Mortality of rapid response team patients in Australia: a multicentre study

Daryl Andrew Jones; Kelly Drennan; Michael John Bailey; Graeme K Hart; Rinaldo Bellomo; Steven Webb; Sally Zalstein; Kathleen Collins; Penny Stewart; Wendy Corkill; Antoine Schneider; Paolo Calzavacca; Andrew Thomas; Dianne Hill; Sofia Jasiowski; David Green; Peter Stow; Jason Fletcher; Julie Smith; Drew Wenck; Catherine Pearce; Melissa Lintott; Katrina Ellem; Amanda Rischbieth; Katherine Davidson; Imogen Mitchell; Nicole Slater; David Elliott; Jenny Dennett; Tim Coles; Bradley Ceely; Stephen Jacobs; Yvonne Kearley; Kate Shepherd; Bridget Anne O'Bree; Nerina Harley; Megan Robertson; Lenise Banner; Kristy Green; Andrew D Bersten; Elisha Matheson; Merle Carter; Andrew Holt; Francis Breheny; John Albury; Robert H Cameron; Lynn Morcom; Julie Mathewson; Mathew Piercy; Jay Halkhoree; James Fratzia; Bev Ewens; Brad Power; Di Goldie; Craig McCalman; Sharon Micallef; Nicholas Mifflin; Michael Parr; Josette Wood; Peter Thomas; Sam Clausen; Stuart Lane; Janet Scott; Trudy Segger; Alan Rouse; Leeona Smith; Hamish Pollock; Jayne Williams; Warwick W Butt; Carmel Delzoppo; Sophie Sydall; Peter Morley; Jennifer Bell; Mary Pinder; Anne Brinkworth; Brigit L Roberts; Barry Flynn; Kim Lawrence; David Morgan; John Santamaria; Geoff Gordan; Katharine Hutchinson; Brett Johnson; Marcia Beard; Jenny Broadbent; Katrina Welbing; Michael Yung; Neil Matthews

Mortality of rapid response team patients in Australia: a multicentre study

Daryl Andrew Jones, Kelly Drennan, Michael John Bailey, Graeme K Hart, Rinaldo Bellomo, Steven Webb, Sally Zalstein, Kathleen Collins, Penny Stewart, Wendy Corkill, Antoine Schneider, Paolo Calzavacca, Andrew Thomas, Dianne Hill, Sofia Jasiowski, David Green, Peter Stow, Jason Fletcher, Julie Smith, Drew WenckCatherine Pearce, Melissa Lintott, Katrina Ellem, Amanda Rischbieth, Katherine Davidson, Imogen Mitchell, Nicole Slater, David Elliott, Jenny Dennett, Tim Coles, Bradley Ceely, Stephen Jacobs, Yvonne Kearley, Kate Shepherd, Bridget Anne O'Bree, Nerina Harley, Megan Robertson, Lenise Banner, Kristy Green, Andrew D Bersten, Elisha Matheson, Merle Carter, Andrew Holt, Francis Breheny, John Albury, Robert H Cameron, Lynn Morcom, Julie Mathewson, Mathew Piercy, Jay Halkhoree, James Fratzia, Bev Ewens, Brad Power, Di Goldie, Craig McCalman, Sharon Micallef, Nicholas Mifflin, Michael Parr, Josette Wood, Peter Thomas, Sam Clausen, Stuart Lane, Janet Scott, Trudy Segger, Alan Rouse, Leeona Smith, Hamish Pollock, Jayne Williams, Warwick W Butt, Carmel Delzoppo, Sophie Sydall, Peter Morley, Jennifer Bell, Mary Pinder, Anne Brinkworth, Brigit L Roberts, Barry Flynn, Kim Lawrence, David Morgan, John Santamaria, Geoff Gordan, Katharine Hutchinson, Brett Johnson, Marcia Beard, Jenny Broadbent, Katrina Welbing, Michael Yung, Neil Matthews

