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Medical Emergency Team Involvement in Patients Hospitalized with Acute Myeloid Leukemia.
MedLine Citation:
PMID:  23387893     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT Acute myeloid leukemia (AML) patients are at-risk for sudden clinical deterioration. We aimed to describe the incidence of MET activation, ICU admissions and outcomes for AML patients. We performed a 5-year retrospective cohort study of patients hospitalized with AML. One hundred seventy patients were divided into three groups: MET activated (n=34); 2) MET criteria present but MET not activated (n=17); and 3) all other AML patients (n=119). MET activation incidence was 200 calls/1000 admissions (95% CI, 138-279), compared with a hospital-wide rate of 29.3 calls/1000 admissions (95% CI, 28.2-30.4) (relative risk 6.90; 95%CI, 4.77-9.67, p<0.0001). 77% (n=26) were triaged to ICU. Hospital mortality was higher MET activated and MET fulfilled without activation compared with all others (27% vs. 12% vs. 7%, p=0.007). Changes to goals-of-care were more common with MET activation. AML patients commonly receive MET activation. Approximately 1 in 10 fulfill MET criteria; however, do not receive MET activation.
Authors:
Ambica Parmar; Heather Richardson; David McKinlay; R T Noel Gibney; Sean M Bagshaw
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-7
Journal Detail:
Title:  Leukemia & lymphoma     Volume:  -     ISSN:  1029-2403     ISO Abbreviation:  Leuk. Lymphoma     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007422     Medline TA:  Leuk Lymphoma     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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