ECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical Score.
AffiliationDepartment of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland. firstname.lastname@example.org
Aged, 80 and over
Body Surface Potential Mapping
Emergency Service, Hospital
Predictive Value of Tests
Sensitivity and Specificity
MetadataShow full item record
CitationECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical Score. 2012, 11 (1):8-12 Acute Med
AbstractObjective: ECG dispersion mapping (ECG-DM) is a novel technique that reports abnormal ECG microalternations. We report the ability of ECG-DM to predict clinical deterioration of acutely ill medical patients, as measured by an increase in the Simple Clinical Score (SCS) the day after admission to hospital. Methods: 453 acutely ill medical patients (mean age 69.7 +/- 14.0 years) had the SCS recorded and ECGDM performed immediately after admission to hospital. Results: 46 patients had an SCS increase 20.8 +/- 7.6 hours after admission. Abnormal micro-alternations during left ventricular re-polarization had the highest association with SCS increase (p=0.0005). Logistic regression showed that only nursing home residence and abnormal micro-alternations during re-polarization of the left ventricle were independent predictors of SCS increase with an odds ratio of 2.84 and 3.01, respectively. Conclusion: ECG-DM changes during left ventricular re-polarization are independent predictors of clinical deterioration the day after hospital admission.
- The prediction of the in-hospital mortality of acutely ill medical patients by electrocardiogram (ECG) dispersion mapping compared with established risk factors and predictive scores--a pilot study.
- Authors: Kellett J, Rasool S
- Issue date: 2011 Aug
- Prediction of mortality 1 year after hospital admission.
- Authors: Kellett J, Rasool S, McLoughlin B
- Issue date: 2012 Sep
- Who will be sicker in the morning? Changes in the Simple Clinical Score the day after admission and the subsequent outcomes of acutely ill unselected medical patients.
- Authors: Kellett J, Emmanuel A, Deane B
- Issue date: 2011 Aug
- [ECG DISPERSION MAPPING: ABILITY TO PREDICT THE PATIENTS' PROGNOSIS (REVIEW)].
- Authors: Bulanova N, Ivanov G
- Issue date: 2019 Feb
- Assessing the need for hospital admission by the Cape Triage discriminator presentations and the simple clinical score.
- Authors: Emmanuel A, Ismail A, Kellett J
- Issue date: 2010 Nov