Epidemiology and Preventive Medicine Alfred Hospital

Research output: Contribution to journal › Article › Research › peer-review

50 Citations (Scopus)

Abstract

Most studies of the rapid response team (RRT) investigate the effect of introducing an RRT on outcomes of all hospitalised patients. Less information exists on RRT patient epidemiology, or changes in RRT call numbers with time. Objectives: To estimate the inhospital mortality of patients subject to RRT review, the proportion of inhospital deaths reviewed by the RRT, and changes in annual RRT call numbers with time. Method: Retrospective observational study in adult RRT-equipped Australian hospitals for up to 10 years (2000-2009). Participants and outcome measures: Thirty-four per cent (35/102) of the Australian adult RRT-equipped hospitals provided annual hospital admissions and deaths, intensive care unit admissions and RRT calls. They also provided the number of patients reviewed by the RRT and the number of inhospital deaths in such patients. Results: Over the study period, there were 4.91 million hospital admissions, 196 488 ICU admissions and 99 377 RRT calls. Most data arose from Victoria, New South Wales and Western Australia, and from public tertiary hospitals. Among the 27 hospitals contributing at least 4 years of data, annual RRT calls per 1000 admissions was higher in the last year compared with the first year of data submission in 23 hospitals (range of increase, 11.9 -777.4 ; median, 90 ; interquartile range, 40 -180 ). In the remaining four hospitals, annual RRT calls per 1000 admissions were lower in the last year compared with the first year (range of decrease, - 5.5 to - 29.8 ). Among the 70 924 RRT patients for whom the outcome was known, there were 17 260 deaths (24.3 ). We calculate that the RRT reviewed 17 260 of 79 476 patients (21.7 ) who died in hospital over the study period. In the 2008-09 financial year, there were 18 800 RRT calls for at least 14 743 patients. Conclusions: Annual RRT calls are increasing in many Australian hospitals, and now affect more than 14 700 patients annually. Inhospital mortality of RRT patients is a

Original language	English
Pages (from-to)	273 - 278
Number of pages	6
Journal	Critical Care and Resuscitation
Volume	15
Issue number	4
Publication status	Published - 2013

Cite this

Jones, D. A., Drennan, K., Bailey, M. J., Hart, G. K., Bellomo, R., Webb, S., Zalstein, S., Collins, K., Stewart, P., Corkill, W., Schneider, A., Calzavacca, P., Thomas, A., Hill, D., Jasiowski, S., Green, D., Stow, P., Fletcher, J., Smith, J., ... Matthews, N. (2013). Mortality of rapid response team patients in Australia: a multicentre study. Critical Care and Resuscitation, 15(4), 273 - 278.

@article{d1442f32d32b47d2975ad183127fb3da,

title = "Mortality of rapid response team patients in Australia: a multicentre study",

abstract = "Most studies of the rapid response team (RRT) investigate the effect of introducing an RRT on outcomes of all hospitalised patients. Less information exists on RRT patient epidemiology, or changes in RRT call numbers with time. Objectives: To estimate the inhospital mortality of patients subject to RRT review, the proportion of inhospital deaths reviewed by the RRT, and changes in annual RRT call numbers with time. Method: Retrospective observational study in adult RRT-equipped Australian hospitals for up to 10 years (2000-2009). Participants and outcome measures: Thirty-four per cent (35/102) of the Australian adult RRT-equipped hospitals provided annual hospital admissions and deaths, intensive care unit admissions and RRT calls. They also provided the number of patients reviewed by the RRT and the number of inhospital deaths in such patients. Results: Over the study period, there were 4.91 million hospital admissions, 196 488 ICU admissions and 99 377 RRT calls. Most data arose from Victoria, New South Wales and Western Australia, and from public tertiary hospitals. Among the 27 hospitals contributing at least 4 years of data, annual RRT calls per 1000 admissions was higher in the last year compared with the first year of data submission in 23 hospitals (range of increase, 11.9 -777.4 ; median, 90 ; interquartile range, 40 -180 ). In the remaining four hospitals, annual RRT calls per 1000 admissions were lower in the last year compared with the first year (range of decrease, - 5.5 to - 29.8 ). Among the 70 924 RRT patients for whom the outcome was known, there were 17 260 deaths (24.3 ). We calculate that the RRT reviewed 17 260 of 79 476 patients (21.7 ) who died in hospital over the study period. In the 2008-09 financial year, there were 18 800 RRT calls for at least 14 743 patients. Conclusions: Annual RRT calls are increasing in many Australian hospitals, and now affect more than 14 700 patients annually. Inhospital mortality of RRT patients is a",

