| Early impact of medical emergency team implementation in a country with limited medical resources: A before-and-after study. | |
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MedLine Citation:
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PMID: 21036527 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: The purpose of the study was to determine whether earlier clinical intervention by a medical emergency team (MET) can improve patient outcomes in an Asian country. METHODS: A nonrandomized study was performed during two 6-month periods before and after the introduction of a MET. RESULTS: The rates of cardiac arrests and "potentially preventable" cardiac arrests were lower after MET introduction, but the differences did not reach statistical significance. There was a statistically significant decrease in the incidence of cardiac arrests in the first 3 months of the academic year (2.3 vs 1.2 per 1000 admissions, P = .012). Introduction of MET reduced the time interval from physiologic derangement meeting MET activation criteria to intensive care unit (ICU) admission ("derangement-to-ICU interval") (10.8 vs 6.3 hours, P < .001). Multivariate analysis revealed that the mortality of unplanned ICU admissions was independently associated with simplified acute physiology score 3 and "derangement-to-ICU interval." CONCLUSIONS: Introduction of a MET reduced the number of cardiac arrests in the general ward during the first 3 months of the academic year. Introduction of MET also decreased the "derangement-to-ICU interval," which was an independent predictor of survival in patients with unplanned ICU admissions. Therefore, MET introduction may lead to improved outcomes for hospitalized patients in a country with limited medical resources. |
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Authors:
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So Yeon Lim; So Young Park; Hye Kyeong Park; Mikyeong Kim; Hye Yun Park; Bora Lee; Jong Hoo Lee; Eun Jung Jung; Kyeongman Jeon; Chi-Min Park; Myeong Gyun Ko; Mi Ran Park; Ji Myoung Nam; Sun Young Won; Jin Hee Jung; Soo Hyun Cho; Gee Young Suh |
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Publication Detail:
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Type: Journal Article Date: 2010-10-30 |
Journal Detail:
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Title: Journal of critical care Volume: 26 ISSN: 1557-8615 ISO Abbreviation: J Crit Care Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-07-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8610642 Medline TA: J Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 373-8 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, 135-710, South Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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