Does the Time of Solitary Rapid Response Team Call Affect Patient Outcome?

Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Manoj Y SinghSumeet Rai

Abstract

The study aimed to evaluate the effect of a single after-hours rapid response team (RRT) calls on patient outcome. A retrospective cohort study of RRT-call data over a 3-year period. A 600-bedded, tertiary referral, public university hospital. All adult patients who had a single RRT-call during their hospital stay. None. The primary outcome was to compare all-cause in-hospital mortality. The secondary outcomes were to study the hourly variation of RRT-calls and the mortality rate. Of the total 5,108 RRT-calls recorded, 1,916 patients had a single RRT-call. Eight hundred and sixty-one RRT-calls occurred during work-hours (08:00-17:59 hours) and 1,055 during after-hours (18:00-7:59). The all-cause in-hospital mortality was higher (15.07% vs 9.75%, OR 1.64, 95% CI 1.24-2.17, p value 0.001) in patients who had an after-hours RRT-call. This difference remained statistically significant after multivariate regression analysis (OR 1.50, 95% CI 1.11-2.01, p value 0.001). We noted a lower frequency of hourly RRT-calls after-hours but were associated with higher hourly mortality rates. There was no difference in outcomes for patients who were admitted to ICU post-RRT-call. Patients having an after-hour RRT-call appear to have a higher ris...Continue Reading

References

Feb 3, 2005·Australian Health Review : a Publication of the Australian Hospital Association·Joseph Y S Ting, Kevin J Humphrey
Jun 21, 2005·Lancet·Ken HillmanUNKNOWN MERIT study investigators
Feb 6, 2007·The American Journal of Medicine·Jennifer L Jones-CrawfordFrancis C Dane
Jul 6, 2007·Health Services Research·David J Becker
Jan 4, 2008·The New England Journal of Medicine·Paul S ChanUNKNOWN American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators
Feb 21, 2008·JAMA : the Journal of the American Medical Association·Mary Ann PeberdyUNKNOWN National Registry of Cardiopulmonary Resuscitation Investigators
Jul 25, 2008·Intensive Care Medicine·Paolo CalzavaccaRinaldo Bellomo
Nov 17, 2009·Resuscitation·Arthas FlabourisUNKNOWN MERIT Study Investigators from the Simpson Centre and the ANZICs Clinical Trials Group
Aug 3, 2010·Resuscitation·Paolo CalzavaccaRinaldo Bellomo
Mar 18, 2011·The New England Journal of Medicine·Jack NeedlemanMarcelline Harris
Apr 19, 2011·Resuscitation·Rebecca M Trinkle, Arthas Flabouris
Jun 7, 2011·Resuscitation·Claudio Sandroni, Fabio Cavallaro
Jan 16, 2013·Critical Care Medicine·Gabriella JäderlingDavid Konrad
Apr 20, 2014·Critical Care Medicine·Gail SalvatierraKenn B Daratha
Jun 14, 2015·Critical Care : the Official Journal of the Critical Care Forum·Ritesh MaharajJulia Wendon
Sep 1, 2015·Critical Care Medicine·Jeroen LudikhuizeUNKNOWN Cost and Outcomes of Medical Emergency Teams Study Group
Feb 2, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Rose S SolomonMichelle D Dannenberg
Feb 26, 2016·Journal of Intensive Care·Krishnaswamy SundararajanCampbell Thompson
Jun 4, 2016·Critical Care : the Official Journal of the Critical Care Forum·Anja H Brunsveld-ReindersUNKNOWN COMET study group
Jul 26, 2017·Critical Care Medicine·Matthew Michael ChurpekUNKNOWN American Heart Association’s Get With The Guidelines-Resuscitation Investigators
Mar 15, 2018·Critical Care : the Official Journal of the Critical Care Forum·Shannon M FernandoKwadwo Kyeremanteng

❮ Previous
Next ❯

Software Mentioned

STATA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of the Michigan Dental Association
Samuel Zwetchkenbaum
Paediatrics & Child Health
Kristie Cramer, Terry P Klassen
Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
Manoj Y SinghCarolyn Kim
© 2021 Meta ULC. All rights reserved