ArticleIntensive care medicine2010
Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.
Article in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 6 of them syntheses that pooled it.
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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
42 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards.The Cochrane database of systematic reviews · 2021Pooled it
- Rapid response systems: a systematic review and meta-analysis.Critical care (London, England) · 2015Pooled it
- Debriefing to improve outcomes from critical illness: a systematic review and meta-analysis.Intensive care medicine · 2013Pooled it
- Rapid-response systems as a patient safety strategy: a systematic review.Annals of internal medicine · 2013Pooled it
- Guideline
- Effectiveness of rapid response teams in reducing intrahospital cardiac arrests and deaths: a systematic review and meta-analysis.Revista Brasileira de terapia intensivaPooled it
- [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
- Emergency critical care: closing the gap between onset of critical illness and intensive care unit admission.Wiener klinische Wochenschrift · 2024Review
- The burden of critical illness among adults in a Swedish region-a population-based point-prevalence study.European journal of medical research · 2023Article
- Reduction in omission events after implementing a Rapid Response System: a mortality review in a department of gastrointestinal surgery.BMC health services research · 2023Article
- Outcome prediction for patients assessed by the medical emergency team: a retrospective cohort study.BMC emergency medicine · 2022Observational
- A national effort to improve outcomes for in-hospital cardiac arrest in China: The BASeline Investigation of Cardiac Arrest (BASIC-IHCA).Resuscitation plus · 2022Article
- Long term survival following a medical emergency team call at an Australian regional hospital.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022Article
- Predictors of Repeat Medical Emergency Team Activation in Deteriorating Ward Patients: A Retrospective Cohort Study.Journal of clinical medicine · 2022Article
- Factors associated with in-hospital mortality of patients admitted to an intensive care unit in a tertiary hospital in Malawi.PloS one · 2022Article
- A rapid response team is associated with reduced overall hospital mortality in a Chinese tertiary hospital: a 9-year cohort study.Annals of translational medicine · 2020Article
- Improving rapid response system performance in a Chinese Joint Commission International Hospital.The Journal of international medical research · 2019Article
- Implementation of a rapid response team in a large nonprofit Brazilian hospital: improving the quality of emergency care through Plan-Do-Study-Act.Revista Brasileira de terapia intensiva · 2019Article
- Rapid response systems in Korea.Acute and critical care · 2019Review
- Comparison of Hospital-Wide Code Rates and Mortality Before and After the Implementation of a Rapid Response Team.Cureus · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo prospectively evaluate the implementation of a rapid response team in the form of a medical emergency team (MET) with regard to cardiac arrests and hospital mortality.
methodsProspective before-and-after trial of implementation of a MET at the Karolinska University Hospital, Stockholm, Sweden. All adult patients, apart from cardiothoracic, admitted to the hospital were regarded as participants in the study. A control period of 5 years and 203,892 patients preceded the 2-year intervention period of 73,825 patients. MAIN
resultsNumber of MET calls was 9.3 per 1,000 hospital admissions. Cardiac arrests per 1,000 admissions decreased from 1.12 to 0.83, OR 0.74 (95% CI 0.55-0.98, p = 0.035). Adjusted for age, sex, hospital length of stay, acute/elective admission as well as co-morbidities, MET implementation was associated with a reduction in total hospital mortality by 10%, OR 0.90 (95% CI 0.84-0.97), p = 0.003. Hospital mortality was also reduced for medical patients by 12%, OR 0.88 (95% CI 0.81-0.96, p = 0.002) and for surgical patients not operated upon by 28%, OR 0.72 (95% CI 0.56-0.92, p = 0.008). FOR PATIENTS FULFILLING THE MET CRITERIA: Thirty-day mortality pre-MET was 25% versus 7.9% following MET compared with historical controls. Similarly, 180-day mortality was 37.5% versus 15.8%, respectively.
conclusionsImplementing the MET team was associated with significant improvement in both cardiac arrest rate and overall adjusted hospital mortality. Significant reductions in hospital mortality for un-operated surgical patients as well as for medical patients were also seen. Thus, introduction of the MET seemed to improve outcome for hospitalized patients.
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