You are not logged in.
Openly accessible

Characteristics and outcomes of patients requiring rapid response system activation within 24 hours of emergency admission

Considine, Julie, Charlesworth, David and Currey, Judy 2014, Characteristics and outcomes of patients requiring rapid response system activation within 24 hours of emergency admission, Critical care and resuscitation, vol. 16, no. 3, pp. 184-189.

Attached Files
Name Description MIMEType Size Downloads
considine-characteristics-2014.pdf Published version application/pdf 374.44KB 127

Title Characteristics and outcomes of patients requiring rapid response system activation within 24 hours of emergency admission
Author(s) Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Charlesworth, David
Currey, JudyORCID iD for Currey, Judy orcid.org/0000-0002-0574-0054
Journal name Critical care and resuscitation
Volume number 16
Issue number 3
Start page 184
End page 189
Total pages 6
Publisher College of Intensive Care Medicine of Australia and New Zealand
Place of publication Melbourne, Vic.
Publication date 2014-09
ISSN 1441-2772
Keyword(s) emergency nursing
emergency medicine
rapid response team
risk management
patient transfer
Summary Objectives
To establish the prevalence of emergency responses for clinical deterioration (cardiac arrest team or medical emergency team [MET] activation) within 24 hours of emergency admission, and determine if there were differences in characteristics and outcomes of ward patients whose emergency response was within, or beyond, 24 hours of emergency admission.

Design, setting and participants:
A retrospective, descriptive, exploratory study using MET, cardiac arrest, emergency department and inpatient databases, set in a 365-bed urban district hospital in Melbourne, Australia. Participants were adult hospital inpatients admitted to a medical or surgical ward via the emergency department (ED) who needed an emergency response for clinical deterioration during 2012.

Main outcome measures:
Inhospital mortality, unplanned intensive care unit admission and hospital length of stay (LOS).

Results:
A total of 819 patients needed an emergency response for clinical deterioration: 587 patients were admitted via the ED and 28.4% of emergency responses occurred within 24 hours of emergency admission. Patients whose first emergency response was within 24 hours of emergency admission (compared with beyond 24 hours) were more likely to be triaged to Australasian triage scale category 1 (5.4% v 1.2%, P=0.005), less likely to require ICU admission after the emergency response (7.6% v 13.9%, P=0.039), less likely to have recurrent emergency responses during their hospital stay (9.7% v 34%, P < 0.001) and had a shorter median hospital LOS (7 days v 11 days, P < 0.001).

Conclusions:
One-quarter of emergency responses after admission via the ED occurred within 24 hours. Further research is needed to understand the predictors of deterioration in patients needing emergency admission.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, College of Intensive Care Medicine of Australia and New Zealand
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30065600

Document type: Journal Article
Collections: School of Nursing and Midwifery
Open Access Collection
Connect to link resolver
 
Link to Related Work
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 18 times in TR Web of Science
Scopus Citation Count Cited 15 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 310 Abstract Views, 125 File Downloads  -  Detailed Statistics
Created: Sun, 07 Sep 2014, 17:17:17 EST by Julie Considine

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.