Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/25559
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dc.contributor.authorZhang, R-
dc.contributor.authorMaher, B-
dc.contributor.authorRamos, J R R-
dc.contributor.authorHardidge, Andrew J-
dc.contributor.authorOlenko, L-
dc.contributor.authorWeinberg, Laurence-
dc.contributor.authorRobbins, Raymond J-
dc.contributor.authorChurilov, Leonid-
dc.contributor.authorPeyton, Philip J-
dc.contributor.authorJones, Daryl A-
dc.date2020-12-24-
dc.date.accessioned2021-01-04T23:56:37Z-
dc.date.available2021-01-04T23:56:37Z-
dc.date.issued2021-02-
dc.identifier.citationResuscitation 2021; 159: 1-6en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/25559-
dc.description.abstractPatients undergoing orthopedic surgery are at risk of post-operative complications and needing Medical Emergency Team (MET) review. We assessed the frequency of, and associations with MET calls in orthopedic patients, and whether this was associated with increased in-hospital morbidity and mortality. Retrospective cohort study of patients admitted over four years to a University teaching hospital using hospital administrative and MET call databases. Amongst 6344 orthopedic patients, 55.8% were female, the median (IQR) age and Charlson comorbidity index were 66 years (47-79) and 3 (1-5), respectively. Overall, 54.5% of admissions were emergency admissions, 1130 (17.8%) were non-operative, and 605 (9.5%) patients received a MET call. The strongest independent associations with receiving a MET call was the operative procedure, especially hip and knee arthroplasty. Common MET triggers were hypotension (37.5%), tachycardia (25.0%) and tachypnoea (9.1%). Patients receiving a MET call were at increased risk of anemia, delirium, pressure injury, renal failure and wound infection. The mortality of patients who received a MET call was 9.8% compared with 0.8% for those who did not. After adjusting for pre-defined co-variates, requirement for a MET call was associated with an adjusted odd-ratio of 9.57 (95%CI 3.1-29.7) for risk of in-hospital death. Approximately 10% of orthopedic patients received a MET call, which was most strongly associated with major hip and knee arthroplasty. Such patients are at increased risk of morbidity and in-hospital mortality. Further strategies are needed to more pro-actively manage at-risk orthopedic patients.en
dc.language.isoeng
dc.subjectAnesthesiaen
dc.subjectIntensive care uniten
dc.subjectMedical emergency teamen
dc.subjectMorbidityen
dc.subjectMortalityen
dc.subjectOrthopedic surgeryen
dc.subjectRapid response systemen
dc.subjectRapid response teamen
dc.titleThe epidemiology of Medical Emergency Team calls for orthopedic patients in a teaching hospital: A retrospective cohort study.en
dc.typeJournal Articleen
dc.identifier.journaltitleResuscitationen
dc.identifier.affiliationIntensive Care Unit, Hospital Sao Rafael, Salvador, & UNIME Medical School, Lauro de Freitas, Brazilen
dc.identifier.affiliationPerioperative and Pain Medicine Unit, University of Melbourne, Australiaen
dc.identifier.affiliationThe Florey Institute of Neuroscience and Mental Healthen
dc.identifier.affiliationOrthopaedic Surgeryen
dc.identifier.affiliationAnaesthesiaen
dc.identifier.affiliationMedicine (University of Melbourne)en
dc.identifier.affiliationDepartment of Surgery, University of Melbourne, Australiaen
dc.identifier.affiliationIntensive Careen
dc.identifier.affiliationData Analytics Research and Evaluation (DARE) Centreen
dc.identifier.doi10.1016/j.resuscitation.2020.12.006en
dc.type.contentTexten
dc.identifier.pubmedid33347940
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