Effectiveness Analysis of a Part-Time Rapid Response System During Operation Versus Nonoperation
| Autor: | You Hwan Jo, Jae-Ho Lee, Hyunju Min, Sanghwan Do, Eun Young Lee, Ho Il Yoon, Dong Seon Lee, Yun Young Choi, Youlim Kim, Jongsun Park, In-Ae Song, Young Jae Cho, Choon Taek Lee, Yeon Joo Lee |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty MEDLINE Hospital mortality Critical Care and Intensive Care Medicine Tertiary care Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Risk Factors Patients' Rooms medicine Humans 030212 general & internal medicine Hospital Mortality Aged Retrospective Studies Aged 80 and over Adult patients business.industry 030208 emergency & critical care medicine Retrospective cohort study Middle Aged Heart Arrest Patient room Emergency medicine Operative time Female business Rapid response system Hospital Rapid Response Team |
| Zdroj: | Critical care medicine. 45(6) |
| ISSN: | 1530-0293 |
| Popis: | To evaluate the effect of a part-time rapid response system on the occurrence rate of cardiopulmonary arrest by comparing the times of rapid response system operation versus nonoperation.Retrospective cohort study.A 1,360-bed tertiary care hospital.Adult patients admitted to the general ward were screened. Data were collected over 36 months from rapid response system implementation (October 2012 to September 2015) and more than 45 months before rapid response system implementation (January 2009 to September 2012).None.The rapid response system operates from 7 AM to 10 PM on weekdays and from 7 AM to 12 PM on Saturdays. Primary outcomes were the difference of cardiopulmonary arrest incidence between pre-rapid response system and post-rapid response system periods and whether the rapid response system operating time affects the cardiopulmonary arrest incidence. The overall cardiopulmonary arrest incidence (per 1,000 admissions) was 1.43. Although the number of admissions per month and case-mix index were increased (3,555.18 vs 4,564.72, p0.001; 1.09 vs 1.13, p = 0.001, respectively), the cardiopulmonary arrest incidence was significantly decreased after rapid response system (1.60 vs 1.23; p = 0.021), and mortality (%) was unchanged (1.38 vs 1.33; p = 0.322). After rapid response system implementation, the cardiopulmonary arrest incidence significantly decreased by 40% during rapid response system operating times (0.82 vs 0.49/1,000 admissions; p = 0.001) but remained similar during rapid response system nonoperating times (0.77 vs 0.73/1,000 admissions; p = 0.729).The implementation of a part-time rapid response system reduced the cardiopulmonary arrest incidence based on the reduction of cardiopulmonary arrest during rapid response system operating times. Further analysis of the cost effectiveness of part-time rapid response system is needed. |
| Databáze: | OpenAIRE |
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