ArticleANZ journal of surgery
Characteristics of Surgical Patients at Risk of Adverse Outcomes After Medical Emergency Team Call: A Single Centre Experience.
Article in ANZ journal of surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs volume and complexity of surgical procedures increase, there is increased likelihood of perioperative physiological deterioration needing activation of Medical Emergency Team (MET) calls.
aimsWe aimed to estimate rate of MET calls in patients admitted for surgery and identify risk factors for perioperative activation of MET calls in a metropolitan teaching hospital with growing surgical acuity.
methodsWe identified risk factors for MET activation in a retrospective cohort study of a convenience sample of patients admitted under surgical services over a 3-month period and compared perioperative outcomes of patients who experienced MET call activation with those who did not.
resultsThirty-three (7%, 95% CI: 5%-9.9%) patients required perioperative MET call activation. Patients needing MET activation were older (71 years vs. 49 years, p < 0.001), had higher Charlson Comorbidity Index (CCI) (median CCI 3 vs. 1, p < 0.001) and were more likely to be on five or more medications, polypharmacy, pre-operatively (58% vs. 21%, p < 0.001). MET call patients were more likely to require ICU admission (49% vs. 3% respectively, p < 0.001) and had a longer median length of hospital stay (median 10 days vs. 2 days, p < 0.001).
conclusionsThe rate of MET call activation in patients admitted for surgery was 7%. Age, CCI and polypharmacy were significant predictors of need for MET activation (associated with need for escalation of care and poorer hospital outcomes). Since risk factors for MET activation were identifiable from data available at admission, there is potential to identify and intervene early in the perioperative period. Further work will determine whether intervention based on these can improve outcomes.
Indexed as
Identifiers
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.