author = "Jones, {Daryl Andrew} and Kelly Drennan and Bailey, {Michael John} and Hart, {Graeme K} and Rinaldo Bellomo and Steven Webb and Sally Zalstein and Kathleen Collins and Penny Stewart and Wendy Corkill and Antoine Schneider and Paolo Calzavacca and Andrew Thomas and Dianne Hill and Sofia Jasiowski and David Green and Peter Stow and Jason Fletcher and Julie Smith and Drew Wenck and Catherine Pearce and Melissa Lintott and Katrina Ellem and Amanda Rischbieth and Katherine Davidson and Imogen Mitchell and Nicole Slater and David Elliott and Jenny Dennett and Tim Coles and Bradley Ceely and Stephen Jacobs and Yvonne Kearley and Kate Shepherd and O'Bree, {Bridget Anne} and Nerina Harley and Megan Robertson and Lenise Banner and Kristy Green and Bersten, {Andrew D} and Elisha Matheson and Merle Carter and Andrew Holt and Francis Breheny and John Albury and Cameron, {Robert H} and Lynn Morcom and Julie Mathewson and Mathew Piercy and Jay Halkhoree and James Fratzia and Bev Ewens and Brad Power and Di Goldie and Craig McCalman and Sharon Micallef and Nicholas Mifflin and Michael Parr and Josette Wood and Peter Thomas and Sam Clausen and Stuart Lane and Janet Scott and Trudy Segger and Alan Rouse and Leeona Smith and Hamish Pollock and Jayne Williams and Butt, {Warwick W} and Carmel Delzoppo and Sophie Sydall and Peter Morley and Jennifer Bell and Mary Pinder and Anne Brinkworth and Roberts, {Brigit L} and Barry Flynn and Kim Lawrence and David Morgan and John Santamaria and Geoff Gordan and Katharine Hutchinson and Brett Johnson and Marcia Beard and Jenny Broadbent and Katrina Welbing and Michael Yung and Neil Matthews",

year = "2013",

language = "English",

volume = "15",

pages = "273 -- 278",

journal = "Critical Care and Resuscitation",

issn = "1441-2772",

publisher = "Australasian Medical Publishing Co. Pty Ltd. (AMPCo)",

number = "4",

}

Jones, DA, Drennan, K, Bailey, MJ, Hart, GK, Bellomo, R , Webb, S, Zalstein, S, Collins, K, Stewart, P, Corkill, W, Schneider, A, Calzavacca, P, Thomas, A, Hill, D, Jasiowski, S, Green, D, Stow, P, Fletcher, J, Smith, J, Wenck, D, Pearce, C, Lintott, M, Ellem, K, Rischbieth, A, Davidson, K, Mitchell, I, Slater, N, Elliott, D, Dennett, J, Coles, T, Ceely, B, Jacobs, S, Kearley, Y, Shepherd, K, O'Bree, BA, Harley, N, Robertson, M, Banner, L, Green, K, Bersten, AD, Matheson, E, Carter, M, Holt, A, Breheny, F, Albury, J, Cameron, RH, Morcom, L, Mathewson, J, Piercy, M, Halkhoree, J, Fratzia, J, Ewens, B, Power, B, Goldie, D, McCalman, C, Micallef, S, Mifflin, N, Parr, M, Wood, J, Thomas, P, Clausen, S, Lane, S, Scott, J, Segger, T, Rouse, A, Smith, L, Pollock, H, Williams, J, Butt, WW, Delzoppo, C, Sydall, S, Morley, P, Bell, J, Pinder, M, Brinkworth, A, Roberts, BL, Flynn, B, Lawrence, K, Morgan, D, Santamaria, J, Gordan, G, Hutchinson, K, Johnson, B, Beard, M, Broadbent, J, Welbing, K, Yung, M & Matthews, N 2013, 'Mortality of rapid response team patients in Australia: a multicentre study', Critical Care and Resuscitation, vol. 15, no. 4, pp. 273 - 278.

