The prevalence of recordings of the signs of critical conditions and emergency responses in hospital wards - The SOCCER study

  • Harrison G
  • Jacques T
  • Kilborn G
 et al. 
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Abstract

Objective: To estimate the prevalence of recordings in case notes of disturbed physiological variables in adult admissions in general hospital wards. Design and setting: Retrospective cross-sectional survey of 3160 admissions in general wards in five hospitals in a 14-day period. Main outcome measures: Recordings of 26 potential early signs (ES) and 21 potential late signs (LS) of critical conditions. Eight late signs were classified as Liverpool Hospital Equivalent Calling Signs (LES). Results: 54.7% admissions had at least one recording of early signs, 16.0% late signs and 6.4% LES. When ranked in order of recordings per 100 admissions, the top five ES were SpO290-95% (193.7), systolic blood pressure (SBP) 80-100 mmHg (85.2), pulse rate 40-49 or 121-140 b/min (32.0), SBP 181-240 mmHg (23.0) and "Other" (22.1) (mainly breathlessness or temperature >38°C). The top five LS were SpO2< 90% (31.5), pulse rate 140/min (6.6), SBP

Author-supplied keywords

  • Emergency medical services
  • Emergency treatment
  • Medical emergency team
  • Training

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