期刊
JOURNAL OF HOSPITAL MEDICINE
卷 9, 期 7, 页码 424-429出版社
FRONTLINE MEDICAL COMMUNICATIONS
DOI: 10.1002/jhm.2193
关键词
-
资金
- Barnes-Jewish Hospital Foundation
- Chest Foundation of the American College of Chest Physicians
- National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH) [UL1 RR024992]
- NIH Roadmap for Medical Research
BACKGROUND: Episodes of patient deterioration on hospital units are expected to increasingly contribute to morbidity and healthcare costs. OBJECTIVE: To determine if real-time alerts sent to the rapid response team (RRT) improved patient care. DESIGN: Randomized, controlled trial. SETTING: Eight medicine units (Barnes-Jewish Hospital). PATIENTS: Five hundred seventy-one patients. INTERVENTION: Real-time alerts generated by a validated deterioration algorithm were sent real-time to the RRT (intervention) or hidden (control). MEASUREMENTS: Intensive care unit (ICU) transfer, hospital mortality, hospital duration. RESULTS: ICU transfer (17.8% vs 18.2%; odds ratio: 0.972; 95% confidence interval [CI]: 0.635-1.490) and hospital mortality (7.3% vs 7.7%; odds ratio: 0.947; 95% CI: 0.509-1.764) were similar for the intervention and control groups. The number of patients requiring transfer to a nursing home or long-term acute care hospital was similar for patients in the intervention and control groups (26.9% vs 26.3%; odds ratio: 1.032; 95% CI: 0.712-1.495). Hospital duration (8.4 +/- 9.5 days vs 9.4 +/- 11.1 days; P = 0.038) was statistically shorter for the intervention group. The number of RRT calls initiated by the primary care team was similar for the intervention and control groups (19.9% vs 16.5%; odds ratio: 1.260; 95% CI: 0.823-1.931). CONCLUSIONS: Real-time alerts sent to the RRT did not reduce ICU transfers, hospital mortality, or the need for subsequent long term care. However, hospital length of stay was modestly reduced. (C) 2014 Society of Hospital Medicine
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据