Hospital Medical Emergency Team, Hospital Rapid Response Team, Medicine, Emergency
Conditions
Brief summary
The purpose of this study is to collect data of rapid response team activated patients prospectively
Detailed description
acutely deteriorating patients including sudden cardiac arrest in general ward who are monitored and intervened by rapid response team
Interventions
None listed
Sponsors
Seoul National University Bundang Hospital
Seoul National University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Patients admitted to general ward in Seoul National University Bundang Hospital and monitored by in-hospital rapid response system.
Exclusion criteria
* patients admitted to pediatric wards * patients in emergency room, intensive care unit, and operating room
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mortality or ICU admission of rapid response team activated patient | an average of 1 year |
| incidence of preventable cardiac arrest | an average of 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of triggerring criteria(3) for activation of rapid response team | an average of 1 year | RR: \<10/min or \>30/min or stridor(sign of airway obstruction) or accessary muscle use |
| Frequency of triggerring criteria(4) for activation of rapid response team | an average of 1 year | Oxygenation: SaO2 \<90% in room air or FM 8L/min |
| Frequency of triggerring criteria(5) for activation of rapid response team | an average of 1 year | Metabolic acidosis: Lactic acid\<2.5 , TCO2 \<15 |
| Frequency of triggerring criteria(1) for activation of rapid response team | an average of 1 year | SBP \<90mmHg(mABP 60mmHg) +- clinically correlated symptom or sign |
| Frequency of triggerring criteria(7) for activation of rapid response team | an average of 1 year | ABGA abnormality : PaCO2\>50 or pH\<7.3 or PaO2\<60 |
| Frequency of triggerring criteria(8) for activation of rapid response team | an average of 1 year | Any serious concern about overall deterioration detected by doctor, nurse and caregiver at bedside |
| Frequency of triggerring criteria(6) for activation of rapid response team | an average of 1 year | ABGA abnormality : PaCO2\>50 or pH\<7.3 or PaO2\<60 |
| Frequency of triggerring criteria(2) for activation of rapid response team | an average of 1 year | HR: \<50/min or \>140/min or symptomatic arrythmia |
Countries
South Korea
Contacts
Primary ContactYeon Joo Lee, MD
Outcome results
None listed