The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts

RISK ASSESSMENT OF NON-ICU PATIENTS RECEIVING NONINVASIVE VENTILATION, CPAP, OR WITH UNASSISTED TRACHEOSTOMY BREATHING.

Jessica Grady, Jhaymie L. Cappiello, Jan Thalman, Neil MacIntyre; Duke University Hospital, Raleigh, NC

BACKGROUND: In 2004, the Institute for Healthcare Improvement (IHI) recommended the hospital implementation of Rapid Response Teams (RRT) as part of their 100,000 lives campaign. The use of RRT programs conceivably could reduce non ICU cardiac arrests and decrease emergency ICU transfers. Patients in non-ICU settings receiving respiratory support with non-invasive ventilation (NIV), continuous positive airway pressure (CPAP), or with unassisted tracheostomy breathing (trach) would appear to be at “high risk” for untoward events requiring RRTs. To assess this, we performed a retrospective review of RRT and “Code Blue” events in these patients. . METHOD: IRB approval was obtained to review RRT and Code Blue activations for patients receiving noninvasive ventilation (NIV), CPAP, or with tracheostomy management for 2011 in the non-icu arena in a 1000+ bed academic medical center. This was compared to the overall rate of RRT activations or Code Blue events in our hospital (1.6% and 0.5% of all admissions respectively). RESULTS: See Table CONCLUSION: Non-ICU patients requiring CPAP have RRT needs and Code Blue events at rates comparable to the overall hospitalized population. The need for NIV or the presence of a tracheostomy identifies a population several times more likely to require an RRT or Code Blue. Sponsored Research - None Results