Patients subject to MET review have a high in-hospital mortality (20%). Thus, understanding the outcome of patients within the first 24hr of MET review is important in developing quality improvement and interventional studies to reduce this…
ID
Bron
Verkorte titel
Aandoening
deteriorating patient; medical emergency team; outcome
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
* 24-hour mortality<br>
* number of intensive care unit (ICU) admissions <br>
* number of urgent transfer to the operating room (OR) <br>
* number of use of limitations of therapy orders
Achtergrond van het onderzoek
Patients admitted to hospital wards have increasingly complex conditions and multiple co-morbidities. Rapid Response Teams (RRTs) and similar services have been introduced in order to identify, review and treat at-risk and deteriorating ward patients in an attempt to reduce serious adverse events, cardiac arrests, and unplanned admissions to the intensive care unit (ICU).
Most of the literature related to RRT calls evaluates the effects of introducing a RRT on the outcomes of all hospitalized patients. Much less information exists on the epidemiology of the group of patients subject to RRT review. A small number of studies have assessed the triggers for RRT calls. Less information exists on the interventions performed by the RRT, and the immediate outcomes of patients after RRT review. There is also no information on how patient outcomes after RRT review may vary between countries. This information is important, as patients subject to RRT review have an in-hospital mortality rate in the order of 20%.
The purpose of this study was to examine the short-term (24 hours) outcome of patients triggering RRT review. Specifically, we examined the proportion of patients who died, were admitted to ICU or were transferred to the operating room. Moreover, we assessed whether there were new limitations of medical treatment order were applied, and whether the patient’s physiological condition had improved or not. Finally, we assessed variations in such outcomes between different hospitals internationally.
Countries: UK, the Netherlands, Danmark, USA, Australia
Doel van het onderzoek
Patients subject to MET review have a high in-hospital mortality (20%). Thus, understanding the outcome of patients within the first 24hr of MET review is important in developing quality improvement and interventional studies to reduce this mortality. The present study will provide an initial analysis of these outcomes, and the inter-hospital variability of them.
Onderzoeksopzet
Collection of patient data at the time of and 24 hours following MET review.
Onderzoeksproduct en/of interventie
Collection of patient data at the time of and 24 hours following MET review.
Publiek
Albert Schweitzerplaats 25
K.L. So
Dordrecht 3300 AK
The Netherlands
+31 (0)78 6542675
r.so@asz.nl
Wetenschappelijk
Albert Schweitzerplaats 25
K.L. So
Dordrecht 3300 AK
The Netherlands
+31 (0)78 6542675
r.so@asz.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Participants will include all adult clinically admitted patients, who are subject to MET review over a month period in the participating hospitals.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
< 18 years
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
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Andere (mogelijk minder actuele) registraties in dit register
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL5418 |
| NTR-old | NTR5535 |
| Ander register | METC WOAC Albert Schweitzer Hospital Dordrecht : 2015.91 |