Rapid Response Team in an Academic Institution
Does It Make a Difference?
In this large before-after study in an academic tertiary care center, implementation of a rapid response team did not affect code rates or mortality rates. Rapid response teams continue to be controversial in their benefit, despite widespread adoption. They analyzed 16,244 nonobstetrics hospital admissions and 70,208 patient days in the control period and 45,145 nonobstetrics hospital admissions and 161,097 patient days after the RRT was implemented. The RRT was activated 1,206 times (7.7 calls per 1,000 patient days). There was no difference in the code rate (0.83 vs 0.98 per 1,000 patient days, P = .3). There was a modest but nonsustained improvement in nonobstetrics hospital mortality during the study period (2.40% vs 2.15%; P = .05), which could not be explained by the RRT effect on code rates. The mortality was 2.40% in the control group and 2.06%, 1.94%, and 2.46%, respectively, during the next three consecutive 9-month intervals. Although there was a decrease in overall hospital mortality, this decrease was small, nonsustained, and not explained by the RRT effect on code rates.
O que tinha na literatura até então apresentei recentemente no PASHA2010: Rapid Response Teams: Just highly contagious