ID | 62345 |
フルテキストURL | |
著者 |
Hongo, Takashi
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Naito, Hiromichi
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
Fujiwara, Toshifumi
Emergency Department, Okayama Saiseikai General Hospital
Naito, Takaki
Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine
Homma, Yosuke
Department of Emergency and Critical Care Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
Fujimoto, Yoshihisa
Department of Emergency and Critical Care Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
Takaya, Morooka
Emergency and Critical Care Medical Center, Osaka City General Hospital
Yamamori, Yuji
Department of Emergency and Critical Care Medicine, Shimane Prefectural Central Hospital
Nakada, Taka-Aki
Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine
Nojima, Tsuyoshi
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
researchmap
Nakao, Atsunori
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
Fujitani, Shigeki
Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine
In-Hospital Emergency Study Group
|
抄録 | Aim: The rapid response system (RRS) is an in-hospital medical safety system. To date, not much is known about patient disposition after RRS activation, especially discharge home. This study aimed to investigate the prevalence, characteristics, and outcomes of patients with adverse events who required RRS activation.
Methods: Retrospective data from the In-Hospital Emergency Registry in Japan collected from April 2016 to November 2020 were eligible for our analysis. We divided patients into Home Discharge, Transfer, and Death groups. The primary outcome was the prevalence of direct discharge home, and independently associated factors were determined using multivariable logistic regression. Results: We enrolled 2,043 patients who met the inclusion criteria. The prevalence of discharge home was 45.7%; 934 patients were included in the Home Discharge group. Age (adjusted odds ratio [AOR] 0.96; 95% confidence interval [CI], 0.95-0.97), malignancy (AOR 0.69; 95% CI, 0.48-0.99), oxygen administration before RRS (AOR 0.49; 95% CI, 0.36-0.66), cerebral performance category score on admission (AOR 0.38; 95% CI, 0.26-0.56), do not attempt resuscitation order before RRS (AOR 0.17; 95% CI, 0.10-0.29), RRS call for respiratory failure (AOR 0.50; 95% CI, 0.34-0.72), RRS call for stroke (AOR 0.12; 95% CI, 0.03-0.37), and intubation (AOR 0.20; 95% CI, 0.12-0.34) were independently negative, and RRS call for anaphylaxis (AOR 15.3; 95% CI, 2.72-86.3) was positively associated with discharge home. Conclusion: Less than half of the in-hospital patients under RRS activation could discharge home. Patients' conditions before RRS activation, disorders requiring RRS activation, and intubation were factors that affected direct discharge home. |
キーワード | discharge to home
DNAR
RRS
serious adverse event
|
発行日 | 2021-08-16
|
出版物タイトル |
Acute Medicine & Surgery
|
巻 | 8巻
|
号 | 1号
|
出版者 | Wiley
|
開始ページ | e690
|
ISSN | 2052-8817
|
資料タイプ |
学術雑誌論文
|
言語 |
英語
|
OAI-PMH Set |
岡山大学
|
著作権者 | © 2021 The Authors.
|
論文のバージョン | publisher
|
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1002/ams2.690
|
ライセンス | https://creativecommons.org/licenses/by-nc-nd/4.0/
|
オープンアクセス(出版社) |
OA
|