Evidence map›Paper›PMID 25215142›Full record

ArticleWorld journal of emergency medicine2014

Blue code: Is it a real emergency?

Serkan E Eroglu, Ozge Onur, Oğuz Urgan, Arzu Denizbasi, Haldun Akoglu

Abstract read
In one paragraph

Article in World journal of emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Evaluation of Code Blue Notifications and Their Results: A University Hospital Example.Turkish journal of anaesthesiology and reanimation · 2023
    Article
  7. Simulation of Inpatient Medical Critical Events for Physicians at a Community Hospital.Journal of community hospital internal medicine perspectives · 2022
    Article
  8. Article
  9. Article
  10. Code Blue evaluation in children's hospital.World journal of emergency medicine · 2016
    Article
  11. Code blue: Predictors of survival.Journal of anaesthesiology, clinical pharmacology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Serkan E ErogluDepartment of Emergency Medicine, Marmara University Pendik Research and Training Hospital, 34890, Istanbul, Turkey.
Ozge OnurDepartment of Emergency Medicine, Marmara University Pendik Research and Training Hospital, 34890, Istanbul, Turkey.
Oğuz UrganDepartment of Emergency Medicine, Marmara University Pendik Research and Training Hospital, 34890, Istanbul, Turkey.
Arzu DenizbasiDepartment of Emergency Medicine, Marmara University Pendik Research and Training Hospital, 34890, Istanbul, Turkey.
Haldun AkogluDepartment of Emergency Medicine, Marmara University Pendik Research and Training Hospital, 34890, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac arrests in hospital areas are common, and hospitals have rapid response teams or "blue code teams" to reduce preventable in-hospital deaths. Education about the rapid response team has been provided in all hospitals in Turkey, but true "blue code" activation is rare, and it is abused by medical personnel in practice. This study aimed to determine the cases of wrong blue codes and reasons of misuse.

methodsThis retrospective study analyzed the blue code reports issued by our hospital between January 1 and June 1 2012. A total of 89 "blue code" activations were recorded in 5 months. A "blue code" was defined as any patient with an unexpected cardiac or respiratory arrest requiring resuscitation and activation of a hospital alert. Adherence to this definition, each physician classified their collected activation forms as either a true or a wrong code. Then, patient data entered a database (Microsoft Excel 2007 software) which was pooled for analysis. The data were analyzed by using frequencies and the Chi-square test on SPSSv16.0.

resultsThe patients were diagnosed with cardiopulmonary arrest (8), change in mental status (18), presyncope (11), chest pain (12), conversive disorder (18), and worry of the staff for the patient (22). Code activation was done by physicians in 76% of the patients; the most common reason for blue code was concern of staff for the patient.

conclusionThe findings of this study show that more research is needed to establish the overall effectiveness and optimal implementation of blue code teams.

Indexed as

Blue codeCode activationHospital arrest

Identifiers

PMID25215142
PMCPMC4129865

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.