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Evaluation of the five-year operation period of a rapid response team led by an intensive care physician at a university hospital
OBJECTIVE: To evaluate the implementation of a multidisciplinary rapid response team led by an intensive care physician at a university hospital. METHODS: This retrospective cohort study analyzed assessment forms that were completed during the assessments made by the rapid response team of a univers...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira -
AMIB
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051186/ https://www.ncbi.nlm.nih.gov/pubmed/27626952 http://dx.doi.org/10.5935/0103-507X.20160045 |
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author | Mezzaroba, Ana Luiza Tanita, Marcos Toshiyuki Festti, Josiane Carrilho, Claudia Maria Dantas de Maio Cardoso, Lucienne Tibery Queiroz Grion, Cintia Magalhães Carvalho |
author_facet | Mezzaroba, Ana Luiza Tanita, Marcos Toshiyuki Festti, Josiane Carrilho, Claudia Maria Dantas de Maio Cardoso, Lucienne Tibery Queiroz Grion, Cintia Magalhães Carvalho |
author_sort | Mezzaroba, Ana Luiza |
collection | PubMed |
description | OBJECTIVE: To evaluate the implementation of a multidisciplinary rapid response team led by an intensive care physician at a university hospital. METHODS: This retrospective cohort study analyzed assessment forms that were completed during the assessments made by the rapid response team of a university hospital between March 2009 and February 2014. RESULTS: Data were collected from 1,628 assessments performed by the rapid response team for 1,024 patients and included 1,423 code yellow events and 205 code blue events. The number of assessments was higher in the first year of operation of the rapid response team. The multivariate analysis indicated that age (OR 1.02; 95%CI 1.02 - 1.03; p < 0.001), being male (OR 1.48; 95%CI 1.09 - 2.01; p = 0.01), having more than one assessment (OR 3.31; 95%CI, 2.32 - 4.71; p < 0.001), hospitalization for clinical care (OR 1.77; 95%CI 1.29 - 2.42; p < 0.001), the request of admission to the intensive care unit after the code event (OR 4.75; 95%CI 3.43 - 6.59; p < 0.001), and admission to the intensive care unit before the code event (OR 2.13; 95%CI 1.41 - 3.21; p = 0.001) were risk factors for hospital mortality in patients who were seen for code yellow events. CONCLUSION: The hospital mortality rates were higher than those found in previous studies. The number of assessments was higher in the first year of operation of the rapid response team. Moreover, hospital mortality was higher among patients admitted for clinical care. |
format | Online Article Text |
id | pubmed-5051186 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Associação de Medicina Intensiva Brasileira -
AMIB |
record_format | MEDLINE/PubMed |
spelling | pubmed-50511862016-10-06 Evaluation of the five-year operation period of a rapid response team led by an intensive care physician at a university hospital Mezzaroba, Ana Luiza Tanita, Marcos Toshiyuki Festti, Josiane Carrilho, Claudia Maria Dantas de Maio Cardoso, Lucienne Tibery Queiroz Grion, Cintia Magalhães Carvalho Rev Bras Ter Intensiva Original Articles OBJECTIVE: To evaluate the implementation of a multidisciplinary rapid response team led by an intensive care physician at a university hospital. METHODS: This retrospective cohort study analyzed assessment forms that were completed during the assessments made by the rapid response team of a university hospital between March 2009 and February 2014. RESULTS: Data were collected from 1,628 assessments performed by the rapid response team for 1,024 patients and included 1,423 code yellow events and 205 code blue events. The number of assessments was higher in the first year of operation of the rapid response team. The multivariate analysis indicated that age (OR 1.02; 95%CI 1.02 - 1.03; p < 0.001), being male (OR 1.48; 95%CI 1.09 - 2.01; p = 0.01), having more than one assessment (OR 3.31; 95%CI, 2.32 - 4.71; p < 0.001), hospitalization for clinical care (OR 1.77; 95%CI 1.29 - 2.42; p < 0.001), the request of admission to the intensive care unit after the code event (OR 4.75; 95%CI 3.43 - 6.59; p < 0.001), and admission to the intensive care unit before the code event (OR 2.13; 95%CI 1.41 - 3.21; p = 0.001) were risk factors for hospital mortality in patients who were seen for code yellow events. CONCLUSION: The hospital mortality rates were higher than those found in previous studies. The number of assessments was higher in the first year of operation of the rapid response team. Moreover, hospital mortality was higher among patients admitted for clinical care. Associação de Medicina Intensiva Brasileira - AMIB 2016 /pmc/articles/PMC5051186/ /pubmed/27626952 http://dx.doi.org/10.5935/0103-507X.20160045 Text en http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Mezzaroba, Ana Luiza Tanita, Marcos Toshiyuki Festti, Josiane Carrilho, Claudia Maria Dantas de Maio Cardoso, Lucienne Tibery Queiroz Grion, Cintia Magalhães Carvalho Evaluation of the five-year operation period of a rapid response team led by an intensive care physician at a university hospital |
title | Evaluation of the five-year operation period of a rapid response team
led by an intensive care physician at a university hospital |
title_full | Evaluation of the five-year operation period of a rapid response team
led by an intensive care physician at a university hospital |
title_fullStr | Evaluation of the five-year operation period of a rapid response team
led by an intensive care physician at a university hospital |
title_full_unstemmed | Evaluation of the five-year operation period of a rapid response team
led by an intensive care physician at a university hospital |
title_short | Evaluation of the five-year operation period of a rapid response team
led by an intensive care physician at a university hospital |
title_sort | evaluation of the five-year operation period of a rapid response team
led by an intensive care physician at a university hospital |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051186/ https://www.ncbi.nlm.nih.gov/pubmed/27626952 http://dx.doi.org/10.5935/0103-507X.20160045 |
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