Dataset Information

Breaches of pre-medical emergency team call criteria in an Australian hospital.

ABSTRACT:

Objectives and outcomes

To evaluate the 24hrs before medical emergency team (MET) calls to examine: 1) the frequency, nature, and timing of pre-MET criteria breaches; 2) differences in characteristics and outcomes between patients who did and didn't experience pre-MET breaches.

Design

Retrospective observational study November 2020-June 2021.

Setting

Tertiary referral Australian hospital.

Participants

Adults (≥18 years) experiencing MET calls.

Results

Breaches in pre-MET criteria occurred prior to 1886/2255 (83.6%) MET calls, and 1038/1281 (81.0%) of the first MET calls. Patients with pre-MET breaches were older (median [IQR] 72 [57-81] vs 66 [56-77] yrs), more likely to be admitted from home (87.8% vs 81.9%) and via the emergency department (73.0% vs 50.2%), but less likely to be for full resuscitation after (67.3% vs 76.5%) the MET. The three most common pre-MET breaches were low SpO₂ (48.0%), high pulse rate (39.8%), and low systolic blood pressure (29.0%) which were present for a median (IQR) of 15.4 (7.5-20.8), 13.2 (4.3-21.0), and 12.6 (3.5-20.1) hrs before the MET call, respectively. Patients with pre-MET breaches were more likely to need intensive care admission within 24 h (15.6 vs 11.9%), have repeat MET calls (33.3 vs 24.7%), and die in hospital (15.8 vs 9.9%).

Conclusions

Four-fifths of MET calls were preceded by pre-MET criteria breaches, which were present for many hours. Such patients were older, had more limits of treatment, and experienced worse outcomes. There is a need to improve goals of care documentation and pre-MET management of clinical deterioration.

SUBMITTER: Jones D

PROVIDER: S-EPMC10790013 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Breaches of pre-medical emergency team call criteria in an Australian hospital.

Jones Daryl D Kishore Kartik K Eastwood Glenn G Sprogis Stephanie K SK Glassford Neil J NJ

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine 20231214 4

<h4>Objectives and outcomes</h4>To evaluate the 24hrs before medical emergency team (MET) calls to examine: 1) the frequency, nature, and timing of pre-MET criteria breaches; 2) differences in characteristics and outcomes between patients who did and didn't experience pre-MET breaches.<h4>Design</h4>Retrospective observational study November 2020-June 2021.<h4>Setting</h4>Tertiary referral Australian hospital.<h4>Participants</h4>Adults (≥18 years) experiencing MET calls.<h4>Results</h4>Breaches ...[more]

PMID: 38234322

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Dataset Information

Breaches of pre-medical emergency team call criteria in an Australian hospital.

Objectives and outcomes

Design

Setting

Participants

Results

Conclusions

Publications

Breaches of pre-medical emergency team call criteria in an Australian hospital.

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