Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department

Etter, Reto; Ludwig, Roger; Lersch, Friedrich; Takala, Jukka; Merz, Tobias M (2008). Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. Critical care medicine, 36(3), pp. 775-81. Baltimore, Md.: Lippincott Williams & Wilkins 10.1097/CCM.0B013E3181643C15

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OBJECTIVES: To evaluate the early prognostic value of the medical emergency team (MET) calling criteria in patients admitted to intensive care from the emergency department. DESIGN: Retrospective cohort study. SETTING: Emergency department and department of intensive care medicine of a 960-bed tertiary referral hospital. PATIENTS: A total of 452 consecutive adult patients admitted to intensive care from the emergency department from January 1, 2004, to December 31, 2004. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: MET calling criteria were retrospectively extracted from patient records, and the sum of positive criteria was calculated for the first hour in the emergency department (METinitial) and subsequently until admission to the intensive care unit in a series of time periods. The maximum number of positive MET calling criteria during any time period was defined (METmax). Logistic regression analysis revealed METinitial (odds ratio [OR] 3.392, 95% confidence interval [CI] 2.534-4.540) and METmax (OR 3.867, 95% CI 2.816-5.312) to be significant predictors of hospital mortality, the need for mechanical ventilation (METinitial: OR 4.151, 95% CI 3.53-4.652; METmax: OR 4.292, 95% CI 3.151-5.846), and occurrence of hemodynamic instability (METinitial: OR 1.548, 95% CI 1.258-1.905; METmax: OR 1.685, 95% CI 1.355-2.094) (all p < .0001). CONCLUSIONS: MET scores collected early after admission or throughout the stay in the emergency department allow for simple identification of patients at risk of unfavorable outcome during the subsequent intensive care unit stay.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine
UniBE Contributor:	Etter, Reto, Ludwig, Roger, Lersch, Friedrich, Takala, Jukka, Merz, Tobias
ISSN:	0090-3493
ISBN:	18209673
Publisher:	Lippincott Williams & Wilkins
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 15:01
Last Modified:	02 Mar 2023 23:22
Publisher DOI:	10.1097/CCM.0B013E3181643C15
PubMed ID:	18209673
Web of Science ID:	000253450500015
URI:	https://boris.unibe.ch/id/eprint/26586 (FactScience: 73606)