A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea
According to the rapid response system's team composition, responding teams were named as rapid response team (RRT), medical emergency team (MET), and critical care outreach. A RRT is often a nurse-led team, whereas a MET is a physician-led team that mainly plays the role of an efferent limb. A...
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| creator | Lee, Su Yeon Ahn, Jee Hwan Kang, Byung Ju Jeon, Kyeongman Lee, Sang-Min Lee, Dong Hyun Lee, Yeon Joo Kim, Jung Soo Park, Jisoo Moon, Jae Young Hong, Sang-Bum |
| description | According to the rapid response system's team composition, responding teams were named as rapid response team (RRT), medical emergency team (MET), and critical care outreach. A RRT is often a nurse-led team, whereas a MET is a physician-led team that mainly plays the role of an efferent limb. As few multicenter studies have focused on physician-led METs, we comprehensively analyzed cases for which physician-led METs were activated. We retrospectively analyzed cases for which METs were activated. The study population consisted of subjects over 18 years of age who were admitted in the general ward from January 2016 to December 2017 in 9 tertiary teaching hospitals in Korea. The data on subjects' characteristics, activation causes, activation methods, performed interventions, in-hospital mortality, and intensive care unit (ICU) transfer after MET activation were collected and analyzed. In this study, 12,767 cases were analyzed, excluding those without in-hospital mortality data. The subjects' median age was 67 years, and 70.4% of them were admitted to the medical department. The most common cause of MET activation was respiratory distress (35.1%), followed by shock (11.8%), and the most common underlying disease was solid cancer (39%). In 7,561 subjects (59.2%), the MET was activated using the screening system. The commonly performed procedures were arterial line insertion (17.9%), intubation (13.3%), and portable ultrasonography (13.0%). Subsequently, 29.4% of the subjects were transferred to the ICU, and 27.2% died during hospitalization. This physician-led MET cohort showed relatively high rates of intervention, including arterial line insertion and portable ultrasonography, and low ICU transfer rates. We presume that MET detects deteriorating patients earlier using a screening system and begins ICU-level management at the patient's bedside without delay, eventually preventing the patient's condition from worsening and transfer to the ICU. |
| doi_str_mv | 10.1371/journal.pone.0258221 |
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A RRT is often a nurse-led team, whereas a MET is a physician-led team that mainly plays the role of an efferent limb. As few multicenter studies have focused on physician-led METs, we comprehensively analyzed cases for which physician-led METs were activated. We retrospectively analyzed cases for which METs were activated. The study population consisted of subjects over 18 years of age who were admitted in the general ward from January 2016 to December 2017 in 9 tertiary teaching hospitals in Korea. The data on subjects' characteristics, activation causes, activation methods, performed interventions, in-hospital mortality, and intensive care unit (ICU) transfer after MET activation were collected and analyzed. In this study, 12,767 cases were analyzed, excluding those without in-hospital mortality data. The subjects' median age was 67 years, and 70.4% of them were admitted to the medical department. The most common cause of MET activation was respiratory distress (35.1%), followed by shock (11.8%), and the most common underlying disease was solid cancer (39%). In 7,561 subjects (59.2%), the MET was activated using the screening system. The commonly performed procedures were arterial line insertion (17.9%), intubation (13.3%), and portable ultrasonography (13.0%). Subsequently, 29.4% of the subjects were transferred to the ICU, and 27.2% died during hospitalization. This physician-led MET cohort showed relatively high rates of intervention, including arterial line insertion and portable ultrasonography, and low ICU transfer rates. We presume that MET detects deteriorating patients earlier using a screening system and begins ICU-level management at the patient's bedside without delay, eventually preventing the patient's condition from worsening and transfer to the ICU.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0258221</identifier><identifier>PMID: 34618853</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Acidosis ; Biology and Life Sciences ; Cardiac arrest ; Critical care ; Emergency medical care ; Emergency medical services ; Emergency response ; Emergency response teams ; Evaluation ; Hospitals ; Insertion ; Internal medicine ; Intubation ; Medical care ; Medical records ; Medical schools ; Medicine ; Medicine and Health Sciences ; Metabolism ; Mortality ; Patients ; People and Places ; Physicians ; Population studies ; Quality management ; Research and Analysis Methods ; Sepsis ; Services ; Tertiary</subject><ispartof>PloS one, 2021-10, Vol.16 (10), p.e0258221-e0258221</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Lee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The most common cause of MET activation was respiratory distress (35.1%), followed by shock (11.8%), and the most common underlying disease was solid cancer (39%). In 7,561 subjects (59.2%), the MET was activated using the screening system. The commonly performed procedures were arterial line insertion (17.9%), intubation (13.3%), and portable ultrasonography (13.0%). Subsequently, 29.4% of the subjects were transferred to the ICU, and 27.2% died during hospitalization. This physician-led MET cohort showed relatively high rates of intervention, including arterial line insertion and portable ultrasonography, and low ICU transfer rates. We presume that MET detects deteriorating patients earlier using a screening system and begins ICU-level management at the patient's bedside without delay, eventually preventing the patient's condition from worsening and transfer to the ICU.