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August 30, 2001Internal Medicine Journal

Antecedents to hospital deaths

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Population

778 hospital deaths at three separate acute hospitals over a 6-month period

Design

Cohort

Authors

KHKen HillmanCross-Cutting CardiologyPBPeter BristowLiverpool HospitalTCTien CheyUniversity of Technology Sydney

Discussion

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Implication

Vital sign abnormalities precede many deaths; hypothesis-generating for early warning systems but should not yet change practice.

Structured PICO

P
Population
778 hospital deaths at three separate acute hospitals over a 6-month period
O
Outcome
Antecedent factors present within 0-8 and 8-48 h of all deaths including vital sign abnormalities, cardiorespiratory arrests and admission to intensive care

A high incidence of serious vital sign abnormalities precedes potentially preventable hospital deaths, suggesting an opportunity for earlier intervention.

Cite This Study

Hillman et al. (2001) studied this question.

synapsesocial.com/papers/6a20e51d8446b104fdecbd6bhttps://doi.org/10.1046/j.1445-5994.2001.00077.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Incidence and Characteristics of Preventable latrogenic Cardiac Arrests1991 · 111 citations
  2. 2Adjusted hospital death rates: a potential screen for quality of medical care.1987 · 151 citations
  3. 3The Medical Emergency Team: a new strategy to identify and intervene in high-risk patients1995 · 148 citations
  4. 4Rates of in‐hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team2000 · 355 citations
  5. 5Incidence and characteristics of preventable iatrogenic cardiac arrests1991 · 174 citations