Utilization of rapid response resources and outcomes in a comprehensive cancer center*.

Critical Care Medicine
Charles A AustinLydia Chang

Abstract

To compare the differences in characteristics and outcomes of cancer center patients with other subspecialty medical patients reviewed by rapid response teams. A retrospective cohort study of hospitalized general medicine patients, subspecialty medicine patients, and oncology patients requiring rapid response team activation over a 2-year period from September 2009 to August 2011. Five hundred fifty-seven subspecialty medical patients required rapid response team intervention. A single academic medical center in the southeastern United States (800+ bed) with a dedicated 50-bed inpatient comprehensive cancer care center. Data abstraction from computerized medical records and a hospital quality improvement rapid response database. Of the 557 patients, 135 were cancer center patients. Cancer center patients had a significantly higher Charlson Comorbidity Score (4.4 vs 2.9, < 0.001). Cancer center patients had a significantly longer hospitalization period prior to rapid response team activation (11.4 vs 6.1 d, p < 0.001). There was no significant difference between proportions of patients requiring ICU transfer between the two groups (odds ratio, 1.2; 95% CI, 0.8-1.8). Cancer center patients had a significantly higher in-hospital m...Continue Reading

References

Sep 11, 2003·The Medical Journal of Australia·Rinaldo BellomoGeoffrey Gutteridge
Dec 17, 2005·Critical Care : the Official Journal of the Critical Care Forum·Daryl JonesGeoffrey Gutteridge
Apr 7, 2007·Critical Care Medicine·Bradford D WintersPeter J Pronovost
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Nov 17, 2011·Critical Care : the Official Journal of the Critical Care Forum·Jeremy R BeitlerDavid H Chong

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Citations

Aug 29, 2019·Critical Care : the Official Journal of the Critical Care Forum·Benjamin GershkovichKwadwo Kyeremanteng
Mar 19, 2014·Critical Care Medicine·Daryl Jones, Stephen Warrillow
Jul 21, 2017·Intensive Care Medicine·Elie AzoulayMarcio Soares
Dec 12, 2017·Journal of Pain and Symptom Management·Charles A AustinShannon S Carson
Nov 23, 2021·The Cochrane Database of Systematic Reviews·Jennifer McGaugheyLouise Rose

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