Outcome of adult patients attended by rapid response teams : A systematic review of the literature

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Tirkkonen , J , Tamminen , T & Skrifvars , M B 2017 , ' Outcome of adult patients attended by rapid response teams : A systematic review of the literature ' , Resuscitation , vol. 112 , pp. 43-52 . https://doi.org/10.1016/j.resuscitation.2016.12.023

Title: Outcome of adult patients attended by rapid response teams : A systematic review of the literature
Author: Tirkkonen, Joonas; Tamminen, Tero; Skrifvars, Markus B.
Contributor organization: HUS Perioperative, Intensive Care and Pain Medicine
Anestesiologian yksikkö
Department of Diagnostics and Therapeutics
Date: 2017-03
Language: eng
Number of pages: 10
Belongs to series: Resuscitation
ISSN: 0300-9572
DOI: https://doi.org/10.1016/j.resuscitation.2016.12.023
URI: http://hdl.handle.net/10138/235483
Abstract: Background: An abundance of studies have investigated the impact of rapid response teams (RRTs) on in-hospital cardiac arrest rates. However, existing RRT data appear highly variable in terms of both study quality and reported uses of limitations of care, patient survival and patient long-term outcome. Methods: A systematic electronic literature search (January, 1990-March, 2016) of the PubMed and Cochrane databases was performed. Bibliographies of articles included in the full-text review were searched for additional studies. A predefined RRT cohort quality score (range 0-17) was used to evaluate studies independently by two reviewers. Results: Twenty-nine studies with a total of 157,383 RRT activations were included in this review. The quality of data reporting related to RRT patients was assessed as modest, with a median quality score of 8 (range 2-11). Data from the included studies indicate that a median 8.1% of RRT reviews result in limitations of medical treatment (range 2.1-25%) and 23% (8.2-56%) result in a transfer to intensive care. A median of 29% (6.9-35%) of patients transferred to intensive care died during that admission. The median hospital mortality of patients reviewed by RRT is 26% (12-60%), and the median 30-day mortality rate is 29% (8-39%). Data on long-term survival is minimal. No data on functional outcomes was identified. Conclusions: Patients reviewed by rapid response teams have a high and variable mortality rate, and limitations of care are commonly used. Data on the long-term outcomes of RRT are lacking and needed. (C) 2017 Elsevier B.V. All rights reserved.
Subject: Medical emergency team
Rapid response team
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: publishedVersion

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