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Early identification of critically ill patients with the MEDICAL EMERGENCY SYSTEM in St. Ann University Hospital, Brno


Authors: Pavlík Martin;  Dadák Lukáš;  Zvoníček Václav;  Štětka Pavel;  Bartošík Tomáš;  Suk Pavel;  Šrámek Vladimír
Authors‘ workplace: Anesteziologicko-resuscitační klinika, Fakultní nemocnice u svaté Anny v Brně a Lékařská fakulta MU
Published in: Anest. intenziv. Med., 20, 2009, č. 4, s. 185-191
Category: Intensive Care Medicine - Original Paper

Overview

Objective:
To introduce the Medical Emergency Team in St. Ann University Hospital Brno and to determine its effect on the outcome of patients admitted to the ICU.

Design:
Prospective before-and-after intervention trial in the University Hospital.

Methods:
We studied the patients admitted to the ICU from within the hospital before the introduction of the MET call system (group P, n = 115, September 2005–February 2006), during the „intervention period“ (group S, n = 462, June 2006–July 2008) and the patients admitted through the MET call system (group M, n = 76, June 2006– July 2008).

Results:
There were 433 MET calls made, resulting in 76 patients being admitted to the ICU (17.5%) and 36 patients to the HDU (8.3%). Forty six patients died (10.6%). The most frequent criteria for the MET call were low oxygen saturation (24%), dysrhythmias (16%), blood pressure disturbance (16%), GCS drop (15%) and respiratory rate abnormalities (14%). We observed no difference in the short-time mortality between the groups of patients admitted to the ICU before the MET introduction (23%), after the MET introduction (23%) and the patients admitted through the MET system (27%). There was no significant difference in the ICU length of stay between the three groups.

Conclusion:
The introduction of the MET call system had no positive influence on the short-term mortality and the length of stay of the patients admitted to the ICU through this system.

Keywords:
Medical Emergency System – Rapid Response System – ICU mortality – morbidity


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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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