Prevalence and Temporal Distribution of Extrasystoles in Septic ICU Patients: The Feasibility of Predicting Fluid Responsiveness Using Extrasystoles Article Swipe
Johannes Enevoldsen
,
Cristhian Potes
,
Minnan Xu-Wilson
,
Simon Tilma Vistisen
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1155/2018/5697092
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1155/2018/5697092
Background . Extrasystoles may be useful for predicting the response to fluid therapy in hemodynamically unstable patients but their prevalence is unknown. The aim of this study was to estimate the availability of extrasystoles in intensive care unit patients diagnosed with sepsis. The study aim was not to validate the fluid responsiveness prediction ability of extrasystoles. Methods . Twenty-four-hour ECG recordings from a convenience sample of 50 patients diagnosed with sepsis were extracted from the MIMIC-II waveform database, and ECGs were visually examined for correct QRS complex detection. Custom-made algorithms identified potential extrasystoles based on RR intervals. Two raters visually confirmed or rejected the potential extrasystoles and then classified them as ventricular, supraventricular, or unknown origin. Extrasystole availability was calculated as extrasystolic coverage for each 24 h ECG recording, that is, the percentage of the 24 h recording where an extrasystole had occurred in the preceding 30 minutes. Results . Mean extrasystolic coverage was 53.3% (confidence interval: [42.8; 63.6]%) and ventricular extrasystolic coverage was 21.4 [13.5; 29.8]%. Interrater reliability was strong for confirming/rejecting extrasystoles. Conclusions . Extrasystoles are available for fluid responsiveness prediction in septic patients in about half of the time. With this extrasystolic availability, we believe the method to be considered for clinical use, provided that future studies validate the method’s fluid responsiveness prediction ability.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1155/2018/5697092
- http://downloads.hindawi.com/journals/ccrp/2018/5697092.pdf
- OA Status
- gold
- Cited By
- 2
- References
- 21
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2894793404
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2894793404Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1155/2018/5697092Digital Object Identifier
- Title
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Prevalence and Temporal Distribution of Extrasystoles in Septic ICU Patients: The Feasibility of Predicting Fluid Responsiveness Using ExtrasystolesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2018Year of publication
- Publication date
-
2018-10-01Full publication date if available
- Authors
-
Johannes Enevoldsen, Cristhian Potes, Minnan Xu-Wilson, Simon Tilma VistisenList of authors in order
- Landing page
-
https://doi.org/10.1155/2018/5697092Publisher landing page
- PDF URL
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https://downloads.hindawi.com/journals/ccrp/2018/5697092.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://downloads.hindawi.com/journals/ccrp/2018/5697092.pdfDirect OA link when available
- Concepts
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Medicine, Distribution (mathematics), Pediatrics, Internal medicine, Cardiology, Mathematics, Mathematical analysisTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
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2021: 1, 2018: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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