Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/79889
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dc.contributor.authorCoventry, C.en
dc.contributor.authorFlabouris, A.en
dc.contributor.authorSundararajan, K.en
dc.contributor.authorCramey, T.en
dc.date.issued2013en
dc.identifier.citationResuscitation, 2013; 84(8):1035-1039en
dc.identifier.issn0300-9572en
dc.identifier.issn1873-1570en
dc.identifier.urihttp://hdl.handle.net/2440/79889-
dc.description.abstractOBJECTIVE: Compare and contrast rapid response team (RRT) calls to patients with, and those without, a pre-existing not for resuscitation (NFR) order. METHODS: Retrospective medical record and database review of adult inpatients with a hospital stay greater than 24h. RESULTS: 198 (15.7%) of 1258 patients with a RRT call, had a pre-existing NFR order. Patients with, compared to those without a pre-existing NFR, were older (median years, 81 vs 70, p<0.01), similar gender (males, 56.6% vs 54.3%, p=0.55), the trigger be the worried criterion (48.5% vs 33.9%, p<0.01) and have had a prior RRT call (30.8% vs 18.0%, p<0.01). At time of RRT attendance, NFR patients had a higher respiratory rate (24 vs 20, p<0.01), lower SaO2 (93% vs 97%, p=0.02) and just as likely to receive a critical care (24.2% vs 25.8%, p=0.63) or ward type (88.9% vs 90.1%, p=0.61) intervention. NFR patients were less likely to be admitted to an ICU (2.0% vs 9.4%, p<0.01), more likely to be left on the ward (92.4% vs 80.3%, p<0.01), and be documented not for further RRT calls (2.5% vs 0.9%, p=0.06), but have a similar mortality (5.6% vs 3.5%, p=0.16), at time of RRT call. CONCLUSIONS: RRT calls to patients with pre-existing NFR orders are not uncommon. The worried criterion is more often the trigger, they have abnormal respiratory observations at time of call, a similar level of intervention, less likely to be admitted to the ICU and more likely to be documented not for further RRT calls.en
dc.description.statementofresponsibilityCharles Coventry, Arthas Flabouris, Krish Sundararajan, Tracey Crameyen
dc.language.isoenen
dc.publisherElsevier Sci Ireland Ltden
dc.rightsCrown copyright © 2013en
dc.subjectRapid response teams; Not for resuscitation ordersen
dc.titleRapid response team calls to patients with a pre-existing not for resuscitation orderen
dc.typeJournal articleen
dc.identifier.rmid0020130909en
dc.identifier.doi10.1016/j.resuscitation.2013.01.021en
dc.identifier.pubid18565-
pubs.library.collectionAnaesthesia and Intensive Care publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidFlabouris, A. [0000-0002-1535-9441]en
Appears in Collections:Anaesthesia and Intensive Care publications

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