Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/34412
Title: Long term survival following a medical emergency team call at an Australian regional hospital.
Austin Authors: Dalton, Nathan S;Kippen, Rebecca J;Leach, Michael J;Knott, Cameron I ;Doherty, Zakary B;Downie, Judith M;Fletcher, Jason A
Affiliation: School of Rural Health, Monash University, Melbourne, VIC, Australia.;Intensive Care Unit, Bendigo Health, Bendigo, VIC, Australia.
School of Rural Health, Monash University, Melbourne, VIC, Australia.
Intensive Care
Intensive Care Unit, Bendigo Health, Bendigo, VIC, Australia.;Rural Clinical School, Bendigo campus, University of Melbourne, Bendigo, VIC, Australia
School of Rural Health, Monash University, Melbourne, VIC, Australia.;Alfred Health, Melbourne, VIC, Australia.
Intensive Care Unit, Bendigo Health, Bendigo, VIC, Australia.
Issue Date: 6-Jun-2022
Date: 2023
Publication information: Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine 2022-06-06; 24(2)
Abstract: Objective: To investigate the long term survival of medical emergency team (MET) patients at an Australian regional hospital and describe associated patient and MET call characteristics. Design: Retrospective cohort study. Data linkage to the statewide death registry was performed to allow for long term survival analysis, including multivariable Cox proportional hazards regression and production of Kaplan-Meier survival curves. Setting: A large Australian regional hospital. Participants: Adult patients who received a MET call from 1 July 2012 to 3 March 2020. Main outcome measures: Survival to 30, 90 and 180 days; one year; and 5-years after index MET call. Results: The study included 6499 eligible patients. The cohort median age was 71 years, and 52.4% of the patients were female. Surgical (39.6%) and medical (36.9%) patients comprised most of the cohort. Thirty-day survival was 86.5% one-year survival was 66.1%. Among patients aged < 75 years, factors independently associated with significantly higher long term mortality included age (hazard ratio [HR], 3.26 [95% CI, 2.63-4.06]; for patients aged 65-74 v 18-54 years), male sex (HR, 0.71 [95% CI, 0.61-0.83]; for females) and pre-existing limitation of medical therapy (HR, 2.76; 95% CI, 2.28-3.35). Among patients aged ≥ 75 years, factors independently associated with significantly higher long term mortality included age (HR, 1.46 [95% CI, 1.29-1.65]; for patients aged ≥ 85 years), male sex (HR, 0.74 [95% CI, 0.66-0.83]; for females), and altered MET criteria (HR, 1.33; 95% CI, 1.03-1.71). Conclusions: Long term survival probabilities of MET call patients are affected by factors including age, sex, and limitation of medical therapy status. These data may be useful for clinicians conducting end-of-life discussions with patients.
URI: https://ahro.austin.org.au/austinjspui/handle/1/34412
DOI: 10.51893/2022.2.OA6
ORCID: 
Journal: Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
Start page: 163
End page: 174
PubMed URL: 38045599
Type: Journal Article
Appears in Collections:Journal articles

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