Outcomes of Triggering the Emergency Response Team at a High-Volume Arthroplasty Center

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dc.contributor.author Saku, S. A.
dc.contributor.author Linko, R.
dc.contributor.author Madanat, R.
dc.date.accessioned 2020-10-09T13:42:02Z
dc.date.available 2020-10-09T13:42:02Z
dc.date.issued 2020-12
dc.identifier.citation Saku , S A , Linko , R & Madanat , R 2020 , ' Outcomes of Triggering the Emergency Response Team at a High-Volume Arthroplasty Center ' , Scandinavian Journal of Surgery , vol. 109 , no. 4 , pp. 336-342 . https://doi.org/10.1177/1457496919857263
dc.identifier.other PURE: 145566489
dc.identifier.other PURE UUID: 2db3b5cf-ac4c-4a71-abd0-0dce8ccedbd5
dc.identifier.other WOS: 000569528500010
dc.identifier.uri http://hdl.handle.net/10138/320171
dc.description.abstract Background and Aims: Emergency Response Teams have been employed by hospitals to evaluate and manage patients whose condition is rapidly deteriorating. In this study, we aimed to assess the outcomes of triggering the Emergency Response Teams at a high-volume arthroplasty center, determine which factors trigger the Emergency Response Teams, and investigate the main reasons for an unplanned intensive care unit admission following Emergency Response Team intervention. Material and Methods: We gathered data by evaluating all Emergency Response Team forms filled out during a 4-year period (2014-2017), and by assessing the medical records. The collected data included age, gender, time of and reason for the Emergency Response Teams call, and interventions performed during the Emergency Response Teams intervention. The results are reported as percentages, mean +/- standard deviation, or median (interquartile range), where appropriate. All patients were monitored for 30 days to identify possible intensive care unit admissions, surgeries, and death. Results: The mean patient age was 72 (46-92) years and 40 patients (62%) were female. The Emergency Response Teams was triggered a total of 65 times (61 patients). The most common Emergency Response Team call criteria were low oxygen saturation, loss or reduction of consciousness, and hypotension. Following the Emergency Response Team call, 36 patients (55%) could be treated in the ward, and 29 patients (45%) were transferred to the intensive care unit. The emergency that triggered the Emergency Response Teams was most commonly caused by drug-related side effects (12%), pneumonia (8%), pulmonary embolism (8%), and sepsis (6%). Seven patients (11%) died during the first 30 days after the Emergency Response Teams call. Conclusion: Although all 65 patients met the Emergency Response Teams call criteria, potentially having severe emergencies, half of the patients could be treated in the arthroplasty ward. Emergency Response Team intervention appears useful in addressing concerns that can potentially lead to unplanned intensive care unit admission, and the Emergency Response Teams trigger threshold seems appropriate as only 3% of the Emergency Response Teams calls required no intervention. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Scandinavian Journal of Surgery
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Arthroplasty
dc.subject replacement
dc.subject hip
dc.subject arthroplasty
dc.subject knee
dc.subject postoperative complications
dc.subject hospital rapid response team
dc.subject intensive care unit
dc.subject critical care
dc.subject CRITICAL-CARE SERVICES
dc.subject KNEE ARTHROPLASTY
dc.subject TOTAL HIP
dc.subject GUIDELINES
dc.subject SYSTEM
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Outcomes of Triggering the Emergency Response Team at a High-Volume Arthroplasty Center en
dc.type Article
dc.contributor.organization I kirurgian klinikka (Töölö)
dc.contributor.organization University of Helsinki
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization HUS Perioperative, Intensive Care and Pain Medicine
dc.contributor.organization Anestesiologian yksikkö
dc.contributor.organization Clinicum
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1177/1457496919857263
dc.relation.issn 1457-4969
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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