Why the study?
Does an increased respiratory rate predict early clinical deterioration after emergency department discharge in adult medical patients?
Population
Adult patients with medical conditions discharged from the emergency department, including 170 who revisited…
Comparison
Increased respiratory rate at initial ED… vs Lower/normal respiratory rate
Design
Case-control
Follow-up
2 days
Key result
An increased respiratory rate prior to emergency department discharge was an independent predictor of clinical deterioration and ED revisit within 2 days (adjusted OR 1.15; 95% CI 1.01-1.29).
Authors
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Elevated respiratory rate may warrant caution before ED discharge; leaves open prospective validation of this association.
Case-Control (n=15,724)
No
Does an increased respiratory rate predict early clinical deterioration after emergency department discharge in adult medical patients?
Effect estimate: adjusted OR 1.15 (95% CI 1.01-1.29)
p-value: p=0.002
An increased respiratory rate at initial ED presentation is an independent predictor of early clinical deterioration and ED revisit within 2 days of discharge.
Mochizuki et al. (2016) conducted a case-control in Clinical deterioration after emergency department discharge (n=15,724). Increased respiratory rate vs. Lower respiratory rate was evaluated on Clinical deterioration requiring ED revisit within 2 days of discharge (adjusted OR 1.15, 95% CI 1.01-1.29, p=0.002). An increased respiratory rate prior to emergency department discharge was an independent predictor of clinical deterioration and ED revisit within 2 days (adjusted OR 1.15; 95% CI 1.01-1.29).