Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study.
INTRODUCTION:This study aimed to determine the occurrence rate and risk factors of cardiopulmonary arrest (CPA) during intra-hospital transport (IHT) among critically ill patients, accompanied by a rapid response team (RRT). METHODS:We performed a retrospective cohort study in a 1300-bed tertiary-ca...
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| Format: | Article |
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Public Library of Science (PLoS)
2019-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0213146 |
| _version_ | 1818442585532792832 |
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| author | Hyun Ju Min Hyung-Jun Kim Dong Seon Lee Yun Young Choi Miae Yoon Dayoon Lee Jun Yeun Cho Jong Sun Park Young-Jae Cho Ho Il Yoon Jae Ho Lee Choon-Taek Lee Yeon Joo Lee |
| author_facet | Hyun Ju Min Hyung-Jun Kim Dong Seon Lee Yun Young Choi Miae Yoon Dayoon Lee Jun Yeun Cho Jong Sun Park Young-Jae Cho Ho Il Yoon Jae Ho Lee Choon-Taek Lee Yeon Joo Lee |
| author_sort | Hyun Ju Min |
| collection | DOAJ |
| description | INTRODUCTION:This study aimed to determine the occurrence rate and risk factors of cardiopulmonary arrest (CPA) during intra-hospital transport (IHT) among critically ill patients, accompanied by a rapid response team (RRT). METHODS:We performed a retrospective cohort study in a 1300-bed tertiary-care teaching hospital. Data of all admitted patients transported within the hospital and accompanied by the RRT from October 2012 to May 2016 were included. We compared patients with CPA (+) and patients without CPA (-) to identify risk factors for CPA during transport. RESULTS:Among 535 patients, CPA occurred in eight (1.5%) patients during IHT. There were no significant differences in age, sex, and comorbidities between groups. More patients in the CPA (+) group than in the CPA (-) group received manual ventilation during IHT (75% vs. 23.0%, p = 0.001). An increased risk of CPA (p<0.001) corresponded with a higher number of vasopressors used during IHT. In univariate logistic regression analysis, history of myocardial infarction (OR 10.7, 95% CI 2.4-50.5, p = 0.005), manual ventilation (OR 10.1, 95% CI 2.0-50.5, p = 0.005), and use of three or more vasopressors (OR 11.1, 95% CI 2.5-48.9, p = 0.001) were significantly associated with risk of CPA during RRT-led IHT. CONCLUSIONS:Despite accompaniment by a specialized team such as the RRT, CPA can occur during IHT. History of myocardial infarction, manual ventilation with bag-valve mask, and the use of three or more vasopressors were independent risk factors of CPA during IHT of critically ill patients accompanied by the RRT. |
| first_indexed | 2024-12-14T18:46:29Z |
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| id | doaj.art-f0a66bb987f44b8c920bcee95cd76db6 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-14T18:46:29Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-f0a66bb987f44b8c920bcee95cd76db62022-12-21T22:51:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01143e021314610.1371/journal.pone.0213146Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study.Hyun Ju MinHyung-Jun KimDong Seon LeeYun Young ChoiMiae YoonDayoon LeeJun Yeun ChoJong Sun ParkYoung-Jae ChoHo Il YoonJae Ho LeeChoon-Taek LeeYeon Joo LeeINTRODUCTION:This study aimed to determine the occurrence rate and risk factors of cardiopulmonary arrest (CPA) during intra-hospital transport (IHT) among critically ill patients, accompanied by a rapid response team (RRT). METHODS:We performed a retrospective cohort study in a 1300-bed tertiary-care teaching hospital. Data of all admitted patients transported within the hospital and accompanied by the RRT from October 2012 to May 2016 were included. We compared patients with CPA (+) and patients without CPA (-) to identify risk factors for CPA during transport. RESULTS:Among 535 patients, CPA occurred in eight (1.5%) patients during IHT. There were no significant differences in age, sex, and comorbidities between groups. More patients in the CPA (+) group than in the CPA (-) group received manual ventilation during IHT (75% vs. 23.0%, p = 0.001). An increased risk of CPA (p<0.001) corresponded with a higher number of vasopressors used during IHT. In univariate logistic regression analysis, history of myocardial infarction (OR 10.7, 95% CI 2.4-50.5, p = 0.005), manual ventilation (OR 10.1, 95% CI 2.0-50.5, p = 0.005), and use of three or more vasopressors (OR 11.1, 95% CI 2.5-48.9, p = 0.001) were significantly associated with risk of CPA during RRT-led IHT. CONCLUSIONS:Despite accompaniment by a specialized team such as the RRT, CPA can occur during IHT. History of myocardial infarction, manual ventilation with bag-valve mask, and the use of three or more vasopressors were independent risk factors of CPA during IHT of critically ill patients accompanied by the RRT.https://doi.org/10.1371/journal.pone.0213146 |
| spellingShingle | Hyun Ju Min Hyung-Jun Kim Dong Seon Lee Yun Young Choi Miae Yoon Dayoon Lee Jun Yeun Cho Jong Sun Park Young-Jae Cho Ho Il Yoon Jae Ho Lee Choon-Taek Lee Yeon Joo Lee Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study. PLoS ONE |
| title | Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study. |
| title_full | Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study. |
| title_fullStr | Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study. |
| title_full_unstemmed | Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study. |
| title_short | Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study. |
| title_sort | intra hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest a retrospective cohort study |
| url | https://doi.org/10.1371/journal.pone.0213146 |
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