A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review

被引：68

作者：

Calzavacca, Paolo ^{[1
,2
]}

Licari, Elisa ^{[1
,2
]}

Tee, Augustine ^{[1
,2
]}

Egi, Moritoki ^{[1
,2
]}

Haase, Michael ^{[1
,2
]}

Haase-Fielitz, Anja ^{[1
,2
]}

Bellomo, Rinaldo ^{[1
,2
]}

机构：

[1] Austin Hosp, Dept Intens Care, Melbourne, Vic 3084, Australia

[2] Austin Hosp, Dept Med, Melbourne, Vic 3084, Australia

来源：

INTENSIVE CARE MEDICINE | 2008年 / 34卷 / 11期

关键词：

Medical Emergency Team; Rapid response system; Critical illness; Vital signs; Mortality;

D O I：

10.1007/s00134-008-1229-y

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To identify factors that predict outcome in patients receiving a Medical Emergency Team review. Design: Prospective observational study. Setting: Tertiary hospital. Patients: 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. Measurements and results: 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). Conclusion: 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.

引用

页码：2112 / 2116

页数：5

共 19 条

[11] Effect of the medical emergency team on long-term mortality following major surgery [J].

Jones, Daryl ;

Egi, Moritoki ;

Bellomo, Rinaldo ;

Goldsmith, Donna .

CRITICAL CARE, 2007, 11 (01)

[12] Medical Emergency Team syndromes and an approach to their management [J].

Jones, Daryl ;

Duke, Graeme ;

Green, John ;

Briedis, Juris ;

Bellomo, Rinaldo ;

Casamento, Andrew ;

Kattula, Andrea ;

Way, Margaret .

CRITICAL CARE, 2006, 10 (01)

[13] Patient monitoring and the timing of cardiac arrests and medical emergency team calls in a teaching hospital [J].

Jones, Daryl ;

Bellomo, Rinaldo ;

Bates, Samantha ;

Warrillow, Stephen ;

Goldsmith, Donna ;

Hart, Graeme ;

Opdam, Helen .

INTENSIVE CARE MEDICINE, 2006, 32 (09) :1352-1356

[14]

Jones Daryl A, 2007, Crit Care Resusc, V9, P151

[15] Evaluation of a Medical Emergency Team one year after implementation [J].

Kenward, G ;

Castle, N ;

Hodgetts, T ;

Shaikh, L .

RESUSCITATION, 2004, 61 (03) :257-263

[16]

McNicholl B, 1995, INJURY, V26, P215

[17] Early goal-directed therapy in the treatment of severe sepsis and septic shock. [J].

Rivers, E ;

Nguyen, B ;

Havstad, S ;

Ressler, J ;

Muzzin, A ;

Knoblich, B ;

Peterson, E ;

Tomlanovich, M .

NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (19) :1368-1377

[18] Bench-to-bedside review: The MET syndrome - the challenges of researching and adopting medical emergency teams [J].

Tee, Augustine ;

Calzavacca, Paolo ;

Licari, Elisa ;

Goldsmith, Donna ;

Bellomo, Rinaldo .

CRITICAL CARE, 2008, 12 (01)

[19]

*WHO, ICD 10 CLASS REF WEB

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