| Autor: |
Singh, Manoj Y., Vegunta, Ramprasad, Karpe, Krishna, Rai, Sumeet |
| Předmět: |
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| Zdroj: |
Indian Journal of Critical Care Medicine; Jan2020, Vol. 24 Issue 1, p38-43, 6p, 1 Diagram, 4 Charts, 1 Graph |
| Abstrakt: |
Objective: The study aimed to evaluate the effect of a single after-hours rapid response team (RRT) calls on patient outcome. Design: A retrospective cohort study of RRT-call data over a 3-year period. Setting: A 600-bedded, tertiary referral, public university hospital. Participants: All adult patients who had a single RRT-call during their hospital stay. Intervention: None. Main outcomes measures: The primary outcome was to compare all-cause in-hospital mortality. The secondary outcomes were to study the hourly variation of RRT-calls and the mortality rate. Results: Of the total 5,108 RRT-calls recorded, 1,916 patients had a single RRT-call. Eight hundred and sixty-one RRT-calls occurred during workhours (08:00-17:59 hours) and 1,055 during after-hours (18:00-7:59). The all-cause in-hospital mortality was higher (15.07% vs 9.75%, OR 1.64, 95% CI 1.24-2.17, p value 0.001) in patients who had an after-hours RRT-call. This difference remained statistically significant after multivariate regression analysis (OR 1.50, 95% CI 1.11-2.01, p value 0.001). We noted a lower frequency of hourly RRT-calls after-hours but were associated with higher hourly mortality rates. There was no difference in outcomes for patients who were admitted to ICU post-RRT-call. Conclusion: Patients having an after-hour RRT-call appear to have a higher risk for hospital mortality. No causal mechanism could be identified other than a decrease in hourly RRT usage during after-hours. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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