DeVita Michael
Critical Care Medicine and Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Crit Care. 2005 Aug;9(4):325-6. doi: 10.1186/cc3721. Epub 2005 May 18.
Cardiac arrest in hospitals is usually preceded by prolonged deterioration. If the deterioration is recognized and treated, often death can be prevented. Medical emergency teams (MET) are a mechanism to fill this need. The epidemiology of patient deteriorations is not well understood. Jones and colleagues provide data regarding the temporal pattern of METs. They describe a diurnal variation to crises that strongly suggests hospital processes may systematically ignore (and find) patient deterioration. Hospitals in the future must develop methodologies to find more reliably patients who are in crisis, and then respond to them swiftly and effectively to prevent unnecessary deaths.
医院内的心脏骤停通常之前会有病情的长期恶化。如果这种恶化能够被识别并得到治疗，往往可以预防死亡。医疗急救团队（MET）就是满足这一需求的一种机制。目前对患者病情恶化的流行病学情况了解并不充分。琼斯及其同事提供了有关医疗急救团队时间模式的数据。他们描述了危机的昼夜变化，这强烈表明医院流程可能系统性地忽视（并发现）患者的病情恶化。未来的医院必须制定方法，以便更可靠地发现处于危机中的患者，然后迅速有效地对他们做出反应，以防止不必要的死亡。
