Predictors of In-Hospital Mortality After Rapid Response Team Calls in a 274 Hospital Nationwide Sample

Critical Care Medicine
Claire ShappellAmerican Heart Association’s Get With The Guidelines-Resuscitation Investigators

Abstract

Despite wide adoption of rapid response teams across the United States, predictors of in-hospital mortality for patients receiving rapid response team calls are poorly characterized. Identification of patients at high risk of death during hospitalization could improve triage to intensive care units and prompt timely reevaluations of goals of care. We sought to identify predictors of in-hospital mortality in patients who are subjects of rapid response team calls and to develop and validate a predictive model for death after rapid response team call. Analysis of data from the national Get with the Guidelines-Medical Emergency Team event registry. Two-hundred seventy four hospitals participating in Get with the Guidelines-Medical Emergency Team from June 2005 to February 2015. 282,710 hospitalized adults on surgical or medical wards who were subjects of a rapid response team call. None. The primary outcome was death during hospitalization; candidate predictors included patient demographic- and event-level characteristics. Patients who died after rapid response team were older (median age 72 vs 66 yr), were more likely to be admitted for noncardiac medical illness (70% vs 58%), and had greater median length of stay prior to rapid r...Continue Reading

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Citations

Nov 18, 2018·Critical Care Medicine·Claire ShappellMatthew M Churpek
Jun 22, 2019·Contemporary Nurse·John Rihari-ThomasPatricia M Davidson
Jul 26, 2019·Critical Care Medicine·Patrick G LyonsUNKNOWN American Heart Association’s Get With the Guidelines – Resuscitation Investigators
Dec 18, 2018·Critical Care Medicine·David M Maslove
Dec 18, 2018·Critical Care Medicine·Lakshmipathi Chelluri
Jun 19, 2018·Critical Care Medicine·I Alan Fein
Nov 6, 2020·Journal of Graduate Medical Education·Chirayu ShahStephen Greenberg
Mar 11, 2021·Irish Journal of Medical Science·Claire C NestorJohn Boylan
Oct 19, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Shannon CrouchLeanne M Aitken
Jul 16, 2021·Journal of Medical Systems·Jeremy P WalcoRobert E Freundlich
Jul 11, 2021·Hospital Pediatrics·Kristen M MeulmesterAarti C Bavare
Dec 8, 2021·Acta Anaesthesiologica Scandinavica·Piyumi WijesunderaRinaldo Bellomo

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