title: Utility of commonly captured data from an EHR to identify hospitalized patients at risk for clinical deterioration.
abstract: Rapid Response Teams (RRTs) respond to critically ill patients in the hospital. Activation of RRTs is highly subjective and misses a proportion of at-risk patients. We created an automated scoring system for non-ICU inpatients based on readily available electronic vital signs data, age, and body mass index. Over two weeks, we recorded scores on 1,878 patient with a range of scores from 0 to 10. Fifty patients reached the primary outcome of code call, cardiopulmonary arrest, or transfer to an ICU. Using a cutoff score of 4 or greater would result in identification of an additional 20 patients over the 7 patients identified by the current method of RRT activation. The area under the Receiver Operating Curve for the prediction model was 0.72 which compared favorably to other scoring systems. An electronic scoring system using readily captured EMR data may improve identification of patients at risk for clinical deterioration.
authors.affiliation: Northwestern University, Chicago, IL, USA.
authors.forename: Abel
authors.initials: A
authors.lastname: Kho
authors.forename: David
authors.initials: D
authors.lastname: Rotz
authors.forename: Kinan
authors.initials: K
authors.lastname: Alrahi
authors.forename: Wendy
authors.initials: W
authors.lastname: Cárdenas
authors.forename: Kristin
authors.initials: K
authors.lastname: Ramsey
authors.forename: David
authors.initials: D
authors.lastname: Liebovitz
authors.forename: Gary
authors.initials: G
authors.lastname: Noskin
authors.forename: Chuck
authors.initials: C
authors.lastname: Watts
mesh_terms: D016638:Critical Illness; D001330:Electronic Data Processing; D006323:Heart Arrest; D006760:Hospitalization; D006801:Humans; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D012372:ROC Curve; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index