A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.

<h4>Background</h4>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...

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Autores principales:	Su Yeon Lee, Jee Hwan Ahn, Byung Ju Kang, Kyeongman Jeon, Sang-Min Lee, Dong Hyun Lee, Yeon Joo Lee, Jung Soo Kim, Jisoo Park, Jae Young Moon, Sang-Bum Hong
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/229c2e0668164a6a9904c7de33823f77
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spelling	oai:doaj.org-article:229c2e0668164a6a9904c7de33823f772021-12-02T20:13:47ZA physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.1932-620310.1371/journal.pone.0258221https://doaj.org/article/229c2e0668164a6a9904c7de33823f772021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258221https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Su Yeon LeeJee Hwan AhnByung Ju KangKyeongman JeonSang-Min LeeDong Hyun LeeYeon Joo LeeJung Soo KimJisoo ParkJae Young MoonSang-Bum HongPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258221 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Su Yeon Lee Jee Hwan Ahn Byung Ju Kang Kyeongman Jeon Sang-Min Lee Dong Hyun Lee Yeon Joo Lee Jung Soo Kim Jisoo Park Jae Young Moon Sang-Bum Hong A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.
format	article
author	Su Yeon Lee Jee Hwan Ahn Byung Ju Kang Kyeongman Jeon Sang-Min Lee Dong Hyun Lee Yeon Joo Lee Jung Soo Kim Jisoo Park Jae Young Moon Sang-Bum Hong
author_facet	Su Yeon Lee Jee Hwan Ahn Byung Ju Kang Kyeongman Jeon Sang-Min Lee Dong Hyun Lee Yeon Joo Lee Jung Soo Kim Jisoo Park Jae Young Moon Sang-Bum Hong
author_sort	Su Yeon Lee
title	A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.
title_short	A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.
title_full	A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.
title_fullStr	A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.
title_full_unstemmed	A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.
title_sort	physician-led medical emergency team increases the rate of medical interventions: a multicenter study in korea.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/229c2e0668164a6a9904c7de33823f77
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A physician-led medical emergency team increases the rate of medical interventions: A multicenter study in Korea.

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