Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands

Critical Care Medicine
Jeroen LudikhuizeCost and Outcomes of Medical Emergency Teams Study Group

Abstract

To describe the effect of implementation of a rapid response system on the composite endpoint of cardiopulmonary arrest, unplanned ICU admission, or death. Pragmatic prospective Dutch multicenter before-after trial, Cost and Outcomes analysis of Medical Emergency Teams trial. Twelve hospitals participated, each including two surgical and two nonsurgical wards between April 2009 and November 2011. The Modified Early Warning Score and Situation-Background-Assessment-Recommendation instruments were implemented over 7 months. The rapid response team was then implemented during the following 17 months. The effects of implementing the rapid response team were measured in the last 5 months of this period. All patients 18 years old and older admitted to the study wards were included. In total, 166,569 patients were included in the study representing 1,031,172 hospital admission days. No differences were observed in patient demographics between periods. The composite endpoint of cardiopulmonary arrest, unplanned ICU admission, or death per 1,000 admissions was significantly reduced in the rapid response team versus the before phase (adjusted odds ratio, 0.847; 95% CI, 0.725-0.989; p = 0.036). Cardiopulmonary arrests and in-hospital mort...Continue Reading

References

Oct 6, 2001·QJM : Monthly Journal of the Association of Physicians·C P SubbeL Gemmel
Nov 5, 2002·Intensive Care Medicine·Ken M HillmanGrant Simmons
Dec 9, 2003·American Heart Journal·Dirk MüllerSteffen Behrens
Jun 3, 2004·Resuscitation·Gary KenwardLoua Shaikh
Aug 25, 2004·Resuscitation·Juliane KauseUNKNOWN Australian and New Zealand Intensive Care Society Clinical Trials Group
Jun 21, 2005·Lancet·Ken HillmanUNKNOWN MERIT study investigators
Apr 19, 2006·Joint Commission Journal on Quality and Patient Safety·Kathleen M HaigJohn Whittington
Aug 1, 2006·Critical Care Medicine·Michael A DevitaSanjay Galhotra
Dec 4, 2008·Critical Care Medicine·Jack ChenUNKNOWN ANZICS Clinical Trials Group
Jan 6, 2009·Critical Care Medicine·Ken HillmanEmily May
Jan 13, 2010·Archives of Internal Medicine·Paul S ChanComilla Sasson
Nov 12, 2010·The New England Journal of Medicine·Eefje N de VriesUNKNOWN SURPASS Collaborative Group
Jul 15, 2011·The New England Journal of Medicine·Daryl A JonesRinaldo Bellomo
Jul 20, 2012·Critical Care Medicine·Rinaldo BellomoUNKNOWN Vital Signs to Identify, Target, and Assess Level of Care Study (VITAL Care Study) Investigators
Apr 9, 2013·Global Health Action·Barbara SchumannJoacim Rocklöv

❮ Previous
Next ❯

Citations

Jun 4, 2016·Critical Care : the Official Journal of the Critical Care Forum·Anja H Brunsveld-ReindersUNKNOWN COMET study group
Jun 11, 2016·Medicina intensiva·I SalinasF Gordo
Oct 21, 2016·The Journal of Obstetrics and Gynaecology Research·Moon Seong BaekSang-Bum Hong
Mar 16, 2017·Biomedical Instrumentation & Technology·Karen K Giuliano
Feb 1, 2017·Journal of Intensive Care·Alexander F van der SluijsAlexander P J Vlaar
Nov 28, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Wei Ling ChuaSok Ying Liaw
Feb 24, 2018·European Journal of Anaesthesiology·Jean-Louis VincentAndreas Hoeft
Feb 23, 2018·British Journal of Haematology·Vera A de VriesUNKNOWN HEMA-ICU Study Group
Aug 21, 2018·Acta Anaesthesiologica Scandinavica·Ola FrimanGabriella Jäderling
Feb 1, 2018·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·U HamsenW Schwenk
Mar 5, 2019·QJM : Monthly Journal of the Association of Physicians·A J R De BieUNKNOWN Crisis Checklist Collaborative
Jan 29, 2020·Acute Medicine & Surgery·Takaki NaitoUNKNOWN In‐Hospital Emergency Study Group
Jul 15, 2020·Expert Review of Anti-infective Therapy·Frank Bloos
Jan 1, 2015·Critical Care : the Official Journal of the Critical Care Forum·Thomas Rozen, Warwick Butt
Jul 8, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Bourke W TillmannNeil G Parry
Jan 10, 2018·Journal of Nursing Management·John Rihari-ThomasPatricia M Davidson
Jul 5, 2018·Zentralblatt für Chirurgie·Jens-Christian ScheweThea Koch
Jan 26, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Mar Mar MinnJosh Hanson
Dec 8, 2020·Singapore Medical Journal·Chun Lei TanTong Khee Tan
Mar 10, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Manoj Y SinghSumeet Rai
Mar 29, 2021·Resuscitation·Federico SemeraroKoenraad G Monsieurs
May 25, 2021·Acute Medicine & Surgery·Takaki NaitoUNKNOWN In‐Hospital Emergency Study Group
Nov 23, 2021·The Cochrane Database of Systematic Reviews·Jennifer McGaugheyLouise Rose

❮ Previous
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