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PubMed · 7862065

Death on transport: a follow-up program.

L R Fink
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Abstract

St. Louis Children's Hospital has a self-contained, designated neonatal and pediatric transport team. In 1990, this team initiated a formalized death follow-up program. Its purposes are to provide feedback to referring hospitals, conduct an internal review, meet quality improvement guidelines, and educate transport team members. The program differs from the traditional morbidity and mortality conference, which provides an educational and review forum only. Death follow-up meetings are held quarterly, and 61 follow-ups were done between January 1990 and December 1993. (Follow-up was done on all deaths occurring during transport as well as those occurring within 24 hours of transport).

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DeathHumansInfantIntensive Care, NeonatalMedical AuditMedical RecordsQuality Assurance, Health CareTransportation of PatientsJournal Article

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BibTeXRIS

L R Fink. 1994. Death on transport: a follow-up program.. https://pubmed.ncbi.nlm.nih.gov/7862065/

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Increased risk of cardiac death in primary hyperparathyroidism: what is a role of electrical instability?

BACKGROUND: Increased risk of death in patients with primary hyperparathyroidism (PHPT) is referred to cardiovascular complications induced by hypercalcemia. At the moment the role of bioelectrical risk and of enhanced sympathetic activity, not related to cardiovascular complications, is unknown in PHPT patients. METHODS: The study was designed to evaluate the QT parameters and sympathovagal balance in 28 PHPT uncomplicated patients compared to 29 healthy subjects (HS). Nine of 28 patients were restudied after parathyroidectomy. Standard ECG, short and 24-h ECG monitoring were performed to calculate QT parameters and Heart Rate Variability (HRV). RESULTS: QTc interval resulted shorter in PHPT patients than in HS and QTc dispersion resulted higher in PHPT patients than HS. The physiological adaptation of QT length to R-R interval was lacking in PHPT patients. Enhanced sympathetic tone was found in PTHP patients than controls. These data were confirmed after parathyroidectomy. CONCLUSION: Our findings revealed an increased risk to develop life-threatening arrhythmias in PHPT patients due to bioelectrical instability induced by hypercalcemia. Parathyroidectomy doesn't seem to reverse this abnormality.

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