1007/s10049-015-0085-x · Cited by 60 · see citing works
Triboelectric Nanogenerators for Self-Powered Breath Monitoring
Shen, S., Xiao, X., Xiao, X., & Chen, J. (2021) · ACS Applied Energy Materials · doi:10.1021/acsaem.1c02465 · Cited by 60 · see citing works
Liaqat, D., Abdalla, M., Abed-Esfahani, P., Gabel, M., Son, T., Wu, R. C., Gershon, A. S., Rudzicz, F., & de Lara, E. (2019) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3328927 · Cited by 59 · see citing works
Naeem, N., & Montenegro, H. D. (2005) · Resuscitation · doi:10.1016/j.resuscitation.2005.04.016 · Cited by 58 · see citing works
Yadav, S. S., & Jadhav, S. M. (2020) · Expert Systems with Applications · doi:10.1016/j.eswa.2020.113807 · Cited by 58 · see citing works
Factors influencing nurses’ decisions to activate medical emergency teams
Pantazopoulos, I. N., Tsoni, A., Kouskouni, E. E., Papadimitriou, L., Johnson, E. O., & Xanthos, T. T. (2012) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2012.04080.x · Cited by 56 · see citing works
Kallioinen, N., Hill, A., Christofidis, M. J., Horswill, M. S., & Watson, M. J. O. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14584 · Cited by 54 · see citing works
Liu, J. J., Huang, M.-C., Xu, W., Zhang, X., Stevens, L. J., Alshurafa, N. I., & Sarrafzadeh, M. (2014) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2014.2344679 · Cited by 55 · see citing works
Non-Invasive Continuous Respiratory Monitoring on General Hospital Wards: A Systematic Review
van Loon, K., van Zaane, B., Bosch, E. J., Kalkman, C. J., & Peelen, L. M. (2015) · PLoS ONE · doi:10.1371/journal.pone.0144626 · Cited by 53 · see citing works
Vasandani, P. M., Gattu, B., Wu, J., Mao, Z., Jia, W., & Sun, M. (2017) · Advanced Materials Technologies · doi:10.1002/admt.201700014 · Cited by 53 · see citing works
Breathing Rate Estimation Using Kalman Smoother With Electrocardiogram and Photoplethysmogram
Khreis, S., Ge, D., Rahman, H. A., & Carrault, G. (2019) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2019.2923448 · Cited by 52 · see citing works
Missed medical emergency team activations: tracking decisions and outcomes in practice
Guinane, J., Bucknall, T. K., Currey, J., & Jones, D. A. (2013) · Critical Care and Resuscitation · doi:10.1016/s1441-2772(23)01425-4 · Cited by 51 · see citing works
Monitoring Breathing Frequency, Pattern, and Effort
Scott, J. B., & Kaur, R. (2020) · Respiratory Care · doi:10.4187/respcare.07439 · Cited by 50 · see citing works
Paper‐Based Electrical Respiration Sensor
Güder, F., Ainla, A., Redston, J., Mosadegh, B., Glavan, A. C., Martin, T. J., & Whitesides, G. M. (2016) · Angewandte Chemie · doi:10.1002/ange.201511805 · Cited by 49 · see citing works
O'Dell, M. L., Rechner, I., Kapila, A., Even, T., Oliver, D., Davies, C. W. H., Milsom, L., Forster, A. J., & Rudman, K. (2007) · Resuscitation · doi:10.1016/j.resuscitation.2007.01.035 · Cited by 48 · see citing works
Clinical evaluation of a novel respiratory rate monitor
Lee, P. J. (2015) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-015-9697-4 · Cited by 47 · see citing works
Ogero, M. O., Ayieko, P., Makone, B., Julius, T., Malla, L., Oliwa, J. N., Irimu, G., & English, M. (2018) · Journal of Global Health · doi:10.7189/jogh.08.010409 · Cited by 47 · see citing works
Latten, G. H. P., Spek, M., Muris, J. W. M., Cals, J., & Stassen, P. M. (2019) · PLoS ONE · doi:10.1371/journal.pone.0223155 · Cited by 46 · see citing works
Inhospital Cardiac Arrest: Pre-Event Variables and Nursing Response
Rich, K. A. (1999) · Clinical Nurse Specialist · doi:10.1097/00002800-199905000-00013 · Cited by 46 · see citing works
Setting standards for assessment of ward patients at risk of deterioration
Ryan, H., Cadman, C., & Hann, L. (2004) · British Journal of Nursing · doi:10.12968/bjon.2004.13.20.17008 · Cited by 46 · see citing works
Alarm limit settings for early warning systems to identify at risk patients
Burgess, L. P. A., Herdman, T. H., Berg, B. W., Feaster, W. W., & Hebsur, S. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05048.x · Cited by 42 · see citing works
- Authors
- Fieselmann, J. F., Hendryx, M. S., Helms, C. M., & Wakefield, D. S.
- Affiliations
- University of Iowa (US)
- ORCID
- Hendryx, Michael S.
- Venue
- Journal of General Internal Medicine
- Published
- 1993-07
- Volume
- 8
- Issue
- 7
- Pages
- 354-360
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- OpenAlex
- W2009946799
- Cited by
- 399
- References
- 24
- Citations by year
- 2026: 11 · 2025: 19 · 2024: 22 · 2023: 21 · 2022: 30 · 2021: 33 · 2020: 37 · 2019: 35 · 2018: 22 · 2017: 26 · 2016: 24 · 2015: 22 · 2014: 16 · 2013: 17 · 2012: 11
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Keywords
- cardiac arrest, respiratory rate, vital signs, medical inpatients, tachypnea, pulse rate, blood pressure, gastrointestinal diseases, kidney disease
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Blood Pressure, Female, Heart Arrest, Heart Rate, Humans, Male, Middle Aged, Predictive Value of Tests, Respiration, Respiratory Function Tests, Retrospective Studies, Risk Factors, Sensitivity and Specificity, Odds Ratio, Case-Control Studies
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