Universität zu Köln

Schmitz, J., Kerkhoff, S., Sander, D., Schulz, G., Warnecke, T. and Hinkelbein, J. (2019). Deployment of the in-hospital emergency teamin a tertiary care university hospital. Data analysis for the time period 2013-2016 in North-Rhine/Westphalia. Anaesthesist, 68 (6). S. 361 - 368. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-055X

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Abstract

BackgroundRecent studies demonstrated that in-hospital emergencies are linked to ahigher patient mortality. In approximately 10% of patients an unexpected incident occurs during the hospital stay. Therefore, the establishment of in-hospital medical emergency teams (MET) is becoming more important in the interdisciplinary emergency treatment. The aim of this study was an analysis of medical documentation, operational tactics and procedures taken by MET of the University Hospital of Cologne in a4-year period ranging from 2013 to 2016.Material and methodsAretrospective analysis of 1664 emergency forms from MET activities at the University Hospital of Cologne from 1 January 2013 to 31 December 2016 was carried out. Every MET activation call via the emergency telephone number (5555) and subsequent emergency treatment was recorded using astandardized documentation form. The registry number on ClinicalTrials.gov is NCT03786445.ResultsThere were 1664 emergency team calls in the whole study period. Between 2013 (404 calls) and 2016 (461 calls) the number of calls increased by 11.4%. The total mission time of the MET increased in the study period from 8342min (2013) to 10,800min (2016, +29.5%) and the average mission time increased from 2013 (35min) to 2016 (40min) by 14.3%. The primary reason for activation was collapse or syncope and was the underlying cause for 29% of calls. The number of deployments for emergencies at weekends was 50% of those during weekdays and 6.5% of the calls were for cardiopulmonary resuscitation (CPR).ConclusionAnalysis of data revealed that the number of MET calls, total operating time and average deployment time increased from 2013 to 2016. The primary reason for MET activations was collapse or syncope and every 17th deployment was for cardiopulmonary resuscitation. The incidence of in-hospital cardiac arrests decreased during the study period.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schmitz, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kerkhoff, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sander, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulz, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Warnecke, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-146484
DOI:	10.1007/s00101-019-0586-y
Journal or Publication Title:	Anaesthesist
Volume:	68
Number:	6
Page Range:	S. 361 - 368
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-055X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RAPID RESPONSE TEAM; CARDIAC-ARREST; ADVERSE EVENTS; INTENSIVE-CARE; RESUSCITATION; MORTALITY; CARDIOPULMONARY; ACTIVATION; ADMISSION; OUTCOMES Multiple languages Anesthesiology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14648