TY - JOUR

T1 - Mortality of rapid response team patients in Australia: a multicentre study

AU - Jones, Daryl Andrew

AU - Drennan, Kelly

AU - Bailey, Michael John

AU - Hart, Graeme K

AU - Bellomo, Rinaldo

AU - Webb, Steven

AU - Zalstein, Sally

AU - Collins, Kathleen

AU - Stewart, Penny

AU - Corkill, Wendy

AU - Schneider, Antoine

AU - Calzavacca, Paolo

AU - Thomas, Andrew

AU - Hill, Dianne

AU - Jasiowski, Sofia

AU - Green, David

AU - Stow, Peter

AU - Fletcher, Jason

AU - Smith, Julie

AU - Wenck, Drew

AU - Pearce, Catherine

AU - Lintott, Melissa

AU - Ellem, Katrina

AU - Rischbieth, Amanda

AU - Davidson, Katherine

AU - Mitchell, Imogen

AU - Slater, Nicole

AU - Elliott, David

AU - Dennett, Jenny

AU - Coles, Tim

AU - Ceely, Bradley

AU - Jacobs, Stephen

AU - Kearley, Yvonne

AU - Shepherd, Kate

AU - O'Bree, Bridget Anne

AU - Harley, Nerina

AU - Robertson, Megan

AU - Banner, Lenise

AU - Green, Kristy

AU - Bersten, Andrew D

AU - Matheson, Elisha

AU - Carter, Merle

AU - Holt, Andrew

AU - Breheny, Francis

AU - Albury, John

AU - Cameron, Robert H

AU - Morcom, Lynn

AU - Mathewson, Julie

AU - Piercy, Mathew

AU - Halkhoree, Jay

AU - Fratzia, James

AU - Ewens, Bev

AU - Power, Brad

AU - Goldie, Di

AU - McCalman, Craig

AU - Micallef, Sharon

AU - Mifflin, Nicholas

AU - Parr, Michael

AU - Wood, Josette

AU - Thomas, Peter

AU - Clausen, Sam

AU - Lane, Stuart

AU - Scott, Janet

AU - Segger, Trudy

AU - Rouse, Alan

AU - Smith, Leeona

AU - Pollock, Hamish

AU - Williams, Jayne

AU - Butt, Warwick W

AU - Delzoppo, Carmel

AU - Sydall, Sophie

AU - Morley, Peter

AU - Bell, Jennifer

AU - Pinder, Mary

AU - Brinkworth, Anne

AU - Roberts, Brigit L

AU - Flynn, Barry

AU - Lawrence, Kim

AU - Morgan, David

AU - Santamaria, John

AU - Gordan, Geoff

AU - Hutchinson, Katharine

AU - Johnson, Brett

AU - Beard, Marcia

AU - Broadbent, Jenny

AU - Welbing, Katrina

AU - Yung, Michael

AU - Matthews, Neil

PY - 2013

Y1 - 2013

N2 - Most studies of the rapid response team (RRT) investigate the effect of introducing an RRT on outcomes of all hospitalised patients. Less information exists on RRT patient epidemiology, or changes in RRT call numbers with time. Objectives: To estimate the inhospital mortality of patients subject to RRT review, the proportion of inhospital deaths reviewed by the RRT, and changes in annual RRT call numbers with time. Method: Retrospective observational study in adult RRT-equipped Australian hospitals for up to 10 years (2000-2009). Participants and outcome measures: Thirty-four per cent (35/102) of the Australian adult RRT-equipped hospitals provided annual hospital admissions and deaths, intensive care unit admissions and RRT calls. They also provided the number of patients reviewed by the RRT and the number of inhospital deaths in such patients. Results: Over the study period, there were 4.91 million hospital admissions, 196 488 ICU admissions and 99 377 RRT calls. Most data arose from Victoria, New South Wales and Western Australia, and from public tertiary hospitals. Among the 27 hospitals contributing at least 4 years of data, annual RRT calls