Clinical Trial: Impact of Medical Emergency Team and EMS in Tampere University Hospital

Study Status: Active, not recruiting
Recruit Status: Active, not recruiting
Study Type: Observational

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

Brief Summary: 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.

Detailed Summary:
Sponsor: Tampere University Hospital

Current Primary Outcome: In-hospital mortality [ Time Frame: patients are followed until death ]

Original Primary Outcome:

• The number of patients medical emergency team is called to treat in TAUH [ Time Frame: One year ]
  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 2010. It is known fact that well working MET team inside the hospital should decrease the sudden cardiac arrests.
• The number of sudden cardiac arrests in TAUH [ Time Frame: One year ]

Current Secondary Outcome:

• The rates of ICU readmissions [ Time Frame: one month to six year ]
• The rates of DNAR orders [ Time Frame: one month to six year ]
• The number of patients EMS or medical emergency team is called to treat [ Time Frame: one month to six years ]
  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.
• Patient mortality after 6 mo of discharge [ Time Frame: one month to six year ]
  The patients are followed 6 mo after hospital discharge which has happened in year 2010

Original Secondary Outcome:

• The rates of ICU readmissions [ Time Frame: One year ]
• The rates of DNAR orders [ Time Frame: one year ]
• In-hospital mortality [ Time Frame: patients are followed until death ]
• Patient mortality after 6 mo of discharge [ Time Frame: Six mo ]
  The patients are followed 6 mo after hospital discharge which has happened in year 2010

Dates:
Date Received: July 5, 2010
Date Started: January 2010
Date Completion: December 2019
Last Updated: April 28, 2017
Last Verified: April 2017