Hospital rapid response team and patients with life-limiting illness: A multicentre retrospective cohort study

Palliative Medicine

Volumn 29, Issue 4, 2015, Pages 302-309

  Sulistio, Merlina ^a   Franco, Michael ^b,c   Vo, Amanda ^b   Poon, Peter ^b,c,d   William, Leeroy ^b,c,e  

^a CABRINI INSTITUTE   (Australia)

^b MONASH MEDICAL CENTRE   (Australia)

^c MONASH UNIVERSITY   (Australia)

^d Eastern Palliative Care   (Australia)

^e Palliative Care Service   (Australia)

Author keywords

advance care planning; cardiac arrest; end of life care; goals of care; Rapid response team; resuscitation orders

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL DECISION MAKING; COHORT ANALYSIS; CONTROLLED STUDY; FEMALE; GOAL ATTAINMENT; HOSPITAL ADMISSION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; NURSING HOME PATIENT; PALLIATIVE THERAPY; PATIENT CARE; PATIENT REFERRAL; RAPID RESPONSE TEAM; RESIDENTIAL HOME; RETROSPECTIVE STUDY; TEACHING HOSPITAL; TERMINAL CARE; TERMINAL DISEASE; TREATMENT OUTCOME; CLINICAL TRIAL; MIDDLE AGED; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; STANDARDS; VERY ELDERLY;

ADULT; ADVANCE CARE PLANNING; AGED; AGED, 80 AND OVER; FEMALE; HOSPITAL RAPID RESPONSE TEAM; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PALLIATIVE CARE; PATIENT-CENTERED CARE; RETROSPECTIVE STUDIES; TERMINAL CARE;

EID: 84925690684     PISSN: 02692163     EISSN: 1477030X     Source Type: Journal    
DOI: 10.1177/0269216314560802     Document Type: Article

References (24)

1. Hourihan F, Bishop G, Hillman KM, et al. The medical emergency team: a new strategy to identify and intervene in high risk patients. Clin Intensive Care. 1995 ; 6: 269-272
2. Tan LH, Delaney A. Medical emergency teams and end-of-life care: a systematic review. Crit Care Resusc. 2014 ; 16: 62-68
3. Chen J, Flabouris A, Bellomo R, et al. The MERIT Study Investigators for the Simpson Centre, ANZICS Clinical Trials Group. The medical emergency team system and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008 ; 79: 391-397
4. Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005 ; 365: 2091-2097
5. Jones DA, Bagshaw SM, Barrett J, et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Care Med. 2012 ; 40: 98-103
6. Low A, Pawade T, Sonksen J, et al. Analysis of workload of a medical emergency team: over a year in a district general hospital in the UK. Intensive care medicine conference: 23rd annual congress of the European Society of Intensive Care Medicine ; Barcelona ;. S210.
7. Downar J, Barua R, Rodin D, et al. Changes in end of life care 5-years after the introduction of a rapid response team: a multicentre retrospective study. Resuscitation. 2013 ; 84: 1339-1344
8. Smith RL, Hayashi VN, Lee YI, et al. The medical emergency team call: a sentinel event that triggers goals of care discussion. Crit Care Med. 2014 ; 42: 322-327
9. Meynaar I, van Dijk H, Verheijen M, et al. Five years experience with a medical emergency team in a 500-bed teaching hospital. Intensive care medicine conference: 23rd annual congress of the European Society of Intensive Care Medicine ; Barcelona ;. S210.
10. Jäderling G, Bell M, Martling CR, et al. Limitations of medical treatment among patients attended by the rapid response team. Acta Anaesthesiol Scand. 2013 ; 57: 1268-1274
11. Downar J, Rodin D, Barua R, et al. Rapid response teams, do not resuscitate orders, and potential opportunities to improve end-of-life care: a multicentre retrospective study. J Crit Care. 2013 ; 28: 498-503
12. Jones DA, Dunbar NJ, Bellomo R.. Clinical deterioration in hospital inpatients: the need for another paradigm shift. Med J Aust. 2012 ; 196: 97-100
13. Orosz J, Bailey M, Bohensky M, et al. Deteriorating patients managed with end-of-life care following Medical Emergency Team calls. Intern Med J. 2014 ; 44: 246-254
14. Hilton AK, Jones D, Bellomo R.. Clinical review: the role of the intensivist and the rapid response team in nosocomial end-of-life care. Crit Care. 2013 ; 17: 224-235
15. Tsang JYC. The DNR order: what does it mean?. Clin Med Insights Circ Respir Pulm Med. 2010 ; 4: 15-23
16. Boyd K, Highet G, Crawford D, et al. Identifying patients with advanced illness for needs assessment and care planning: SPICT in practice. BMJ Support Palliat Care. 2012 ; 2: A43
17. Calzavacca P, Licari E, Tee A, et al. Features and outcome of patients receiving multiple Medical Emergency Team reviews. Resuscitation. 2010 ; 81: 1509-1515
18. Buist MD, Moore GE, Bernard SA, et al. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002 ; 324: 387-390
19. The timing of Rapid-Response Team activations: a multicentre international study. Crit Care Resusc. 2013 ; 15: 15-20
20. Hillman KM. Failure to recognise patients at the end of life in acute hospitals. Acta Anaesthesiol Scand. 2014 ; 58: 1-2
21. Vazquez R, Gheorghe C, Grigoriyan A, et al. Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. J Hosp Med. 2009 ; 4: 449-452
22. Dargin JM, Mackey CG, Lei Y, et al. Resource utilization and end-of-life care in a US hospital following medical emergency team-implemented do not resuscitate orders. J Hosp Med. 2014 ; 9: 372-378
23. Safety and quality of end-of-life care in acute hospitals: a background paper. Sydney, NSW, Australia: ACSQHC ; 2013 :
24. Kuiper MA. Dying: domain of critical care medicine?. Crit Care Med. 2012 ; 40: 316-317