Evidence map›Paper›PMID 41172507›Full record

ArticleCritical care science2025

Rapid Response Teams in low and middle-income countries: a scoping review.

Larissa Bianchini, Luiz Marcelo Almeida de Araújo, Daryl Jones, Bruno Adler Maccagnan Pinheiro Besen

Abstract readScoping Review
In one paragraph

Article in Critical care science, 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

4 authors.

Larissa BianchiniPostgraduate Program in Medical Sciences, Department of Internal Medicine, Faculdade de Medicina, Universidade de São Paulo - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0003-4058-3522
Luiz Marcelo Almeida de AraújoHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo - São Paulo (SP), Brazil.ORCID http://orcid.org/0009-0007-2328-2193
Daryl JonesDepartment of Intensive Care, Austin Hospital - Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-6446-3595
Bruno Adler Maccagnan Pinheiro BesenPostgraduate Program in Medical Sciences, Department of Internal Medicine, Faculdade de Medicina, Universidade de São Paulo - São Paulo (SP), Brazil.ORCID http://orcid.org/0000-0002-3516-9696

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapid Response Teams have been widely implemented in high-income countries and play a crucial role in the early identification and management of clinically deteriorating patients. However, their implementation in low and middle-income settings has not been adequately described. Our goal was to map the current evidence in this setting.

methodsWe conducted a scoping review to map the published literature about Rapid Response Teams in low- and middle-income countries, according to year of publication, study type, team composition, reported outcomes, and potential roles of the team.

resultsAfter screening 6,679 studies, 52 fulfilled eligibility criteria: 36 full-text studies and 16 conference abstracts. Most of the studies were from Brazil (51.2%), followed by India (19.2%) and Turkey (7.7%), with the two earliest reports being conference abstracts published in 2009. The predominant design was before-and-after studies (20; 38.4%), followed by cohort studies (16; 30.8%). An intensive care unit physician was always a member of the Rapid Response Teams in 55.9% of the studies and an intensive care unit nurse in 23.5%. The number of Rapid Response Teams calls in the before-and-after studies ranged from 2.39 to 124 per 1,000 admissions. Reported outcomes varied, with most studies focusing on mortality (26, 50%) and code blue incidence (21; 40.4%). Four (7.7%) studies reported an active role of Rapid Response Teams in goals of care discussions.

conclusionWe found that evidence on Rapid Response Teams in low- and middle-income countries remains limited, with a time lag in publications compared to high-income countries. Our findings highlight the need for further studies and policy initiatives to evaluate the effectiveness of implementing Rapid Response Teams in resource-constrained settings.

Indexed as

Developing CountriesHospital Rapid Response TeamHumansIntensive Care Units

Identifiers

PMID41172507
PMCPMC12614955

What OpenQuestion holds

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LicenceCC BY
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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.