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Characteristics and outcomes of patients receiving review requests for pre-medical emergency team deterioration: a cohort study.

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العنوان: Characteristics and outcomes of patients receiving review requests for pre-medical emergency team deterioration: a cohort study.
المؤلفون: Currey, Judy1,2,3 judy.currey@deakin.edu.au, Macaulay, Matthew1,4, Jones, Daryl4,5,6, Considine, Julie1,2,7
المصدر: Australian Health Review. 2022, Vol. 46 Issue 1, p28-34. 7p.
مصطلحات موضوعية: *EVALUATION of medical care, *RESEARCH, *MEDICAL care, *PATIENTS, *RETROSPECTIVE studies, *EMERGENCY medical services, *DESCRIPTIVE statistics, *DATA analysis software, *LONGITUDINAL method
مستخلص: Objective. The aim of this study was to describe the epidemiology of pre-medical emergency team (pre-MET) reviews, including patient characteristics, the frequency and nature of triggers and interventions and in-hospital outcomes. Methods. An exploratory retrospective cohort study was performed using a medical record audit. Fifty orthopaedic and general medicine patients at a hospital in Melbourne, Australia, with requests for pre-MET reviews in 2016 were included. Descriptive analyses were performed. Results. The median patient age was 80 years (interquartile range 19 years). Most patients were female (64%), general medical patients (82%), with limitation of medical treatment orders (52%) and modified pre-MET triggers (42%). Documented pre-MET reviews occurred for 68% of requests. Tachypnoea (24%) and staff worry (24%) were the most common pre-MET triggers. One-third of patients received two clinical interventions. One in five patients had repeat requests for a pre-MET review within 12 h. In-hospital mortality was 12%. Conclusions. Most requests for pre-MET reviews related to older female patients. Clinician adherence to pre-MET policy was variable. Multicentre studies are needed to inform improvements to pre-MET strategies. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
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