Clinical Electrophysiology -> SCA Risk Assessment: -> Clinical Risk Assessment Techniques D-PO04 - Poster Session IV (ID 15) Poster

D-PO04-213 - Sudden Cardiac Arrest Prevention Utilizing A Vendor-agnostic, Rank Order Detection Algorithm Among Non-ICU Hospitalized Patients: The Enhanced Central Monitoring Unit (eCMU) (ID 498)

Abstract

Background: The enhanced CMU (eCMU) is a vendor agnostic secondary monitoring system using a rank-order detection algorithm to identify deteriorating patients at risk for sudden cardiac arrest (SCA).
Objective: Delineate clinical outcomes associated with eCMU deployment to Cleveland Clinic main campus and 10 regional sites.
Methods: Systematic analysis of 2018-2019 eCMU outcomes to include adjudicated analysis of notifications provided < 1 hour prior to emergency response team (ERT) activation for rhythm-related events.
Results: : Among 905,848 notifications, the eCMU identified 240,738 (27%) arrhythmia and hemodynamic events among 1,124 + 49 patients per day over 12 months. Among 4,510 ERT activations, there were 1,051 (23%) rhythm-related events [Age 66 + 16, 45% Female]. Among VT/VF, the eCMU notified in advance n=162/177 (92%), simultaneous n=9/177 (5%) and none n=6 (3%) while pt off-monitor (n=3/6) and technician misinterpretation (n=3/6). Among brady/asystole, the eCMU notified in advance n=73/81 (90%), and simultaneous n=8/81 (10%). The eCMU also provided advanced or simultaneous notification in the overwhelming majority of non-lethal sinus tachy/brady and SVT; Figure.
Conclusion: The eCMU provides effective off-site central monitoring of a large multi-hospital patient census whereby all lethal arrhythmias are captured in advance or simultaneous with ERT activation by the rank order detection algorithm.
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