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Critical Care: Critical Care |

Rothman Index as a Predictor of Post-Discharge Adverse Events in a Medical Intensive Care Unit

Deepa Gotur, MD; Janice Zimmerman, MD
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Houston Methodist Hospital, Houston, TX


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A149. doi:10.1016/j.chest.2016.02.155
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SESSION TITLE: Critical Care

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Sunday, April 17, 2016 at 02:15 PM - 03:45 PM

PURPOSE: The Rothman Index (RI) is an acuity metric that incorporates 26 variables of physiological measures, clinical assessments and laboratory results into a composite index that is trended over time. If the RI drops more than 30% in <6 hours, 50% in <24 hours or an absolute value <20 in the previous 24 hours, a warning sign graded as medium, high or very high risk respectively, alerts the clinician. As part of a quality improvement project, our objectives were- 1. Determine if RI could predict adverse events occurring within 72 hours of medical intensive care unit (MICU) discharge decision 2. Find a cut point for the RI that can predict adverse events 3. Determine if there is a relation between warning sign 24 hours prior to discharge and adverse events post-discharge.

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