Evidence map›Paper›PMID 40455862›Full record

ArticlePloS one2025

The critical role of timely medical emergency team activation in oncological and non-oncological patients.

Kaspar F Bachmann, Samuel J Michimura, Luca Cioccari, Joerg C Schefold, Anna S Messmer

Abstract read
In one paragraph

Article in PloS one, 2025. 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

5 authors.

Kaspar F BachmannDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Samuel J MichimuraDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Luca CioccariDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Joerg C SchefoldDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0001-9162-5724
Anna S MessmerDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0002-3206-9112

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to analyse the impact of time from first physiological derangement (positive Vital Sign Score, VSS) to Medical Emergency Team (MET) activation on mortality in oncological versus non-oncological patients.

methodsAll in-hospital patients requiring a MET assessment were included. The primary outcome was 30-day mortality. Subanalyses were performed for the population that was admitted to the ICU as well as the subgroups of oncological with solid vs. haematological cancer. In addition, we assessed the number and time points of VSS measurements in oncological and non-oncological patients.

results286 out of 4068 (8.9%) documented MET calls were attributed to oncological patients. Each hour delay from first abnormal VSS to MET activation was associated with an 3% increase in adjusted 30-day all-cause mortality odds (OR 1.03, 95% CI 1.02-1.05, p < 0.001), independent of oncological status (interaction p = 0.141). Oncological patients had a significantly higher number of vital sign measurements on the ward (median 24 [16-37] vs 18 [10-27], p < 0.001) before MET activation, and higher 30-day all-cause mortality (38.1% vs 21.8%, p < 0.001).

conclusionsAlthough the overall outcome did not differ between, oncological patients comprised 10% of MET calls, had higher mortality and had significantly more frequent vital sign monitoring, reflecting greater clinical concern. Tailored monitoring including early MET review has potential to improve outcomes particularly in high-risk oncological patients.

Indexed as

Hospital Rapid Response TeamNeoplasmsAgedAged, 80 and overFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedTime FactorsVital Signs

Identifiers

PMID40455862
PMCPMC12129341

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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.