Prospective Cohort Study of Rapid Response Team

The purpose of this study is to collect data of rapid response team activated patients prospectively

Study Overview

• Status: Recruiting
• Conditions: Hospital Rapid Response Team; Hospital Medical Emergency Team; Medicine, Emergency

Detailed Description

acutely deteriorating patients including sudden cardiac arrest in general ward who are monitored and intervened by rapid response team

• Study Type: Observational
• Enrollment (Anticipated): 79800

Contacts and Locations

• Study Contact: Name: Yeon Joo Lee, MD; Email: yjlee1117@snubh.org

Study Locations

• Korea, Republic of
  • Seongnam-si, Korea, Republic of
    • Recruiting
    • Seoul National University Bundang Hospital
    • Contact: Yeon Joo Lee, MD; Phone Number: +82317877082; Email: yjlee1117@snubh.org

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 15 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients admitted to general ward in Seoul National University Bundang Hospital and monitored by in-hospital rapid response system.

Description

Inclusion Criteria:

- Patients admitted to general ward in Seoul National University Bundang Hospital and monitored by in-hospital rapid response system.

Exclusion Criteria:

• patients admitted to pediatric wards
• patients in emergency room, intensive care unit, and operating room

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
mortality or ICU admission of rapid response team activated patient	an average of 1 year
incidence of preventable cardiac arrest	an average of 1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Frequency of triggerring criteria(1) for activation of rapid response team	SBP <90mmHg(mABP 60mmHg) +- clinically correlated symptom or sign	an average of 1 year
Frequency of triggerring criteria(2) for activation of rapid response team	HR: <50/min or >140/min or symptomatic arrythmia	an average of 1 year
Frequency of triggerring criteria(3) for activation of rapid response team	RR: <10/min or >30/min or stridor(sign of airway obstruction) or accessary muscle use	an average of 1 year
Frequency of triggerring criteria(4) for activation of rapid response team	Oxygenation: SaO2 <90% in room air or FM 8L/min	an average of 1 year
Frequency of triggerring criteria(5) for activation of rapid response team	Metabolic acidosis: Lactic acid<2.5 , TCO2 <15	an average of 1 year
Frequency of triggerring criteria(6) for activation of rapid response team	ABGA abnormality : PaCO2>50 or pH<7.3 or PaO2<60	an average of 1 year
Frequency of triggerring criteria(7) for activation of rapid response team	ABGA abnormality : PaCO2>50 or pH<7.3 or PaO2<60	an average of 1 year
Frequency of triggerring criteria(8) for activation of rapid response team	Any serious concern about overall deterioration detected by doctor, nurse and caregiver at bedside	an average of 1 year

Collaborators and Investigators

• Sponsor: Seoul National University Hospital
• Collaborators: Seoul National University Bundang Hospital
• Investigators: Principal Investigator: Yeon Joo Lee, MD, Seoul National University Bundang Hospital

Study record dates

Study Major Dates

• Study Start: November 1, 2016
• Primary Completion (Anticipated): November 1, 2022
• Study Completion (Anticipated): November 1, 2026

Study Registration Dates

• First Submitted: November 4, 2016
• First Submitted That Met QC Criteria: December 6, 2016
• First Posted (Estimate): December 8, 2016

Study Record Updates

• Last Update Posted (Actual): June 30, 2021
• Last Update Submitted That Met QC Criteria: June 27, 2021
• Last Verified: June 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: SAFER_20161101