Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10646
Title: A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review.
Authors: Calzavacca, Paolo;Licari, Elisa;Tee, Augustine;Egi, Moritoki;Haase, Michael;Haase-Fielitz, Anja;Bellomo, Rinaldo
Affiliation: Department of Intensive Care and Department of Medicine, Austin Hospital, Heidelberg, Melbourne, VIC, Australia.
Issue Date: 24-Jul-2008
Citation: Intensive Care Medicine 2008; 34(11): 2112-6
Abstract: To identify factors that predict outcome in patients receiving a Medical Emergency Team review.Prospective observational study.Tertiary hospital.Cohort of 228 patients receiving one or more Medical Emergency Team reviews during daytime hours over a 1-year-period. Control cohort of all patients (n = 900) receiving a Medical Emergency Team review in the same period.We prospectively collected information from patients receiving a Medical Emergency Team review during daytime hours from Monday to Friday (audit group) including the clinical cause of deterioration and timing of call in relation to the first documented Medical Emergency Team call criterion (activation delay). We also collected information from the hospital Medical Emergency Team database regarding all patients visited by the Medical Emergency Team during the same period (complete cohort). Audit group patients had several similar characteristics to complete cohort patients but were less likely to be not-for-resuscitation before Medical Emergency Team review and more likely to receive a Medical Emergency Team review because of hypotension, change in neurological status and oliguria. Delayed Medical Emergency Team activation and not-for resuscitation orders were the only factors to show an independent statistical association with mortality (OR 2.53, 95% CI: 1.2-5.31, P = 0.01 and OR 5.63, 95% CI: 2.81-11.28, P < 0.01, respectively).Delayed Medical Emergency Team activation and NFR orders are the strongest independent predictors of mortality in patients receiving a Medical Emergency Team review. Avoidance of delayed Medical Emergency Team activation should be a priority for hospitals operating rapid response systems.
Internal ID Number: 18651130
URI: http://ahro.austin.org.au/austinjspui/handle/1/10646
DOI: 10.1007/s00134-008-1229-y
URL: http://www.ncbi.nlm.nih.gov/pubmed/18651130
Type: Journal Article
Subjects: Aged
Chi-Square Distribution
Emergency Service, Hospital.organization & administration.standards
Emergency Treatment.standards
Female
Hospital Mortality
Humans
Logistic Models
Male
Outcome Assessment (Health Care)
Patient Care Team.organization & administration.standards
Prospective Studies
Risk Factors
Statistics, Nonparametric
Appears in Collections:Journal articles

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