Use of medical emergency team responses to reduce hospital cardiopulmonary arrests
Use of medical emergency team responses to reduce hospital cardiopulmonary arrests
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DOI：
10.1136/qshc.2003.006585
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发表时间：
2004-08-01
影响因子：
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通讯作者：
Simmons, RL
中科院分区：
文献类型：
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作者：
DeVita, MA;Braithwaite, RS;Simmons, RL
背景资料：医疗急救队（MET）的反应已被实施，以减少住院死亡率，但其有效性的数据是稀疏的，至今还没有来自美国hospitals.Objectives的报告：为了确定如何心脏骤停的发病率和结果已经改变了以下增加使用MET。作为危机管理方案的一部分，建立并传播了MET激活的客观标准，此后MET的使用迅速而持续地增加。对临床结局进行回顾性分析，以比较增加MET使用前后心肺骤停的发生率和死亡率。一项对6.8年内3269例MET应答和1220例心肺骤停的回顾性分析显示，MET应答率从每1000例入院13.7例增加到25.8例（p< 0.0001）。心肺骤停的发生率下降了17%，从6.5/1000例下降到5.4/1000例（p = 0.016）。死亡逮捕的比例是相似的前，后增加使用MET.Conclusions：增加使用MET可能与较少的心肺骤停。
Background: Medical emergency team ( MET) responses have been implemented to reduce inpatient mortality, but data on their efficacy are sparse and there have been no reports to date from US hospitals.Objectives: To determine how the incidence and outcomes of cardiac arrests have changed following increased use of MET.Methods: Objective criteria for MET activation were created and disseminated as part of a crisis management program, after which there was a rapid and sustained increase in the use of MET. A retrospective analysis of clinical outcomes was performed to compare the incidence and mortality of cardiopulmonary arrest before and after the increased use of MET.Results: A retrospective analysis of 3269 MET responses and 1220 cardiopulmonary arrests over 6.8 years showed an increase in MET responses from 13.7 to 25.8 per 1000 admissions ( p< 0.0001) after instituting objective activation criteria. There was a coincident 17% decrease in the incidence of cardiopulmonary arrests from 6.5 to 5.4 per 1000 admissions ( p = 0.016). The proportion of fatal arrests was similar before and after the increase in use of MET.Conclusions: Increased use of MET may be associated with fewer cardiopulmonary arrests.