ArticleIntensive care medicine2008
A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review.
Article in Intensive care medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 90 citations in OpenAlex.
- [Deployment of the in-hospital emergency team in a tertiary care university hospital : Data analysis for the time period 2013-2016 in North-Rhine/Westphalia].Der Anaesthesist · 2019Trial
- Development and Validation of Machine Learning Models for Adverse Events after Cardiac Surgery.medRxiv : the preprint server for health sciences · 2025Article
- Association of Time to Rapid Response Team Activation With Patient Outcomes Using a Range of Physiologic Deterioration Thresholds.Critical care explorations · 2022Article
- Clinical impact of vital sign abnormalities in patients admitted with acute exacerbation of chronic obstructive pulmonary disease: an observational study using continuous wireless monitoring.Internal and emergency medicine · 2022Observational
- Trends of in-hospital cardiac arrests in a single tertiary hospital with a mature rapid response system.PloS one · 2022Article
- Physiological abnormalities in patients admitted with acute exacerbation of COPD: an observational study with continuous monitoring.Journal of clinical monitoring and computing · 2020Observational
- 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 · 2020Article
- Increasing Cardiovascular Data Sampling Frequency and Referencing It to Baseline Improve Hemorrhage Detection.Critical care explorations · 2019Article
- Failure to rescue in surgical patients: A review for acute care surgeons.The journal of trauma and acute care surgery · 2019Review
- Care Escalation: Teaching Residents How to Effectively Communicate Patient Care Concerns.MedEdPORTAL : the journal of teaching and learning resources · 2019Article
- Advance care planning in the context of clinical deterioration: a systematic review of the literature.Palliative care · 2019Review
- Leveraging Clinical Expertise as a Feature - not an Outcome - of Predictive Models: Evaluation of an Early Warning System Use Case.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- Implementation of a novel postoperative monitoring system using automated Modified Early Warning Scores (MEWS) incorporating end-tidal capnography.Journal of clinical monitoring and computing · 2017Article
- Differences in the Clinical Characteristics of Rapid Response System Activation in Patients Admitted to Medical or Surgical Services.Journal of Korean medical science · 2017Article
- Physical and Mental Health of Patients Immediately After Discharge From Intensive Care Unit and 24 Hours Later.Trauma monthly · 2016Article
- A critical assessment of monitoring practices, patient deterioration, and alarm fatigue on inpatient wards: a review.Patient safety in surgery · 2014Review
- Review
- Early intervention on the outcomes in critically ill cancer patients admitted to intensive care units.Intensive care medicine · 2012Article
- Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.Intensive care medicine · 2010Article
- Year in review in Intensive Care Medicine, 2008: III. Paediatrics, ethics, outcome research and critical care organization, sedation, pharmacology and miscellanea.Intensive care medicine · 2009Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify factors that predict outcome in patients receiving a Medical Emergency Team review.
designProspective observational study.
settingTertiary hospital. PATIENTS: Cohort of 228 patients receiving one or more Medical Emergency Team reviews during daytime hours over a 1-year-period. Control cohort of all patients (n = 900) receiving a Medical Emergency Team review in the same period. MEASUREMENTS AND
resultsWe prospectively collected information from patients receiving a Medical Emergency Team review during daytime hours from Monday to Friday (audit group) including the clinical cause of deterioration and timing of call in relation to the first documented Medical Emergency Team call criterion (activation delay). We also collected information from the hospital Medical Emergency Team database regarding all patients visited by the Medical Emergency Team during the same period (complete cohort). Audit group patients had several similar characteristics to complete cohort patients but were less likely to be not-for-resuscitation before Medical Emergency Team review and more likely to receive a Medical Emergency Team review because of hypotension, change in neurological status and oliguria. Delayed Medical Emergency Team activation and not-for resuscitation orders were the only factors to show an independent statistical association with mortality (OR 2.53, 95% CI: 1.2-5.31, P = 0.01 and OR 5.63, 95% CI: 2.81-11.28, P < 0.01, respectively).
conclusionDelayed Medical Emergency Team activation and NFR orders are the strongest independent predictors of mortality in patients receiving a Medical Emergency Team review. Avoidance of delayed Medical Emergency Team activation should be a priority for hospitals operating rapid response systems.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.