Elderly patients are at high risk of night-time admission to the intensive care unit following a rapid response team call

Internal Medicine Journal

Volumn 46, Issue 12, 2016, Pages 1440-1442

  Sundararajan, K ^a,b   Flabouris, A ^a,b   Thompson, C ^b   Seppelt, I ^c  

^a ROYAL ADELAIDE HOSPITAL   (Australia)

^b UNIVERSITY OF ADELAIDE   (Australia)

^c UNIVERSITY OF SYDNEY   (Australia)

Author keywords

afferent limb failure; circadian rhythm; diurnal variation; intensive care unit; rapid response teams

Indexed keywords

AGED; ARTICLE; CIRCADIAN RHYTHM; CONTROLLED STUDY; DETERIORATION; ELDERLY CARE; FEMALE; GERIATRIC PATIENT; HOSPITAL ADMISSION; HOSPITAL MORTALITY; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; NIGHT CARE; PRIORITY JOURNAL; RAPID RESPONSE TEAM; RISK FACTOR; VITAL SIGN; AUSTRALIA; CRITICAL ILLNESS; EMERGENCY; EPIDEMIOLOGY; HOSPITALIZATION; MIDDLE AGED; MORTALITY; OUTCOME ASSESSMENT; PATIENT TRANSPORT; PREVALENCE; RESUSCITATION; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; TIME FACTOR;

AGED; AUSTRALIA; CIRCADIAN RHYTHM; CRITICAL ILLNESS; EMERGENCIES; HOSPITAL MORTALITY; HOSPITAL RAPID RESPONSE TEAM; HOSPITALIZATION; HUMANS; INTENSIVE CARE UNITS; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT TRANSFER; PREVALENCE; RESUSCITATION; RETROSPECTIVE STUDIES; TIME FACTORS;

EID: 85006141762     PISSN: 14440903     EISSN: 14455994     Source Type: Journal    
DOI: 10.1111/imj.13281     Document Type: Article

References (12)

1. Mullins CF, Psirides A. Activities of a Medical Emergency Team: a prospective observational study of 795 calls. Anaesth Intensive Care 2016; 44: 34–43.
2. Galhotra S, DeVita MA, Simmons RL, Schmid A, Members of the Medical Emergency Response Improvement Team (MERIT) Committee. Impact of patient monitoring on the diurnal pattern of medical emergency team activation. Crit Care Med 2006; 34: 1700–6.
3. Le Guen MP, Tobin AE, Reid D. Intensive care unit admission in patients following rapid response team activation: call factors, patient characteristics and hospital outcomes. Anaesth Intensive Care 2015; 43: 211–5.
4. Gray LC, Peel NM, Crotty M, Kurrle SE, Giles LC, Cameron ID. How effective are programs at managing transition from hospital to home? A case study of the Australian Transition Care Program. BMC Geriatr 2012; 12: 6.
5. Sundararajan K, Flabouris A, Thompson C, Seppelt I, George Institute of Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group Point Prevalence study Investigators. Hospital overnight and evaluation of systems and timelines study: a point prevalence study of practice in Australia and New Zealand. Resuscitation 2015; 100: 1.
6. Jones D. The epidemiology of adult Rapid Response Team patients in Australia. Anaesth Intensive Care 2014; 42: 213–9.
7. Becker S, Müller J, de Heer G, Braune S, Fuhrmann V, Kluge S. Clinical characteristics and outcome of very elderly patients ≥90 years in intensive care: a retrospective observational study. Ann Intensive Care 2015; 5: 53.
8. Fuchs L, Chronaki CE, Park S, Novack V, Baumfeld Y, Scott D et al. ICU admission characteristics and mortality rates among elderly and very elderly patients. Intensive Care Med 2012; 38: 1654–61.
9. McQuillan P, Pilkington S, Allan A et al. Confidential inquiry into quality of care before admission to intensive care. BMJ 1998; 316: 1853–8.
10. Chang A, Datta-Barua I, McLaughlin B, Daly B. A survey of prognosis discussions held by health-care providers who request palliative care consultation. Palliat Med 2014; 28: 312–7.
11. Bagshaw SM, Webb SA, Delaney A, George C, Pilcher D, Hart GK et al. Very old patients admitted to intensive care in Australia and New Zealand: a multi-centre cohort analysis. Crit Care 2009; 13: R45.
12. Peigne V, Somme D, Guérot E, Lenain E, Chatellier G, Fagon JY et al. Treatment intensity, age and outcome in medical ICU patients: results of a French administrative database. Ann Intensive Care 2016; 6: 7.