</description><subject>Acidosis</subject><subject>Biology and Life Sciences</subject><subject>Cardiac arrest</subject><subject>Critical care</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency response</subject><subject>Emergency response teams</subject><subject>Evaluation</subject><subject>Hospitals</subject><subject>Insertion</subject><subject>Internal medicine</subject><subject>Intubation</subject><subject>Medical care</subject><subject>Medical records</subject><subject>Medical schools</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Metabolism</subject><subject>Mortality</subject><subject>Patients</subject><subject>People and 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physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea</title><author>Lee, Su Yeon ; Ahn, Jee Hwan ; Kang, Byung Ju ; Jeon, Kyeongman ; Lee, Sang-Min ; Lee, Dong Hyun ; Lee, Yeon Joo ; Kim, Jung Soo ; Park, Jisoo ; Moon, Jae Young ; Hong, Sang-Bum</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-ea1016759ce2b525df8a420f88e98e4ee6c3e2b60601c7e8ec951869fc3622693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acidosis</topic><topic>Biology and Life Sciences</topic><topic>Cardiac arrest</topic><topic>Critical care</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency response</topic><topic>Emergency response teams</topic><topic>Evaluation</topic><topic>Hospitals</topic><topic>Insertion</topic><topic>Internal medicine</topic><topic>Intubation</topic><topic>Medical care</topic><topic>Medical records</topic><topic>Medical schools</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Metabolism</topic><topic>Mortality</topic><topic>Patients</topic><topic>People and Places</topic><topic>Physicians</topic><topic>Population studies</topic><topic>Quality management</topic><topic>Research and Analysis Methods</topic><topic>Sepsis</topic><topic>Services</topic><topic>Tertiary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Su Yeon</creatorcontrib><creatorcontrib>Ahn, Jee Hwan</creatorcontrib><creatorcontrib>Kang, Byung Ju</creatorcontrib><creatorcontrib>Jeon, Kyeongman</creatorcontrib><creatorcontrib>Lee, Sang-Min</creatorcontrib><creatorcontrib>Lee, Dong Hyun</creatorcontrib><creatorcontrib>Lee, Yeon Joo</creatorcontrib><creatorcontrib>Kim, Jung Soo</creatorcontrib><creatorcontrib>Park, Jisoo</creatorcontrib><creatorcontrib>Moon, Jae Young</creatorcontrib><creatorcontrib>Hong, 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Korea</atitle><jtitle>PloS one</jtitle><date>2021-10-07</date><risdate>2021</risdate><volume>16</volume><issue>10</issue><spage>e0258221</spage><epage>e0258221</epage><pages>e0258221-e0258221</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>According to the rapid response system's team composition, responding teams were named as rapid response team (RRT), medical emergency team (MET), and critical care outreach. A RRT is often a nurse-led team, whereas a MET is a physician-led team that mainly plays the role of an efferent limb. As few multicenter studies have focused on physician-led METs, we comprehensively analyzed cases for which physician-led METs were activated. We retrospectively analyzed cases for which METs were activated. The study population consisted of subjects over 18 years of age who were admitted in the general ward from January 2016 to December 2017 in 9 tertiary teaching hospitals in Korea. The data on subjects' characteristics, activation causes, activation methods, performed interventions, in-hospital mortality, and intensive care unit (ICU) transfer after MET activation were collected and analyzed. In this study, 12,767 cases were analyzed, excluding those without in-hospital mortality data. The subjects' median age was 67 years, and 70.4% of them were admitted to the medical department. The most common cause of MET activation was respiratory distress (35.1%), followed by shock (11.8%), and the most common underlying disease was solid cancer (39%). In 7,561 subjects (59.2%), the MET was activated using the screening system. The commonly performed procedures were arterial line insertion (17.9%), intubation (13.3%), and portable ultrasonography (13.0%). Subsequently, 29.4% of the subjects were transferred to the ICU, and 27.2% died during hospitalization. This physician-led MET cohort showed relatively high rates of intervention, including arterial line insertion and portable ultrasonography, and low ICU transfer rates. We presume that MET detects deteriorating patients earlier using a screening system and begins ICU-level management at the patient's bedside without delay, eventually preventing the patient's condition from worsening and transfer to the ICU.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34618853</pmid><doi>10.1371/journal.pone.0258221</doi><tpages>e0258221</tpages><orcidid>https://orcid.org/0000-0003-2737-7695</orcidid><orcidid>https://orcid.org/0000-0003-1993-7752</orcidid><orcidid>https://orcid.org/0000-0001-8724-6289</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acidosis Biology and Life Sciences Cardiac arrest Critical care Emergency medical care Emergency medical services Emergency response Emergency response teams Evaluation Hospitals Insertion Internal medicine Intubation Medical care Medical records Medical schools Medicine Medicine and Health Sciences Metabolism Mortality Patients People and Places Physicians Population studies Quality management Research and Analysis Methods Sepsis Services Tertiary |
| title | A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T15%3A01%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20physician-led%20medical%20emergency%20team%20increases%20the%20rate%20of%20medical%20interventions:%20A%20multicenter%20study%20in%20Korea&rft.jtitle=PloS%20one&rft.au=Lee,%20Su%20Yeon&rft.date=2021-10-07&rft.volume=16&rft.issue=10&rft.spage=e0258221&rft.epage=e0258221&rft.pages=e0258221-e0258221&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0258221&rft_dat=%3Cgale_plos_%3EA678258829%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2580000680&rft_id=info:pmid/34618853&rft_galeid=A678258829&rft_doaj_id=oai_doaj_org_article_229c2e0668164a6a9904c7de33823f77&rfr_iscdi=true |