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Effectiveness of a daytime rapid response system in hospitalized surgical ward patients
DC Field | Value | Language |
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dc.contributor.author | Yang, Eunjin | - |
dc.contributor.author | Lee, Hannah | - |
dc.contributor.author | Lee, Sang-Min | - |
dc.contributor.author | Kim, Sulhee | - |
dc.contributor.author | Ryu, Ho Geol | - |
dc.contributor.author | Lee, Hyun Joo | - |
dc.contributor.author | Lee, Jinwoo | - |
dc.contributor.author | Oh, Seung-Young | - |
dc.date.accessioned | 2022-04-12T04:15:17Z | - |
dc.date.available | 2022-04-12T04:15:17Z | - |
dc.date.created | 2020-06-26 | - |
dc.date.issued | 2020-05 | - |
dc.identifier.citation | Acute and Critical Care, Vol.35 No.2, pp.77-86 | - |
dc.identifier.issn | 2586-6052 | - |
dc.identifier.uri | https://hdl.handle.net/10371/177926 | - |
dc.description.abstract | Background: Clinical deteriorations during hospitalization are often preventable with a rapid response system (RRS). We aimed to investigate the effectiveness of a daytime RRS for surgical hospitalized patients. Methods: A retrospective cohort study was conducted in 20 general surgical wards at a 1,779-bed University hospital from August 2013 to July 2017 (August 2013 to July 2015, pre-RRS-period; August 2015 to July 2017, post-RRS-period). The primary outcome was incidence of cardiopulmonary arrest (CPA) when the RRS was operating. The secondary outcomes were the incidence of total and preventable cardiopulmonary arrest, in-hospital mortality, the percentage of "do not resuscitate" orders, and the survival of discharged CPA patients. Results: The relative risk (RR) of CPA per 1,000 admissions during RRS operational hours (weekdays from 7 AM to 7 PM) in the post-RRS-period compared to the pre-RRS-period was 0.53 (95% confidence interval [CI], 0.25 to 1.13; P=0.099) and the RR of total CPA regardless of RRS operating hours was 0.76 (95% CI, 0.46 to 1.28; P=0.301). The preventable CPA after RRS implementation was significantly lower than that before RRS implementation (RR, 0.31; 95% CI, 0.11 to 0.88; P=0.028). There were no statistical differences in in-hospital mortality and the survival rate of patients with in-hospital cardiac arrest. Do-not-resuscitate decisions significantly increased during after RRS implementation periods compared to pre-RRS periods (RR, 1.91; 95% CI, 1.40 to 2.59; P<0.001). Conclusions: The day-time implementation of the RRS did not significantly reduce the rate of CPA whereas the system effectively reduced the rate of preventable CPA during periods when the system was operating. | - |
dc.language | 영어 | - |
dc.publisher | 대한중환자의학회 | - |
dc.title | Effectiveness of a daytime rapid response system in hospitalized surgical ward patients | - |
dc.type | Article | - |
dc.identifier.doi | 10.4266/acc.2019.00661 | - |
dc.citation.journaltitle | Acute and Critical Care | - |
dc.identifier.wosid | 000538081400003 | - |
dc.identifier.scopusid | 2-s2.0-85091704056 | - |
dc.citation.endpage | 86 | - |
dc.citation.number | 2 | - |
dc.citation.startpage | 77 | - |
dc.citation.volume | 35 | - |
dc.identifier.kciid | ART002591506 | - |
dc.description.isOpenAccess | Y | - |
dc.contributor.affiliatedAuthor | Lee, Sang-Min | - |
dc.contributor.affiliatedAuthor | Ryu, Ho Geol | - |
dc.contributor.affiliatedAuthor | Lee, Jinwoo | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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