Cited 0 times in
Relationship between the presence of dedicated doctors in rapid response systems and patient outcome: a multicenter retrospective cohort study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 조재화 | - |
dc.date.accessioned | 2022-11-24T00:35:49Z | - |
dc.date.available | 2022-11-24T00:35:49Z | - |
dc.date.issued | 2021-08 | - |
dc.identifier.issn | 1465-9921 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/190799 | - |
dc.description.abstract | Background: Rapid response systems (RRSs) improve patients' safety, but the role of dedicated doctors within these systems remains controversial. We aimed to evaluate patient survival rates and differences in types of interventions performed depending on the presence of dedicated doctors in the RRS. Methods: Patients managed by the RRSs of 9 centers in South Korea from January 1, 2016, through December 31, 2017, were included retrospectively. We used propensity score-matched analysis to balance patients according to the presence of dedicated doctors in the RRS. The primary outcome was in-hospital survival. The secondary outcomes were the incidence of interventions performed. A sensitivity analysis was performed with the subgroup of patients diagnosed with sepsis or septic shock. Results: After propensity score matching, 2981 patients were included per group according to the presence of dedicated doctors in the RRS. The presence of the dedicated doctors was not associated with patients' overall likelihood of survival (hazard ratio for death 1.05, 95% confidence interval [CI] 0.93‒1.20). Interventions, such as arterial line insertion (odds ratio [OR] 25.33, 95% CI 15.12‒42.44) and kidney replacement therapy (OR 10.77, 95% CI 6.10‒19.01), were more commonly performed for patients detected using RRS with dedicated doctors. The presence of dedicated doctors in the RRS was associated with better survival of patients with sepsis or septic shock (hazard ratio for death 0.62, 95% CI 0.39‒0.98) and lower intensive care unit admission rates (OR 0.53, 95% CI 0.37‒0.75). Conclusions: The presence of dedicated doctors within the RRS was not associated with better survival in the overall population but with better survival and lower intensive care unit admission rates for patients with sepsis or septic shock. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | BioMed Central Ltd | - |
dc.relation.isPartOf | RESPIRATORY RESEARCH | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Health Workforce / trends* | - |
dc.subject.MESH | Hospital Mortality / trends* | - |
dc.subject.MESH | Hospital Rapid Response Team / trends* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intensive Care Units / trends | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Physicians / supply & distribution | - |
dc.subject.MESH | Physicians / trends* | - |
dc.subject.MESH | Propensity Score* | - |
dc.subject.MESH | Republic of Korea / epidemiology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Survival Rate / trends | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Relationship between the presence of dedicated doctors in rapid response systems and patient outcome: a multicenter retrospective cohort study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Hyung-Jun Kim | - |
dc.contributor.googleauthor | Kyeongman Jeon | - |
dc.contributor.googleauthor | Byung Ju Kang | - |
dc.contributor.googleauthor | Jong-Joon Ahn | - |
dc.contributor.googleauthor | Sang-Bum Hong | - |
dc.contributor.googleauthor | Dong-Hyun Lee | - |
dc.contributor.googleauthor | Jae Young Moon | - |
dc.contributor.googleauthor | Jung Soo Kim | - |
dc.contributor.googleauthor | Jisoo Park | - |
dc.contributor.googleauthor | Jae Hwa Cho | - |
dc.contributor.googleauthor | Sang-Min Lee | - |
dc.contributor.googleauthor | Yeon Joo Lee | - |
dc.identifier.doi | 10.1186/s12931-021-01824-7 | - |
dc.contributor.localId | A05674 | - |
dc.relation.journalcode | J02616 | - |
dc.identifier.eissn | 1465-993X | - |
dc.identifier.pmid | 34446017 | - |
dc.subject.keyword | Hospital rapid response system | - |
dc.subject.keyword | Mortality | - |
dc.subject.keyword | Physicians | - |
dc.subject.keyword | Propensity score | - |
dc.contributor.alternativeName | Cho, Jaehwa | - |
dc.contributor.affiliatedAuthor | 조재화 | - |
dc.citation.volume | 22 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 236 | - |
dc.identifier.bibliographicCitation | RESPIRATORY RESEARCH, Vol.22(1) : 236, 2021-08 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.