tailieunhanh - Báo cáo khoa học: " Effect of the medical emergency team on long-term mortality following major surgery"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Effect of the medical emergency team on long-term mortality following major surgery. | Available online http content 11 1 R12 Research Effect of the medical emergency team on long-term mortality following major surgery Daryl Jones1 Moritoki Egi2 Rinaldo Bellomo1 3 and Donna Goldsmith3 Australian and New Zealand Intensive Care Research Centre ANZIC-RC Department of Epidemiology and Preventive Medicine Monash University Commercial road Melbourne Victoria 3004 Australia department of Anesthesiology and Resuscitology Okayama University Medical School 2-5-1 Shikata city Okayama 700-8525 Japan department of Intensive Care and Department of Medicine Melbourne University Austin Hospital Studley Road Heidelberg Melbourne Victoria 3084 Australia Corresponding author Rinaldo Bellomo Received 27 Nov 2006 Revisions requested 18 Dec 2006 Revisions received 8 Jan 2007 Accepted 29 Jan 2007 Published 29 Jan 2007 Critical Care 2007 11 R12 doi cc5673 This article is online at http content 11 1 R1 2 2007 Jones et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Introducing an intensive care unit ICU -based medical emergency team MET into our hospital was associated with decreased postoperative in-hospital mortality after major surgery. The purpose of the present study was to assess the effect of the MET and other variables on long-term mortality in this patient population. Methods We conducted a prospective controlled before-and-after trial in a University-affiliated hospital. Participants included consecutive patients admitted for major surgery surgery requiring hospital stay 48 hours during a four month control phase and a four month MET phase. The intervention involved the introduction of a hospital-wide ICU-based MET service to