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

Full text not available from this repository. (Request a copy)

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 and Merz, Tobias Michael

ISSN:

0090-3493

ISBN:

18209673

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:01

Last Modified:

04 May 2014 23:18

Publisher DOI:

10.1097/CCM.0B013E3181643C15

PubMed ID:

18209673

Web of Science ID:

000253450500015

URI:

https://boris.unibe.ch/id/eprint/26586 (FactScience: 73606)

Actions (login required)

Edit item Edit item
Provide Feedback