SynthesisRevista Brasileira de terapia intensiva
Effectiveness of rapid response teams in reducing intrahospital cardiac arrests and deaths: a systematic review and meta-analysis.
Synthesis in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed, 57 citations in OpenAlex.
- Implementation of a Rapid Response System in a University Hospital: Impact on In-Hospital Mortality and Surgical Patient Outcomes.Journal of clinical medicine · 2026Article
- What Evidence is Available on Rapid Response Systems Across Europe? Findings From a Scoping Review.Nursing in critical care · 2025Article
- Article
- Acute Care Nurses' Partnership With Patients to Recognise and Respond to Changes in Patients' Clinical States: A Qualitative Study.Journal of advanced nursing · 2025Article
- Dedicated rapid response team implementation associated with reductions in hospital mortality and hospital expenses: a retrospective cohort analysis.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- An Explanatory Mixed-Methods Study of Intensive Care Unit Net Benefit: Triage and Trajectory for Sepsis and Acute Respiratory Failure.Annals of the American Thoracic Society · 2025Article
- Article
- The initiative for medical equity and global health (IMEGH) resuscitation training program: A model for resuscitation training courses in Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Resuscitation team training in Rwanda: A mixed method study exploring the combination of the VAST course with Advanced Cardiac Life Support training.Resuscitation plus · 2023Article
- It doesn't matter what they say in the papers… It's still ROC and roll to me.Annals of translational medicine · 2023Article
- Features of the triggering of the yellow code and factors associated with the occurrence of adverse events.Revista brasileira de enfermagem · 2023Article
- Balancing responsibilities, rewards and challenges: A qualitative study illuminating the complexity of being a rapid response team nurse.Journal of clinical nursing · 2022Article
- Construct and clinical verification of a nurse-led rapid response systems and activation criteria.BMC nursing · 2022Article
- Assessing the Usability of a Novel Wearable Remote Patient Monitoring Device for the Early Detection of In-Hospital Patient Deterioration: Observational Study.JMIR formative research · 2022Article
- Automated documentation of vital parameters in wards using portable stations - Effect on proper triggering of the rapid response team: a study protocol of a cluster randomized clinical trial.Revista Brasileira de terapia intensiva · 2022Article
- Etiology and Timing of Postoperative Rapid Response Team Activations.Journal of medical systems · 2021Article
- Clinical characteristics and outcomes of non-tuberculous mycobacterial pulmonary infections after hematopoietic stem cell transplantation: A retrospective cohort study.Hematology, transfusion and cell therapyArticle
- Qualitative Study on Safe and Effective Handover Information during a Rapid Response Team Encounter.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effectiveness of rapid response teams using early identification of clinical deterioration in reducing the occurrence of in-hospital mortality and cardiorespiratory arrest. DATA SOURCES: The MEDLINE, LILACS, Cochrane Library, Center for Reviews and Dissemination databases were searched. STUDY SELECTION: We included studies that evaluated the effectiveness of rapid response teams in adult hospital units, published in English, Portuguese, or Spanish, from 2000 to 2016; systematic reviews, clinical trials, cohort studies, and prepost ecological studies were eligible for inclusion. The quality of studies was independently assessed by two researchers using the Newcastle-Ottawa, modified Jadad, and Assessment of Multiple Systematic Reviews scales. DATA EXTRACTIONS: The results were synthesized and tabulated. When risk measures were reported by the authors of the included studies, we estimated effectiveness as 1-RR or 1-OR. In pre-post studies, we estimated effectiveness as the percent decrease in rates following the intervention.
resultsOverall, 278 studies were identified, 256 of which were excluded after abstract evaluation, and two of which were excluded after full text evaluation. In the meta-analysis of the studies reporting mortality data, we calculated a risk ratio of 0.85 (95%CI 0.76 - 0.94); and for studies reporting cardiac arrest data the estimated risk ratio was 0.65 (95%CI 0.49 - 0.87). Evidence was assessed as low quality due to the high heterogeneity and risk of bias in primary studies.
conclusionWe conclude that rapid response teams may reduce in-hospital mortality and cardiac arrests, although the quality of evidence for both outcomes is low.
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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.