BRR

BRR is a ICU Var 2 tag that we use in our database for ICU patients who have been placed on the Cardiac Arrest Cooling Protocol

• BRR - stands for "Brrrr" as in shivering or cold.

• If ADMIT or COMPLICATION diagnosis is Cardiac Arrest Witnessed 100-2 AND the cooling protocol is applied THEN both of the following items must be marked:
• ICU Var 2 BRR AND TISS item T6-hypothermia

Cardiac Arrest Cooling Protocol

• Target temp: 32°C to 34°C for 12 to 24 hours.

• Code is not to be applied when a cooling protocol is used to normalize temperature for non-arrested patients.

Taken from the Hypothermia Protocol:

• Cooling is indicated if ALL of the following are checked:
  • Witnessed Arrest (Dx code: 100-2)
  • Initial rhythm ventricular fibrillation/tachycardia(Dx code: 131-4, or 131-1)
  • Time to ACLS <15 minutes
  • Total ACLS time <60 minutes
  • Persistent GCS < or = 9
  • Systolic BP currently over 90 mmHg (pressors allowed)
  • < 8 hours elapsed since Return of Spontaneous Circulation (ROSC)

--LKolesar 13:54, 22 January 2009 (CST) --TOstryzniuk 20:37, 26 January 2009 (CST)

Possible Value: BRR if the protocol was applied.

TOstryzniuk 16:19, 22 July 2008 (CDT)

Data Integrity Rules

FOR: ICU_Var2: BRR and DX code of Cardiac Arrest

• If ANY admit or complication DX on an ICU patient is 100-0 or 100-1 or 100-2
  • then Var 2: MUST have either BRR or XBR (new code)
    • BRR - mean cooling protocol applied for cardiac arrest
    • XBR - means no cooling protocol applied for cardiac arrest

• the above is a SUGGESTION for updated version of CCMDB: look here:Suggestion for Catching missed BRR in ACCESS.--TOstryzniuk 16:03, 28 January 2009 (CST).
• tina, I am not sure were this rule disappeared from the big automatic integrity check list. I found it in history and put the rule here.TOstryzniuk 16:22, 18 March 2009 (CDT)