Using a simplified pre-hospital 'MET' score to predict in-hospital care and outcomes

Acta Anaesthesiologica Scandinavica
K JokelaS Hoppu

Abstract

Medical emergency team (MET) activation criteria serve as a predictor of serious adverse events on hospital wards and in the emergency department (ED). We aimed to determine whether in-hospital MET activation criteria would be useful in identifying patients at risk in pre-hospital care. The data were collected retrospectively from 610 adult patients treated by physician-staffed helicopter emergency medical services. Pre-hospital vital signs were compared with MET activation criteria and scored accordingly to receive a simplified pre-hospital 'MET' score. The primary outcome measure was hospital mortality. The secondary outcome measures were admission to intensive care unit and the length of ED stay, intensive care unit (ICU) stay and hospital stay. The simplified pre-hospital 'MET' score was also compared with Emergency Severity Index (ESI) used as a triage tool in ED. Higher simplified pre-hospital 'MET' scores were associated with hospital mortality (P<0.001), the need for ICU treatment (P<0.001) and a more urgent ESI class in the ED (P<0.001). Higher simplified pre-hospital 'MET' scores were associated with shorter stay in the ED (P<0.001), longer stay in the ICU (P<0.001) and longer hospital stay (P<0.001). A simplified pre...Continue Reading

References

Sep 1, 2001·Internal Medicine Journal·K M HillmanG Simmons
May 8, 2002·Emergency Medicine·Meera ParkheAndrew V Maclean
Apr 6, 2004·British Journal of Anaesthesia·D R Goldhill, A F McNarry
Jun 21, 2005·Lancet·Ken HillmanUNKNOWN MERIT study investigators
Oct 11, 2005·Injury·Stephen A MulhollandUNKNOWN Victorian State Trauma Outcomes Registry and Monitoring Group (VSTORM)
Oct 24, 2006·Emergency Medicine Journal : EMJ·C P SubbeL Gemmell
Oct 10, 2008·Emergency Medicine Journal : EMJ·V C BurchC Morroni
Nov 6, 2010·International Journal of Stroke : Official Journal of the International Stroke Society·Ashley R GarnettUNKNOWN Rural PAST Protocol Steering Group
Jan 20, 2011·Critical Care : the Official Journal of the Critical Care Forum·Tobias M MerzJukka Takala
Feb 15, 2011·American Heart Journal·Sonja PostmaArnoud W J van 't Hof
Mar 23, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marius RehnHans Morten Lossius
Apr 28, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Daniel C McGillicuddyLeon D Sanchez
Jul 2, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Nasim FarrohkniaKatarina E Göransson
Dec 27, 2011·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Weili HongMarcus Eng Hock Ong
Apr 12, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Charlotte BarfodKai Henrik Wiborg Lange
Jun 29, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Johan HerlitzLars Ljungström
Mar 6, 2013·Annals of Internal Medicine·Bradford D WintersSydney M Dy
Apr 17, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ingeborg Beate LidalGunn Elisabeth Vist
Apr 29, 2014·Resuscitation·Ruth HerodAnders Aneman

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Citations

May 31, 2018·Acta Anaesthesiologica Scandinavica·H KangasniemiS Hoppu
Nov 23, 2021·The Cochrane Database of Systematic Reviews·Jennifer McGaugheyLouise Rose

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