Usefulness of Screening Criteria System Used by Medical Alert Team in a General Hospital

Joo, Hyejin; Park, So Hee; Hong, Sang‐Bum; Lim, Chae‐Man; Koh, Younsuck; Lee, Young Seok; Huh, Jin Won

doi:10.4266/kjccm.2012.27.3.151

Cited by 4 publications

(6 citation statements)

References 16 publications

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“…With respect to the timing of deterioration, some studies found deterioration occurs at 6‐8 hours before cardiac arrest (Franklin & Mathew , Joo et al . ), whereas Ludikhuize et al . () reported more than 80% of ICU patients showed detectable signs of deterioration at 24 hours before cardiac arrest.…”

Section: Discussionmentioning

confidence: 93%

“…A review of the literature showed clear and detectable signs of deterioration are manifest in many patients before cardiac arrest (Ludikhuize et al 2012) and thus, the failure of nursing and medical staff to recognize and interpret correctly early signs of patient deterioration might lead to treatment delays and exacerbate negative prognoses (Hammond et al 2013). With respect to the timing of deterioration, some studies found deterioration occurs at 6-8 hours before cardiac arrest (Franklin & Mathew 1994, Joo et al 2012, whereas Ludikhuize et al (2012) reported more than 80% of ICU patients showed detectable signs of deterioration at 24 hours before cardiac arrest. Similarly, in this study, initial detectable changes in systolic and diastolic blood pressures were observed at 18-20 hours before cardiac arrest or death and became more marked at 5-10 hours before these events.…”

Section: Discussionmentioning

confidence: 99%

“…To reduce in-patient mortality following cardiac arrest, the use of rapid response teams (RRTs) has been promoted worldwide and this approach has been demonstrated to be highly effective for the early detection of cardiac arrest and for reducing unexpected patient death (Chan et al 2010, Chen et al 2014. In Korea, RRTs are now available in a few hospitals (Joo et al 2012).…”

Section: Introductionmentioning

confidence: 99%

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Temporal patterns of change in vital signs and Cardiac Arrest Risk Triage scores over the 48 hours preceding fatal in‐hospital cardiac arrest

Lee

Seo

2016

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Temporal patterns of change in vital signs and Cardiac Arrest Risk Triage scores over the 48 hours preceding fatal in‐hospital cardiac arrest

Lee

Seo

2016

Journal of Advanced Nursing

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“…The medical emergency team (MET), including physicians and nurses, screens and detects clinically deteriorated hospitalized patients at early stages and manages patients who require acute care in general wards [ 6 ]. Several studies have reported that METs reduce the rate of ICU admission, the number of patients who suffer a cardiac arrest, and mortality rate [ 7 8 ].…”

Section: Introductionmentioning

confidence: 99%

A combination of early warning score and lactate to predict intensive care unit transfer of inpatients with severe sepsis/septic shock

Yoo

Lee

Jung

et al. 2015

Korean J Intern Med

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Background/AimsThe modified early warning score (MEWS) is used to predict patient intensive care unit (ICU) admission and mortality. Lactate (LA) in the blood lactate (BLA) is measured to evaluate disease severity and treatment efficacy in patients with severe sepsis/septic shock. The usefulness of a combination of MEWS and BLA to predict ICU transfer in severe sepsis/septic shock patients is unclear. We evaluated whether use of a combination of MEWS and BLA enhances prediction of ICU transfer and mortality in hospitalized patients with severe sepsis/septic shock.MethodsPatients with severe sepsis/septic shock who were screened or contacted by a medical emergency team between January 2012 and August 2012 were enrolled at a university-affiliated hospital with ~2,700 beds, including 28 medical ICU beds.ResultsOne hundred patients were enrolled and the rate of ICU admittance was 38%. MEWS (7.37 vs. 4.85) and BLA concentration (5 mmol/L vs. 2.19 mmol/L) were significantly higher in patients transferred to ICU than those in patients treated in general wards. The combination of MEWS and BLA was more accurate than MEWS alone in terms of ICU transfer (C-statistics: 0.898 vs. 0.816, p = 0.019). The 28-day mortality rate was 19%. MEWS was the only factor significantly associated with 28-day mortality rate (odds ratio, 1.462; 95% confidence interval, 1.122 to 1.905; p = 0.005).ConclusionsThe combination of MEWS and BLA may enhance prediction of ICU transfer in patients with severe sepsis/septic shock.

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“…The MET have been shown to improve patient outcome in several studies [3-5]. It has also shown feasibility in Korea [6,7].…”

Section: Introductionmentioning

confidence: 99%

Early Experience of Medical Alert System in a Rural Training Hospital: a Pilot Study

Kim

2017

Korean J Crit Care Med

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BackgroundMedical emergency teams (METs) have shown their merit in preventing unexpected cardiac arrest. However, it might be impractical for small- or medium-sized hospitals to operate an MET due to limited manpower and resources. In this study, we sought to evaluate the feasibility of a medical alert system (MAS) that alerts all doctors involved in patient care of patient deterioration via text message using smart-phones.MethodsThe MAS was test-operated from July 2015 to September 2015, in five general wards with a high incidence of cardiac arrest. The number of cardiac arrests was compared to that of 2014. The indication for activation of MAS was decided by the intensive care unit committee of the institution, which examined previous reports on MET.ResultsDuring the three-month study period, 2,322 patients were admitted to the participating wards. In all, MAS activation occurred in 9 patients (0.39%). After activation, 7 patients were admitted to the intensive care unit. Two patients (0.09%) experienced cardiac arrest. Of 13,129 patients admitted to the ward in 2014, there were 50 cases (0.38%) of cardiac arrest (p = 0.009).ConclusionsIt is feasible to use MAS to prevent unexpected cardiac arrest in a general ward.

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Usefulness of Screening Criteria System Used by Medical Alert Team in a General Hospital

Cited by 4 publications

References 16 publications

Temporal patterns of change in vital signs and Cardiac Arrest Risk Triage scores over the 48 hours preceding fatal in‐hospital cardiac arrest

Temporal patterns of change in vital signs and Cardiac Arrest Risk Triage scores over the 48 hours preceding fatal in‐hospital cardiac arrest

A combination of early warning score and lactate to predict intensive care unit transfer of inpatients with severe sepsis/septic shock

Early Experience of Medical Alert System in a Rural Training Hospital: a Pilot Study

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