Clinical trial NCT05712915: Extension of Rapid Response Team Operation Time and Cardiopulmonary Resuscitation Incidence
Official title: The Extension of Rapid Response Team Operation Time and Incidence of General Ward Cardiopulmonary Resuscitation Incidence; A Retrospective Observational Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cardiopulmonary Arrest
Keywords: cardiopulmonary arrest
rapid response team
operation time
Lead sponsor: Dong-A University Hospital
Sponsor class: OTHER
First posted: 2023-02-06
Enrollment: 142088
Sex: ALL
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients admitted to study hospital from April 1, 2014, to December 31, 2020

Brief summary: Although early rapid response team was reported as a full-time operating system, similar efficacy of part-time rapid response team has been recently reported. We sought to investigate the association between the duration of rapid response team operation time and the incidence of general ward cardiopulmonary resuscitation.

Detailed description: Rapid response team (RRT) was introduced to reduce the preventable cardiac arrest in general wards and it has been spread worldwide. RRTs usually consist of dedicated intensivists in RRT and nurse specialists in critical care.

Although RRT implementation could useful, it is not suitable for all hospital circumstances because it is required high cost and plenty of experience in critical care settings. For this reason, to minimize the RRT operating cost, the part-time RRT operation was reported. Recently similar efficacy in part-time operation RRT was reported. However, it is difficult to compare full-time and part-time RRT and no study has been reported the efficacy according to the intensity of RRT operation time.

Authors invested the incidence of general ward cardiopulmonary resuscitation according to the RRT operation time; from the initial implementation to the full-time RRT operation after stepwise extension.

Eligibility criteria: Inclusion Criteria:

* Patients admitted to study hospital from April 1, 2014, to December 31, 2020

Exclusion Criteria:

1. Patients who developed CPR in elsewhere not GW (ICU, emergency department, operation room, outpatient clinics, cardiac catheterization laboratory)
2. younger than 18 years
3. Patients admitted via the emergency department

Primary outcomes:
measure: General ward CPR incidence during period without RRT (rapid response team)
timeFrame: at the end of period of no RRT operation. (31th March, 2017)
measure: General ward CPR incidence during period of part time RRT
timeFrame: at the end of part time RRT period (28th February, 2018)
measure: General ward CPR incidence during period of extended part time RRT
timeFrame: at the end of extended part time RRT period (31st January, 2019)
measure: General ward CPR incidence during period of full time RRT
timeFrame: at the end of full time RRT period (31th December, 2020)
Secondary outcomes:
Other outcomes:
Locations:
city: Busan
country: Korea, Republic of
facility: DongA university hospital
state: Seo-gu
Study officials:
References: