Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16262
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dc.contributor.authorBannard-Smith, Jonathan-
dc.contributor.authorLighthall, Geoffrey K-
dc.contributor.authorSubbe, Christian P-
dc.contributor.authorDurham, Lesley-
dc.contributor.authorWelch, John-
dc.contributor.authorBellomo, Rinaldo-
dc.contributor.authorJones, Daryl A-
dc.date2016-07-11-
dc.date.accessioned2016-09-14T04:27:33Z-
dc.date.available2016-09-14T04:27:33Z-
dc.date.issued2016-10-
dc.identifier.citationResuscitation 2016; 107: 7-12en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16262-
dc.description.abstractAIM: The study was developed to characterize short-term outcomes of deteriorating ward patients triggering a Rapid Response Team (RRT), and describe variability between hospitals or groups thereof. METHODS: We performed an international prospective study of Rapid Response Team (RRT) activity over a 7-day period in February 2014. Investigators at 51 acute hospitals across Australia, Denmark, the Netherlands, USA and United Kingdom collected data on all patients triggering RRT review concerning the nature, trigger and immediate outcome of RRT review. Further follow-up at 24h following RRT review focused on patient orientated outcomes including need for admission to critical care, change in limitations of therapy and all cause mortality. RESULTS: We studied 1188 RRT activations. Derangement of vital signs as measured by the National Early Warning Score (NEWS) was more common in non-UK hospitals (p=0.03). Twenty four hour mortality after RRT review was 10.1% (120/1188). Urgent transfer to ICU or the operating theatre occurred in 24% (284/1188) and 3% (40/1188) of events, respectively. Patients in the UK were less likely to be admitted to ICU (31% vs. 22%; p=0.017) and their median (IQR) time to ICU admission was longer [4.4 (2.0-11.8) vs. 1.5 (0.8-4.4)h; p<0.001]. RRT involvement lead to new limitations in care in 28% of the patients not transferring to the ICU; in the UK such limitations were instituted in 21% of patients while this occurred in 40% of non-UK patients (p<0.001). CONCLUSION: Among patients triggering RRT review, 1 in 10 died within 24h; 1 in 4 required ICU admission, and 1 in 4 had new limitations in therapy implemented. We provide a template for an international comparison of outcomes at RRT level.en_US
dc.subjectAcute illnessen_US
dc.subjectCritical care outreachen_US
dc.subjectEarly warning scoreen_US
dc.subjectMedical emergency teamsen_US
dc.subjectRapid Response Teamsen_US
dc.titleClinical outcomes of patients seen by Rapid Response Teams: A template for benchmarking international teamsen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleResuscitationen_US
dc.identifier.affiliationDepartment of Intensive Care, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Anesthesia, Stanford University School of Medicine, Stanford, CA, USAen_US
dc.identifier.affiliationAcute, Respiratory & Critical Care Medicine, Ysbyty Gwynedd, Bangor, UKen_US
dc.identifier.affiliationNorth of England Critical Care Network, North Tyneside General Hospital, Rake Lane, North Shields, Northumberland, UKen_US
dc.identifier.affiliationCritical Care & Critical Care Outreach, University College London Hospitals, UKen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27417561en_US
dc.identifier.doi10.1016/j.resuscitation.2016.07.001en_US
dc.type.contentTexten_US
dc.type.austinJournal Articleen_US
local.name.researcherBellomo, Rinaldo
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
crisitem.author.deptIntensive Care-
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