ArticleCritical care (London, England)2018
Impact of nighttime Rapid Response Team activation on outcomes of hospitalized patients with acute deterioration.
Article in Critical care (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- [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
- Timing of critical events in the PICU among English and LOE patients.Pediatric research · 2026Article
- Process Improvement of In-Hospital Critical and Life-Threatening Patient Resuscitation: A Quality Improvement Project in a China Otolaryngology Hospital.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Operational characteristics of a hospital rapid response team for public-area emergencies: a retrospective study.Frontiers in medicine · 2026Article
- Article
- Implementation of Remote Patient Monitoring and Earlier CERT Activation: Effects on ICU Transfer and Mortality.Journal of clinical medicine · 2025Article
- Assessing Clinical Impressions of Early Warning Score Integration With the Rapid Response Team: Protocol for a Prospective Cohort Study.JMIR research protocols · 2025Article
- Article
- Relationship between Time of Day of Medical Emergency Team Activations and Outcomes of Hospitalized Pediatric Patients.Journal of pediatric intensive care · 2024Article
- Implementation of a critical care outreach team in a children's hospital.Resuscitation plus · 2024Article
- Night Physician-Nurse Collaboration: Developing the Scale of Physicians' Difficulties and Exploring Related Factors in Acute Care Hospitals.Journal of multidisciplinary healthcare · 2024Article
- Characteristics and outcomes of patients screened by rapid response team who transferred to the intensive care unit.BMC emergency medicine · 2022Article
- ICU-free days as a more sensitive primary outcome for clinical trials in critically ill pediatric patients.Journal of the American College of Emergency Physicians open · 2021Article
- An Exploratory Investigation into the Roles of Critical Care Response Teams in End-of-Life Care.Critical care research and practice · 2021Article
- Predictors of mortality and cost among surgical patients requiring rapid response team activation.Canadian journal of surgery. Journal canadien de chirurgie · 2020Article
- 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
- Article
- Outcomes of hospitalized hematologic oncology patients receiving rapid response system activation for acute deterioration.Critical care (London, England) · 2019Article
- Prognostic accuracy of the Hamilton Early Warning Score (HEWS) and the National Early Warning Score 2 (NEWS2) among hospitalized patients assessed by a rapid response team.Critical care (London, England) · 2019Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRapid Response Teams (RRTs) are groups of healthcare providers that are used by many hospitals to respond to acutely deteriorating patients admitted to the wards. We sought to identify outcomes of patients assessed by RRTs outside standard working hours.
methodsWe used a prospectively collected registry from two hospitals within a single tertiary care-level hospital system between May 1, 2012, and May 31, 2016. Patient information, outcomes, and RRT activation information were stored in the hospital data warehouse. Comparisons were made between RRT activation during daytime hours (0800-1659) and nighttime hours (1700-0759). The primary outcome was in-hospital mortality, analyzed using a multivariable logistic regression model.
resultsA total of 6023 RRT activations on discrete patients were analyzed, 3367 (55.9%) of which occurred during nighttime hours. Nighttime RRT activation was associated with increased odds of mortality, as compared with daytime RRT activation (adjusted OR 1.34, 95% CI 1.26-1.40, P = 0.02). The time periods associated with the highest odds of mortality were 0600-0700 (adjusted OR 1.30, 95% CI 1.09-1.61) and 2300-2400 (adjusted OR 1.34, 95% CI 1.01-1.56). Daytime RRT activation was associated with increased odds of intensive care unit admission (adjusted OR 1.40, 95% CI 1.31-1.50, P = 0.02). Time from onset of concerning symptoms to RRT activation was shorter among patients assessed during daytime hours (P < 0.001).
conclusionsAcutely deteriorating ward patients assessed by an RRT at nighttime had a higher risk of in-hospital mortality. This work identifies important shortcomings in health service provision and quality of care outside daytime hours, highlighting an opportunity for quality improvement.
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