지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 688 - 694 (7page)
이용수
초록· 키워드
오류제보하기
Variability in rapid response system (RRS) characteristics based on the admitted wards is unknown. We aimed to compare differences in the clinical characteristics of RRS activation between patients admitted to medical versus surgical services. We reviewed patients admitted to the hospital who were detected by the RRS from October 2012 to February 2014 at a tertiary care academic hospital. We compared the triggers for RRS activation, interventions performed, and outcomes of the 2 patient groups. The RRS was activated for 460 patients, and the activation rate was almost 2.3 times higher for surgical services than that for medical services (70% vs. 30%). The triggers for RRS activation significantly differed between patient groups (P = 0.001). They included abnormal values for the respiratory rate (23.2%) and blood gas analysis (20.3%), and low blood pressure (18.8%) in the medical group; and low blood pressure (32.0%), low oxygen saturation (20.8%), and an abnormal heart rate (17.7%) in the surgical group. Patients were more likely classified as do not resuscitate or required intensive care unit admission in the medical group compared to those in the surgical group (65.3% vs. 54.7%, P = 0.045). In multivariate analysis, whether the patient belongs to medical services was found to be an independent predictor of mortality after adjusting for the modified early warning score, Charlson comorbidity index, and intervention performed by the RRS team. Our data suggest that RRS triggers, interventions, and outcomes greatly differ between patient groups. Further research is needed to evaluate the efficacy of an RRS approach tailored to specific patient groups.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Mercer M / 2010 / Outreach and the evolution of critical care / Anaesthesia 65:754
Berwick DM / 2006 / The 100,000 lives campaign: setting a goal and a deadline for improving health care quality / JAMA 295:324~327
DeVita MA / 2004 / Use of medical emergency team responses to reduce hospital cardiopulmonary arrests / Qual Saf Health Care 13:251~254
Buist MD / 2002 / Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital : preliminary study / BMJ 324:387~390
Bellomo R / 2003 / A prospective before-and-after trial of a medical emergency team / Med J Aust 179:283~287
Berwick DM / 2006 / The 100,000 lives campaign: setting a goal and a deadline for improving health care quality / JAMA 295:324~327
DeVita MA / 2004 / Use of medical emergency team responses to reduce hospital cardiopulmonary arrests / Qual Saf Health Care 13:251~254
Buist MD / 2002 / Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital : preliminary study / BMJ 324:387~390
Bellomo R / 2003 / A prospective before-and-after trial of a medical emergency team / Med J Aust 179:283~287
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