Prospective Cohort Study of Rapid Response Team

Recruiting

• Conditions: Hospital Rapid Response Team; Medicine, Emergency; Hospital Medical Emergency Team

• Registration Number: NCT02986581
• Lead Sponsor: Seoul National University Hospital

Brief Summary

The purpose of this study is to collect data of rapid response team activated patients prospectively

Detailed Description

acutely deteriorating patients including sudden cardiac arrest in general ward who are monitored and intervened by rapid response team

Study Timeline

• Study Start: 2016-11
• Study First Submitted: 2016-11-04
• Study First Submitted QC: 2016-12-06
• Study First Posted: 2016-12-08
• Status Verified: 2021-06
• Last Update Submitted: 2021-06-27
• Last Update Posted: 2021-06-30
• Primary Completion: 2022-11
• Study Completion: 2026-11

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 79800

Inclusion Criteria

• Patients admitted to general ward in Seoul National University Bundang Hospital and monitored by in-hospital rapid response system.

Exclusion Criteria

• patients admitted to pediatric wards
• patients in emergency room, intensive care unit, and operating room

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
mortality or ICU admission of rapid response team activated patient	an average of 1 year
incidence of preventable cardiac arrest	an average of 1 year

Secondary Outcome Measures

Name	Time	Method
Frequency of triggerring criteria(6) for activation of rapid response team	an average of 1 year	ABGA abnormality : PaCO2\>50 or pH\<7.3 or PaO2\<60
Frequency of triggerring criteria(8) for activation of rapid response team	an average of 1 year	Any serious concern about overall deterioration detected by doctor, nurse and caregiver at bedside
Frequency of triggerring criteria(3) for activation of rapid response team	an average of 1 year	RR: \<10/min or \>30/min or stridor(sign of airway obstruction) or accessary muscle use
Frequency of triggerring criteria(4) for activation of rapid response team	an average of 1 year	Oxygenation: SaO2 \<90% in room air or FM 8L/min
Frequency of triggerring criteria(1) for activation of rapid response team	an average of 1 year	SBP \<90mmHg(mABP 60mmHg) +- clinically correlated symptom or sign
Frequency of triggerring criteria(2) for activation of rapid response team	an average of 1 year	HR: \<50/min or \>140/min or symptomatic arrythmia
Frequency of triggerring criteria(5) for activation of rapid response team	an average of 1 year	Metabolic acidosis: Lactic acid\<2.5 , TCO2 \<15
Frequency of triggerring criteria(7) for activation of rapid response team	an average of 1 year	ABGA abnormality : PaCO2\>50 or pH\<7.3 or PaO2\<60

Trial Locations

Locations (1)

Seoul National University Bundang Hospital; 🇰🇷 Seongnam-si, Korea, Republic of