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https://hdl.handle.net/2440/79889
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dc.contributor.author | Coventry, C. | - |
dc.contributor.author | Flabouris, A. | - |
dc.contributor.author | Sundararajan, K. | - |
dc.contributor.author | Cramey, T. | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | Resuscitation, 2013; 84(8):1035-1039 | - |
dc.identifier.issn | 0300-9572 | - |
dc.identifier.issn | 1873-1570 | - |
dc.identifier.uri | http://hdl.handle.net/2440/79889 | - |
dc.description.abstract | <h4>Objective</h4>Compare and contrast rapid response team (RRT) calls to patients with, and those without, a pre-existing not for resuscitation (NFR) order.<h4>Methods</h4>Retrospective medical record and database review of adult inpatients with a hospital stay greater than 24h.<h4>Results</h4>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.<h4>Conclusions</h4>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. | - |
dc.description.statementofresponsibility | Charles Coventry, Arthas Flabouris, Krish Sundararajan, Tracey Cramey | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Sci Ireland Ltd | - |
dc.rights | Crown copyright © 2013 | - |
dc.source.uri | http://dx.doi.org/10.1016/j.resuscitation.2013.01.021 | - |
dc.subject | Rapid response teams | - |
dc.subject | Not for resuscitation orders | - |
dc.title | Rapid response team calls to patients with a pre-existing not for resuscitation order | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.resuscitation.2013.01.021 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Flabouris, A. [0000-0002-1535-9441] | - |
dc.identifier.orcid | Sundararajan, K. [0000-0002-3377-6062] | - |
Appears in Collections: | Anaesthesia and Intensive Care publications Aurora harvest 4 |
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