Missed opportunities in use of medical emergency teams prior to in-hospital cardiac arrest
Missed opportunities in use of medical emergency teams prior to in-hospital cardiac arrest
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DOI：
10.1016/j.ahj.2016.04.014
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发表时间：
2016-07-01
影响因子：
4.8
通讯作者：
Chan, Paul S.
中科院分区：
文献类型：
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作者：
Chan, Maya L.;Spertus, John A.;Chan, Paul S.
背景 医院经常聘请医疗急救队 (MET) 来应对急性生理衰退的患者，以防止院内心脏骤停 (IHCA) 造成的死亡。我们确定了错过 MET 评估机会的频率，定义为尽管有证据表明心脏骤停前 >= 1 小时存在严重生命体征异常，但在 IHCA 之前未进行 MET 评估。在“复苏指南”中的方法，我们从 274 家医院的普通住院或遥测楼层的 IHCA 中确定了 21,913 名患者，他们有资格在 IHCA 之前进行 MET 评估。我们确定了错过 MET 评估机会的患者比例，定义为尽管至少有 1 次严重生命体征异常（脉搏 >= 150 或
Background Hospitals often employ Medical Emergency Teams (METs) to respond to patients with acute physiological decline so as to prevent deaths from in-hospital cardiac arrest (IHCA). We determined the frequency of missed opportunities for MET evaluation, defined as no MET evaluation prior to IHCA despite evidence of severe vital sign abnormalities >= 1 hour preceding cardiac arrest.Methods Within Get With The Guidelines-Resuscitation, we identified 21,913 patients from 274 hospitals with IHCA on general inpatient or telemetry floors who would be eligible for a MET evaluation prior to IHCA. We determined the proportion of patients with missed opportunities for MET evaluation, defined as no MET evaluation before IHCA despite at least 1 severe vital sign abnormality (pulse >= 150 or