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01.12.2017 | Protocol | Ausgabe 1/2017 Open Access

Systematic Reviews 1/2017

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

Zeitschrift:
Systematic Reviews > Ausgabe 1/2017
Autoren:
James Malycha, Tim Bonnici, Katarina Sebekova, Tatjana Petrinic, Duncan Young, Peter Watkinson
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s13643-017-0456-0) contains supplementary material, which is available to authorized users.

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
Literatur
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