Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6209
Title: Medical Emergency Team call within 24 h of medical admission with a focus on sepsis: a retrospective review
Authors: Nolan, James
Mackay, Ian
Nolan, Timothy 
de Looze, Julian
Issue Date: 2024
Publisher: Royal Australasian College of Physicians
Source: Nolan J, Mackay I, Nolan T, de Looze J. Medical Emergency Team call within 24 h of medical admission with a focus on sepsis: a retrospective review. Intern Med J. 2024 Jun;54(6):961-969. doi: 10.1111/imj.16337. Epub 2024 Jan 30. PMID: 38288844.
Journal Title: Internal medicine journal
Journal: Internal Medicine Journal
Abstract: Clinical deterioration within the first 24 h of patient admission triggering a Medical Emergency Team (MET) call is a common occurrence. A greater understanding of these events, with a focus on the recognition and management of sepsis, could lead to quality improvement interventions. A retrospective observational review of general and subspecialty medical admissions triggering a MET call within 24 h of admission at a quaternary Australian hospital. 2648 MET calls occurred (47.9/1000 admissions), 527 (20% of total MET events, 9.5/1000 admissions) within 24 h of admission, with the trigger more likely to be hypotension (odds ratio: 1.5, P = 0.0013). There were 263 MET calls to 217 individual medical patients within 24 h of admission, of which 84 (38.7%) were admitted with suspected infection, 69% of which fulfilled sepsis criteria. Of these, 36.2% received antimicrobial therapy within the recommended timeframe and 39.6% received antibiotics in line with hospital guidelines. Sepsis was initially missed in 11% of patients. Afferent limb failure occurred in 29% of patients with 40.5% experiencing a failure of the ward-based response to deterioration prior to MET call. Median hospital length of stay was increased in patients admitted with suspected infection (7 vs 5 days, P = 0.015) and in those with sepsis not receiving antimicrobial therapy within guideline timeframes (9 vs 4 days, P = 0.017). There is a significant opportunity to improve care for patients who trigger a MET within 24 h of admission. This study supports the implementation of a hospital sepsis management guideline.
Description: Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated author: Timothy Nolan
DOI: 10.1111/imj.16337
Keywords: Medical Emergency Team;rapid review system;early warning system;sepsis
Type: Article
Appears in Sites:Cairns & Hinterland HHS Publications

Files in This Item:
File Description SizeFormat 
Medical Emergency Team call within 24 h of medical admission with a focus on.pdf375.04 kBAdobe PDFThumbnail
View/Open
Show full item record

Page view(s)

48
checked on Nov 2, 2024

Download(s)

74
checked on Nov 2, 2024

Google ScholarTM

Check

Altmetric


Items in DORA are protected by copyright, with all rights reserved, unless otherwise indicated.