Predictors of In-Hospital Mortality After Rapid Response Team Calls in a 274 Hospital Nationwide Sample

Objectives: Despite wide adoption of rapid response teams across the United States, predictors of in-hospital mortality for patients receiving rapid response team calls are poorly characterized. Identification of patients at high risk of death during hospitalization could improve triage to intensive care units and prompt timely reevaluations of goals of care. We sought to identify predictors of in-hospital mortality in patients who are subjects of rapid response team calls and to develop and validate a predictive model for death after rapid response team call. Design: Analysis of data from the national Get with the Guidelines-Medical Emergency Team event registry. Setting: Two-hundred seventy four hospitals participating in Get with the Guidelines-Medical Emergency Team from June 2005 to February 2015. Patients: 282,710 hospitalized adults on surgical or medical wards who were subjects of a rapid response team call. Interventions: None. Measurements and Main Results: The primary outcome was death during hospitalization; candidate predictors included patient demographic- and event-level characteristics. Patients who died after rapid response team were older (median age 72 vs 66 yr), were more likely to be admitted for noncardiac medical illness (70% vs 58%), and had greater median length of stay prior to rapid response team (81 vs 47 hr) (p

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