per 1000 admissions was higher in the last year compared with the first year of data submission in 23 hospitals (range of increase, 11.9 -777.4 ; median, 90 ; interquartile range, 40 -180 ). In the remaining four hospitals, annual RRT calls per 1000 admissions were lower in the last year compared with the first year (range of decrease, - 5.5 to - 29.8 ). Among the 70 924 RRT patients for whom the outcome was known, there were 17 260 deaths (24.3 ). We calculate that the RRT reviewed 17 260 of 79 476 patients (21.7 ) who died in hospital over the study period. In the 2008-09 financial year, there were 18 800 RRT calls for at least 14 743 patients. Conclusions: Annual RRT calls are increasing in many Australian hospitals, and now affect more than 14 700 patients annually. Inhospital mortality of RRT patients is a

AB - Most studies of the rapid response team (RRT) investigate the effect of introducing an RRT on outcomes of all hospitalised patients. Less information exists on RRT patient epidemiology, or changes in RRT call numbers with time. Objectives: To estimate the inhospital mortality of patients subject to RRT review, the proportion of inhospital deaths reviewed by the RRT, and changes in annual RRT call numbers with time. Method: Retrospective observational study in adult RRT-equipped Australian hospitals for up to 10 years (2000-2009). Participants and outcome measures: Thirty-four per cent (35/102) of the Australian adult RRT-equipped hospitals provided annual hospital admissions and deaths, intensive care unit admissions and RRT calls. They also provided the number of patients reviewed by the RRT and the number of inhospital deaths in such patients. Results: Over the study period, there were 4.91 million hospital admissions, 196 488 ICU admissions and 99 377 RRT calls. Most data arose from Victoria, New South Wales and Western Australia, and from public tertiary hospitals. Among the 27 hospitals contributing at least 4 years of data, annual RRT calls per 1000 admissions was higher in the last year compared with the first year of data submission in 23 hospitals (range of increase, 11.9 -777.4 ; median, 90 ; interquartile range, 40 -180 ). In the remaining four hospitals, annual RRT calls per 1000 admissions were lower in the last year compared with the first year (range of decrease, - 5.5 to - 29.8 ). Among the 70 924 RRT patients for whom the outcome was known, there were 17 260 deaths (24.3 ). We calculate that the RRT reviewed 17 260 of 79 476 patients (21.7 ) who died in hospital over the study period. In the 2008-09 financial year, there were 18 800 RRT calls for at least 14 743 patients. Conclusions: Annual RRT calls are increasing in many Australian hospitals, and now affect more than 14 700 patients annually. Inhospital mortality of RRT patients is a

UR - http://search.informit.com.au/fullText;dn=727359221584310;res=IELHEA

M3 - Article

SN - 1441-2772

VL - 15

SP - 273

EP - 278

JO - Critical Care and Resuscitation

JF - Critical Care and Resuscitation

IS - 4

ER -

Mortality of rapid response team patients in Australia: a multicentre study

Abstract

Other files and links

Cite this