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Systematic Reviews
Published in: Systematic Reviews 1/2017

Open Access 01-12-2017 | Protocol

Variables associated with unplanned general adult ICU admission in hospitalised patients: protocol for a systematic review

Authors: James Malycha, Tim Bonnici, Katarina Sebekova, Tatjana Petrinic, Duncan Young, Peter Watkinson

Published in: Systematic Reviews | Issue 1/2017

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Abstract

Background

Failure to promptly identify deterioration in hospitalised patients is associated with delayed admission to intensive care units (ICUs) and poor outcomes. Existing vital sign-based Early Warning Score (EWS) algorithms do not have a sufficiently high positive predictive value to be used for automated activation of an ICU outreach team. Incorporating additional patient data might improve the predictive power of EWS algorithms; however, it is currently not known which patient data (or variables) are most predictive of ICU admission. We describe the protocol for a systematic review of variables associated with ICU admission.

Methods/design

MEDLINE, EMBASE, CINAHL and the Cochrane Library, including Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials (CENTRAL) will be searched for studies that assess the association of routinely recorded variables associated with subsequent unplanned ICU admission. Only studies involving adult patients admitted to general ICUs will be included. We will extract data relating to the statistical association between ICU admission and predictor variables, the quality of the studies and the generalisability of the findings.

Discussion

The results of this review will aid the development of future models which predict the risk of unplanned ICU admission.

Systematic review registration

PROSPERO: CRD42015029617
Appendix
Available only for authorised users
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Metadata
Title
Variables associated with unplanned general adult ICU admission in hospitalised patients: protocol for a systematic review
Authors
James Malycha
Tim Bonnici
Katarina Sebekova
Tatjana Petrinic
Duncan Young
Peter Watkinson
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2017
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-017-0456-0

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