Evidence map›Paper›PMID 34223336›Full record

ArticleResuscitation plus2021

Rapid response system in Japanese outpatient departments based on online registry: Multicentre observational study.

Takeshi Aoyama, Isao Tsuneyoshi, Takanao Otake, Kazuo Ouchi, Yuta Kawase, Masayasu Arai, Naoaki Shibata, Shinsuke Fujiwara, Shigeki Fujitani, In-Hospital Emergency Registry in Japan collaborators

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

10 authors at 8 institutions in 1 country.

Takeshi AoyamaDepartment of Emergency and Critical Care Medicine, Miyazaki Prefectural Miyazaki Hospital, 5-30 Kitatakamatsu-cyou, Miyazaki City, Miyazaki 880-0017, Japan.
Isao TsuneyoshiDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake-cyou, Miyazaki City, Miyazaki 889-1692, Japan.
Takanao OtakeDepartment of Anesthesiology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki City, Okayama 710-8602, Japan.
Kazuo OuchiDepartment of Medical Safety Management, Fukushima Medical University Hospital, 1 Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan.
Yuta KawaseDepartment of Internal Medicine, Kyoritsu General Hospital, 4-33 Goban-cyou, Atsuta-ku, Nagoya City, Aichi 456-8611, Japan.
Masayasu AraiKitasato University Hospital, 1-15-1 Kitasato, Minami-ku, Sagamihara City, Kanagawa 252-0375, Japan.
Naoaki ShibataWakayama Medical University, 811-1 Kimiidera, Wakayama City, Wakayama 641-8509, Japan.
Shinsuke FujiwaraDepartment of Emergency Medicine, National Hospital Organization Ureshino Medical Center, 4279-3 Shimojuku-hei, Oaza, Ureshino-machi, Ureshino City, Saga 843-0393, Japan.
Shigeki FujitaniDepartment of Emergency and Critical Care Medicine, St. Marianna University Hospital, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa 216-8511, Japan.
In-Hospital Emergency Registry in Japan collaborators
University of Miyazaki · JPFukushima Medical University Hospital · JPIwaki Kyoritsu General Hospital · JPKitasato University Hospital · JPKurashiki Central Hospital · JPNational Hospital Organization · JPSt. Marianna University School of Medicine · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe rapid response system (RRS) has become well known as a patient safety system to reduce adverse in-patient events, and it is also required to respond to patients in the outpatient department. However, only few studies have reported on the RRS in the outpatient department. We analysed the current status of the RRS in the outpatient department based on a multicentre online registry in Japan.

methodsThis is a prospective multicentre observational study. Among the cases registered in the RRS online registry from January 2014 to March 2018, cases from the outpatient department, consisting of the general outpatient department, radiation department, dialysis department, endoscope department, rehabilitation department, and the surrounding areas were eligible for this study.

resultsA total of 6784 cases were registered, and 1022 cases were included. The main reason for activation was altered mental status (39.1%). Incomplete vital sign recording at activation was 67.0%, whereas body temperature (57.0%) and respiratory rate (36.4%) deficits were frequent. The most common intervention during RRS activation was fluid bolus (38.2%) and oxygen supplementation (30.9%). The general outpatient department accounted for nearly half of the activation locations. The 30-day mortality rate for the location was significantly higher in the dialysis department (P < 0.001).

conclusionsWe have reported the first study of RRSs in outpatient departments at multicentre facilities in Japan. The difference in the mortality rate for the location was clarified. Future tasks will involve clarifying the RRS outcome indicators in the outpatient department and examining the effectiveness thereof.

Indexed as

30-day mortalityOutpatient departmentPatient safety systemRapid response systemVital sign

Identifiers

PMID34223336
PMCPMC8244486
OpenAlexW3120308662

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.