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Responding to medical emergencies: System characteristics under examination (RESCUE). A prospective multi-site point prevalence study by Tracey K. Bucknall; Daryl Jones; Rinaldo Bellomo; Margaret Staples is a Medicine article available to read on EtoBox.

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Aim: To determine the point-prevalence of patients fulfilling hospital-specific Medical Emergency Team (MET) criteria and their subsequent outcomes. Method: Inpatients from 10 hospitals with established METs were enrolled for a prospective, pointprevalence study. If MET criteria were present during a set of vital signs, the ward manager was notified. MET activations, unplanned Intensive Care Unit (ICU) admissions, cardiac arrests, Limitations of Medical Treatment (LOMT), hospital discharge and follow-up mortality data were collected. Results: Of 1688 patients recruited, 3.26% (n = 55) fulfilled MET criteria in a single set of vital signs. None of the 55 received MET review within 30 min of notification, 2 (3.6%) had MET review within the next 24 h, none experienced cardiac arrests or unplanned ICU admissions during the follow-up period, and 13 (23.6%) had a LOMT order prior to fulfilling MET criteria. In-hospital mortality was significantly higher for patients fulfilling MET activation criteria (9.1%) compared to those that did not (2.6%; p = 0.005, RR = 2.95; 95% confidence interval (CI) 1.22-7.15), as was mortality at 30 days (RR = 2.64; 95% CI 1.37-5.11) and 60 days (RR = 1.94;

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Author

Tracey K. Bucknall; Daryl Jones; Rinaldo Bellomo; Margaret Staples

Publisher

Elsevier BV

Published

2013

Language

EN

Field

Medicine (Health Sciences)