scholarly journals A review of the literature on the accuracy, strengths, and limitations of visual, thoracic impedance, and electrocardiographic methods used to measure respiratory rate in hospitalized patients

Author(s):  
Linda K. Bawua ◽  
Christine Miaskowski ◽  
Xiao Hu ◽  
George W. Rodway ◽  
Michele M. Pelter
2005 ◽  
Vol 20 (2) ◽  
pp. 212-220 ◽  
Author(s):  
Chau Yuen Lee ◽  
Lisa Pau Le Low ◽  
Sheila Twinn

Cureus ◽  
2018 ◽  
Author(s):  
Daniel Garrido ◽  
Justin J Assioun ◽  
Anahit Keshishyan ◽  
Marcos A Sanchez-Gonzalez ◽  
Bishoy Goubran

1994 ◽  
Vol 5 (1) ◽  
pp. 28-32 ◽  
Author(s):  
David A Oelberg ◽  
Jack Mendelson ◽  
Mark A Miller ◽  
Andre Dascal

Two long term hospitalized patients developed disseminated infections caused byMycobacterium chelonae,subspecies chelonae, over an eight-month period. In both cases, the disease was characterized by cutaneous and osseous involvement. The infections were indolent and marked by progressive bony destruction. These cases and a review of the literature are presented.


2005 ◽  
Vol 80 (7) ◽  
pp. 622-633 ◽  
Author(s):  
Todd E. Gorman ◽  
St??phane P. Ahern ◽  
Jeffrey Wiseman ◽  
Yoanna Skrobik

1994 ◽  
Vol 28 (4) ◽  
pp. 446-450 ◽  
Author(s):  
Julianne K. Whipple ◽  
Edward J. Quebbeman ◽  
Kelly S. Lewis ◽  
Mark S. Gottlieb ◽  
Robert K. Ausman

OBJECTIVE: To describe the clinical presentation of narcotic overdose in hospitalized patients and to differentiate this circumstance from other conditions often misdiagnosed as overdose. DESIGN: Case series. SETTING: Two acute-care teaching hospitals. PATIENTS: Forty-three hospitalized patients who received naloxone for a clinically suspected narcotic overdose. INTERVENTIONS: Two investigators independently evaluated each incident to determine whether the patient had a narcotic overdose. The patients were judged to have had an overdose if caregivers documented an immediate improvementin mental status, respiratory rate, or blood pressure after naloxone administration. MEASUREMENTS: The clinical presentation of a narcotic overdose in hospitalized patients was defined. Conditions misdiagnosed as an overdose were determined. MAIN RESULTS: Symptoms improved rapidly with the administration of naloxone in 28 incidents (65 percent) and were designated overdose. In 15 other instances there was no improvement in symptoms; these patients were designated nonoverdose. Only half of the overdose patients had a respiratory rate <8 breaths/min immediately prior to naloxone administration. Only two of the overdose patients had the classic triad of symptoms (respiratory depression, coma, and pinpoint pupils). Other overdose patients had only one or two of the classic signs. The clinical presentation of narcotic overdoses in hospitalized patients did not include respiratory depression, hypotension, or coma in the majority of patients. All overdose patients showed a decrease in mental status. The majority of nonoverdose patients had pulmonary conditions that were misdiagnosed as a narcotic overdose. CONCLUSIONS: Narcotic overdoses in hospitalized patients seldom fit the classic description. The lack of respiratory depression does not mean the absence of a narcotic overdose. Patients who receive narcotics and develop a signficant decrease in mental status should be evaluated for a possible overdose. Pulmonary, neurologic, cardiovascular, and electrolyte abnormalities often are misdiagnosed as a narcotic overdose in hospitalized patients.


Author(s):  
A.D. Droitcour ◽  
T.B. Seto ◽  
Byung-Kwon Park ◽  
S. Yamada ◽  
A. Vergara ◽  
...  

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Sergio Hernández-Jiménez

Background: Patients with diabetes and COVID-19 have higher rates of complications. Objective: To describe and identify the characteristics and outcomes in patients with diabetes and COVID-19. Methods: From March to June 2020, we included patients with diabetes and probable COVID-19 infection. We compared parameters between outpatients and hospitalized patients. A second analysis compared patients who died vs those who survived. Results: 243 patients, 37.6% women, with 56 ±12 years, and BMI 29.6 ±5.3 kg/m2 were included. Risk factors for hospitalization were oximetry <90% (HR 2.29, 95%CI 1.14-4.58) and mean blood pressure (MBP) <80 mmHg (HR 1.75, 95%CI 1.09-2.81). Age (HR 0.93, 95%CI 0.89-0.97), respiratory rate (RR) (HR 1.05, 95%CI 1.00-1.10) and PaFiO2 (HR 0.99, 95%CI: 0.98-1.00) predicted admission to critical areas. Risk factors for mortality were age ≥65 years (HR 2.88, 95%CI 1.61-5.17), RR ≥25 bpm (HR 3.86, 95%CI 1.33-11.12), heart rate (HR 1.82, 95%CI 0.96-3.42), PaFiO2 <100 (HR 3.70, 95%CI 1.06-6.65) and glucose ≥150 mg/dl (HR 2.57, 95%CI 1.05-6.25). Length of hospitalization was 8.5 (6-14) and 6 (2-10) days for discharged and deceased patients (p=0.003), respectively. Conclusion: Oximetry <90% and MBP <80 mmHg were associated with hospitalization requirement. Glucose concentration >150 mg/dl significantly predicted mortality.


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