Department of Health Research Methods, Evidence, and Impact, McMaster University, DBRI C5-106, 237 Barton St. East, Hamilton, ON, L8L 2X2, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Syst Rev. 2018 Mar 9;7(1):42. doi: 10.1186/s13643-018-0705-x.
Rapid response teams have been widely adopted across the world. Although evidence for their efficacy is not clear, they remain a popular means to detect and react to patient deterioration. This may in part be due to there being no standardized approach to their usage or implementation. A key component of their ability to be effective is the speed of response.
The objective of this review is to evaluate the effect of delayed response by rapid response teams on hospital mortality (primary), cardiac arrest, and intensive care transfer rates (secondary).
This review will include randomized and non-randomized studies which examined the effect of delayed response times by rapid response teams on patient mortality, cardiac arrest, and intensive care unit admission rates. This review will include studies of adult patients who have experienced a rapid response team consultation. The search strategy will utilize a combination of keywords and MeSH terms. MEDLINE and Embase will be searched, as well as examining gray literature. Two reviewers will independently screen retrieved citations to determine if they meet inclusion criteria. Studies will be selected that provide information about the impact of response time on patient outcomes. Comparisons will be made between consults that arrive in a timely manner and consults that are delayed. Quality assessment of randomized studies will be conducted in accordance with guidelines from the Cochrane Handbook for Systematic Reviews of Interventions. Quality assessment of non-randomized studies will be based on the Risk of Bias in Non-randomized Studies-of Interventions (ROBINS-I) assessment tool. Results of the review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
This systematic review will identify and synthesize evidence around the impact of delayed response by rapid response teams on patient mortality, cardiac arrest, and intensive care transfer rates.
PROSPERO Registration: CRD42017071842 .
快速反应团队在全球范围内得到了广泛应用。尽管其疗效的证据并不明确,但它们仍然是一种检测和应对患者病情恶化的流行手段。这在一定程度上可能是由于它们的使用或实施没有标准化的方法。它们能够有效发挥作用的一个关键因素是响应速度。
本综述的目的是评估快速反应团队延迟响应对医院死亡率(主要)、心脏骤停和重症监护转移率(次要)的影响。
本综述将包括随机和非随机研究,这些研究检查了快速反应团队延迟响应时间对患者死亡率、心脏骤停和重症监护病房入院率的影响。本综述将包括经历过快速反应团队咨询的成年患者的研究。搜索策略将结合关键词和 MeSH 术语使用。将搜索 MEDLINE 和 Embase,并检查灰色文献。两名审查员将独立筛选检索到的引文,以确定它们是否符合纳入标准。将选择提供有关响应时间对患者结局影响信息的研究。将对及时到达的咨询和延迟的咨询进行比较。将根据 Cochrane 干预系统评价手册中的指南对随机研究进行质量评估。将根据非随机干预研究(ROBINS-I)评估工具对非随机研究进行质量评估。本综述的结果将根据系统评价和荟萃分析的首选报告项目报告。
本系统综述将确定并综合有关快速反应团队延迟响应对患者死亡率、心脏骤停和重症监护转移率的影响的证据。
PROSPERO 注册:CRD42017071842 。