A prospective pilot study evaluating the ‘cardiac decompensation score’ in the setting of intraaortic balloon counterpulsation
Lewis, Peter A., Bartlett, Harry, Townsend, Shane, Courtney, Mary D., Mullany, Daniel V., & Coyer, Fiona M. (2010) A prospective pilot study evaluating the ‘cardiac decompensation score’ in the setting of intraaortic balloon counterpulsation. Intensive and Critical Care Nursing. (In Press)
The study objective was to determine whether the ‘cardiac decompensation score’ could identify cardiac decompensation in a patient with existing cardiac compromise managed with intraaortic balloon counterpulsation(IABP).A one-group,post test-only design was utilised to collect observations in 2003 from IABP recipients treated in the intensive care unit
of a 450 bed Australian, government funded, public, cardiothoracic, tertiary referral hospital. Twenty-three consecutive IABP recipients were enrolled, four of whom died in ICU(17.4%).All non-survivors exhibited primarily rising scores over the observation period (p < 0.001)and had
final scores of 25 or higher. In contrast,the maximum score obtained by a survivor at any time was 15. Regardless of survival, scores for the 23 participants were generally decreasing immediately following therapy escalation(p = 0.016).Further reflecting these changes in patient
support, there was also a trend for scores to move from rising to falling at such treatment escalations (p = 0.024). This pilot study indicates the ‘cardiac decompensation score’ to accurately represent changes in heart function specific to an individual patient.Use of the score in conjunction with IABP may lead to earlier identification of changes occurring in a patient’s
cardiac function and thus facilitate improved IABP outcomes.
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|Item Type:||Journal Article|
|Keywords:||Heart Failure, Intraaortic Balloon Pumping, Counterpulsation, Cardiac Output, Low|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Past > QUT Faculties & Divisions > Faculty of Science and Technology
Past > Schools > Mathematical Sciences
Current > Schools > School of Nursing
|Copyright Owner:||Copyright 2010 Elsevier|
|Deposited On:||07 Dec 2010 11:13|
|Last Modified:||11 Aug 2011 03:55|
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