Evidence map›Paper›PMID 29523180›Full record

ArticleSystematic reviews2018

Evaluating the effect of delayed activation of rapid response teams on patient outcomes: a systematic review protocol.

Michael K Xu, Kathleen G Dobson, Lehana Thabane, Alison E Fox-Robichaud

Abstract read
In one paragraph

Article in Systematic reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Michael K XuDepartment of Health Research Methods, Evidence, and Impact, McMaster University, DBRI C5-106, 237 Barton St. East, Hamilton, ON, L8L 2X2, Canada. xum5@mcmaster.ca.
Kathleen G DobsonDalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence, and Impact, McMaster University, DBRI C5-106, 237 Barton St. East, Hamilton, ON, L8L 2X2, Canada.
Alison E Fox-RobichaudDepartment of Medicine, McMaster University, Hamilton, Canada.ORCID 0000-0001-9912-3606

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapid response teams have been widely adopted across the world. Although evidence for their efficacy is not clear, they remain a popular means to detect and react to patient deterioration. This may in part be due to there being no standardized approach to their usage or implementation. A key component of their ability to be effective is the speed of response.

objectiveThe objective of this review is to evaluate the effect of delayed response by rapid response teams on hospital mortality (primary), cardiac arrest, and intensive care transfer rates (secondary).

methodsThis review will include randomized and non-randomized studies which examined the effect of delayed response times by rapid response teams on patient mortality, cardiac arrest, and intensive care unit admission rates. This review will include studies of adult patients who have experienced a rapid response team consultation. The search strategy will utilize a combination of keywords and MeSH terms. MEDLINE and Embase will be searched, as well as examining gray literature. Two reviewers will independently screen retrieved citations to determine if they meet inclusion criteria. Studies will be selected that provide information about the impact of response time on patient outcomes. Comparisons will be made between consults that arrive in a timely manner and consults that are delayed. Quality assessment of randomized studies will be conducted in accordance with guidelines from the Cochrane Handbook for Systematic Reviews of Interventions. Quality assessment of non-randomized studies will be based on the Risk of Bias in Non-randomized Studies-of Interventions (ROBINS-I) assessment tool. Results of the review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DISCUSSION: This systematic review will identify and synthesize evidence around the impact of delayed response by rapid response teams on patient mortality, cardiac arrest, and intensive care transfer rates. SYSTEMATIC REVIEW REGISTRATION: PROSPERO Registration: CRD42017071842 .

Indexed as

Critical CareHospital Rapid Response TeamTime-to-TreatmentHeart ArrestHospital MortalityHumansIntensive Care UnitsSystematic Reviews as TopicCritical careDelayIntensive careMedical emergency teamMortalityRapid response teamSystematic review

Identifiers

PMID29523180
PMCPMC5845146

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Registered trials

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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.