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Patients in general wards have abnormal physical values preceding in-hospital cardiac arrest or a transfer to intensive care unit (ICU). The purpose of Medical Emergency Team (MET) or EMS is to interfere early enough in deteriorating patient status to prevent adverse outcomes like cardiac arrest or transfer to intensive care unit. The aims of this study are to record and analyze the effects of EMS and department of emergency and both afferent and efferent limbs of MET activity in Finnish tertiary Hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All MET calls | We make an Utstein type analyze to all MET calls | ||
| All EMS calls | We make an Utstein type analyze to all EMS calls during June 2015 | ||
| All patient in the emergency department | We make an Utstein type analyze to all Emergency visits during June 2015 |
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| Measure | Description | Time Frame |
|---|---|---|
| In-hospital mortality | patients are followed until death |
| Measure | Description | Time Frame |
|---|---|---|
| The rates of ICU readmissions | one month to six year | |
| The rates of DNAR orders | one month to six year | |
| The number of patients EMS or medical emergency team is called to treat |
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Inclusion Criteria:
Exclusion Criteria:
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All adult EMS or in-hospital patients with deteriorating vital signs or patients in risk in Tampere University Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Jari Kalliomäki, MD | Tampere University Hospital | Principal Investigator |
| Sanna Hoppu, MD, PhD | Tampere University Hospital | Principal Investigator |
| Joonas Tirkkonen, MD | Tampere University Hospital | Principal Investigator |
| Timo Kontula, MD | Tampere University Hospital | Principal Investigator |
| Eetu Loisa | Tampere University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tampere University Hospital | Tampere | Pirkanmaa | 33521 | Finland |
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| ID | Term |
|---|---|
| D016757 | Death, Sudden, Cardiac |
| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D003645 | Death, Sudden |
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We are going to analyze the number of MET calls and their impact on sudden cardiac arrests in TAUH. The time frame is 1st Jan 2010 -31st Dec 2015. It is known fact that well working MET team inside the hospital should decrease the sudden cardiac arrests. We also analyze the EMS calls and the ED visits in June 2015 to see if patient detoriation is related to sudden in-hospital death. |
| one month to six years |
| Patient mortality after 6 mo of discharge | The patients are followed 6 mo after hospital discharge which has happened in year 2010 | one month to six year |
| D003643 |
| Death |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |