Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study

This study aimed to determine the occurrence rate and risk factors of cardiopulmonary arrest (CPA) during intra-hospital transport (IHT) among critically ill patients, accompanied by a rapid response team (RRT). We performed a retrospective cohort study in a 1300-bed tertiary-care teaching hospital....

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Bibliographic Details
Published in:PloS one 2019-03, Vol.14 (3), p.e0213146-e0213146
Main Authors: Min, Hyun Ju, Kim, Hyung-Jun, Lee, Dong Seon, Choi, Yun Young, Yoon, Miae, Lee, Dayoon, Cho, Jun Yeun, Park, Jong Sun, Cho, Young-Jae, Yoon, Ho Il, Lee, Jae Ho, Lee, Choon-Taek, Lee, Yeon Joo
Format: Article
Language:English
Subjects:
Accountants
Adult
Aged
Aged, 80 and over
Cardiac arrest
Cardiac arrhythmia
Care and treatment
Cohort analysis
Comorbidity
Critical care
Critical Illness
Critically ill persons
Dexmedetomidine
Engineering and Technology
Female
Health risks
Heart Arrest - epidemiology
Heart Arrest - etiology
Heart attack
Heart attacks
Hospital patients
Hospital Rapid Response Team
Hospitals, Teaching
Humans
Infarction
Inheritance tax
Intensive care
Internal medicine
Logistic Models
Male
Medicine
Medicine and Health Sciences
Methods
Middle Aged
Myocardial infarction
Nursing
Patient transfer
Patient Transfer - statistics & numerical data
Patients
Physical Sciences
Regression analysis
Republic of Korea - epidemiology
Retrospective Studies
Risk analysis
Risk Factors
Safety and security measures
Statistics
Teachers
Tertiary Care Centers
Transport
Valves
Ventilation
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Summary:This study aimed to determine the occurrence rate and risk factors of cardiopulmonary arrest (CPA) during intra-hospital transport (IHT) among critically ill patients, accompanied by a rapid response team (RRT). We performed a retrospective cohort study in a 1300-bed tertiary-care teaching hospital. Data of all admitted patients transported within the hospital and accompanied by the RRT from October 2012 to May 2016 were included. We compared patients with CPA (+) and patients without CPA (-) to identify risk factors for CPA during transport. Among 535 patients, CPA occurred in eight (1.5%) patients during IHT. There were no significant differences in age, sex, and comorbidities between groups. More patients in the CPA (+) group than in the CPA (-) group received manual ventilation during IHT (75% vs. 23.0%, p = 0.001). An increased risk of CPA (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0213146