1. Characteristics of Rapid Response Calls in the United States: An Analysis of the First 402,023 Adult Cases From the Get With the Guidelines Resuscitation-Medical Emergency Team Registry.
- Author
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Lyons PG, Edelson DP, Carey KA, Twu NM, Chan PS, Peberdy MA, Praestgaard A, and Churpek MM
- Subjects
- Aged, Cohort Studies, Female, Humans, Male, Middle Aged, Practice Guidelines as Topic, Retrospective Studies, United States, Emergency Service, Hospital, Hospital Rapid Response Team statistics & numerical data, Registries, Resuscitation statistics & numerical data
- Abstract
Objectives: To characterize the rapid response team activations, and the patients receiving them, in the American Heart Association-sponsored Get With The Guidelines Resuscitation-Medical Emergency Team cohort between 2005 and 2015., Design: Retrospective multicenter cohort study., Setting: Three hundred sixty U.S. hospitals., Patients: Consecutive adult patients experiencing rapid response team activation., Interventions: Rapid response team activation., Measurements and Main Results: The cohort included 402,023 rapid response team activations from 347,401 unique healthcare encounters. Respiratory triggers (38.0%) and cardiac triggers (37.4%) were most common. The most frequent interventions-pulse oximetry (66.5%), other monitoring (59.6%), and supplemental oxygen (62.0%)-were noninvasive. Fluids were the most common medication ordered (19.3%), but new antibiotic orders were rare (1.2%). More than 10% of rapid response teams resulted in code status changes. Hospital mortality was over 14% and increased with subsequent rapid response activations., Conclusions: Although patients requiring rapid response team activation have high inpatient mortality, most rapid response team activations involve relatively few interventions, which may limit these teams' ability to improve patient outcomes.
- Published
- 2019
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