tailieunhanh - Báo cáo y học: "Demonstrating the benefit of medical emergency teams (MET) proves more difficult than anticipated"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Demonstrating the benefit of medical emergency teams (MET) proves more difficult than anticipated. | Available online at http content 10 2 306 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique Demonstrating the benefit of medical emergency teams MET proves more difficult than anticipated George Chrysochoou1 and Scott R. Gunn2 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Assistant Professor Departments of Critical Care Medicine and Emergency Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 1 March 2006 This article is online at http content 10 2 306 2006 BioMed Central Ltd Critical Care 2006 10 306 DOI 101186 cc4865 Expanded Abstract Citation Hillman K Chen J Cretikos M Bellomo R Brown D Doig G Finfer S Flabouris A Introduction of the medical emergency team MET system a cluster-randomised controlled trial. Lancet 2005 365 2091-2097 1 . Background Patients with cardiac arrests or who die in general wards have often received delayed or inadequate care. Medical emergency teams METs are trained medical professionals that respond quickly to a change in a patient s condition based on the premise that early intervention may prevent further deterioration and or death. We investigated whether implementation of a medical emergency team MET system could reduce the incidence of cardiac arrests unplanned admissions to intensive care units ICU and deaths. Methods Design Prospective cluster-randomized controlled trial. Setting Twenty-three hospitals in Australia. All hospitals had 20 000 admissions per year an emergency department and ICU and did not currently have a MET system. Participating hospitals were heterogeneous and ranged from large urban academic centers to small community hospitals. Intervention After collecting baseline data over 2 months hospitals were randomly assigned to receive .