Impact of Medical Emergency Team and EMS in Tampere University Hospital

Impact of Medical Emergency Team and EMS on ICU Readmissions and Sudden Cardiac Arrests in Tampere University Hospital

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.

Study Overview

• Status: Completed
• Conditions: Death, Sudden,Cardiac

• Study Type: Observational
• Enrollment (Actual): 10000

Contacts and Locations

Study Locations

• Finland
  • Pirkanmaa
    • Tampere, Pirkanmaa, Finland, 33521
      • Tampere University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

All adult EMS or in-hospital patients with deteriorating vital signs or patients in risk in Tampere University Hospital

Description

Inclusion Criteria:

• 18 yrs or older

Exclusion Criteria:

• under 18 yrs

Study Plan

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort
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

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
In-hospital mortality	patients are followed until death

Secondary Outcome Measures

Outcome Measure	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	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

Collaborators and Investigators

• Sponsor: Tampere University Hospital
• Investigators: Principal Investigator: Sanna Hoppu, MD, PhD, Tampere University Hospital; Principal Investigator: Jari Kalliomäki, MD, 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

Study record dates

Study Major Dates

• Study Start: January 1, 2010
• Primary Completion (Actual): July 1, 2016
• Study Completion (Actual): September 26, 2019

Study Registration Dates

• First Submitted: July 5, 2010
• First Submitted That Met QC Criteria: October 1, 2010
• First Posted (Estimate): October 5, 2010

Study Record Updates

• Last Update Posted (Actual): September 27, 2019
• Last Update Submitted That Met QC Criteria: September 26, 2019
• Last Verified: September 1, 2019

More Information

Terms related to this study

• Keywords: MET
• Additional Relevant MeSH Terms: Pathologic Processes; Heart Diseases; Cardiovascular Diseases; Disease Attributes; Death; Heart Arrest; Emergencies; Death, Sudden, Cardiac; Death, Sudden
• Other Study ID Numbers: R10111