Zhao Liwei, Jiang Li, Zhu Bo, Dong Bingsheng, Xi Xiuming
School of Public Health, Capital Medical University, Beijing 100069, China.
Department of Intensive Care Unit, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2020 Mar;32(3):362-366. doi: 10.3760/cma.j.cn121430-20200116-00055.
To analyze the implementation of medical emergency team (MET) in Fuxing Hospital of Capital Medical University, and to investigate the characteristics such as the time, department, disease, cause of the MET calls, in order to provide a basis for the improvement of MET's implementation.
A retrospective study was conducted. MET calls that received between January 1st, 2015 and December 31st, 2018 at Fuxing Hospital were collected. The calls' information included the quarter, time, and the patients' gender, age, admission time, department, admission diagnosis, the reason for the calls, the operation and outcome of the MET upon arrival.
A total of 846 MET calls were occurred during 4 years from 2015 to 2018. The frequencies of the first and third quarter were relatively high with 28.0% (237/846) and 26.5% (224/846), respectively. The events mainly occurred during the day (08:00-19:59) with 611 calls (72.2%). There were more men [64.3% (544/846)] than women [35.7% (302/846)]. The calls were mainly from the elderly over 60 years old, and gradually increased with age, which distributed the most in patients aging 80-89 years old, accounting for 51.5% of all calls (436/846). Among all the MET events, 80.5% (681/846) were from department of internal medicine, 18.8% (159/846) were from department of surgery, and 0.7% (6/846) were from department of gynecology and obstetrics. The top 3 diseases reported in the calls were respiratory diseases [31.6% (267/846)], nervous system diseases [20.8% (176/846)] and circulatory diseases [9.9% (84/846)]. The reason of MET calls showed that abnormal pulse oxygen saturation [SpO, 27.8% (235/846)] were the most among 4 vital signs. After MET rescue, 7.3% (62/846) of the patients died, 48.7% (412/846) were transferred to intensive care unit (ICU) for further treatment, and 41.9% (354/846) remained under observation.
The frequency of MET calls in Fuxing Hospital of Capital Medical University was relatively stable over the years, mostly received in the daytime (08:00-19:59) of the first and third quarter. Most of the patients were male aged 80-89 years old. The most MET calls were from department of internal medicine and due to respiratory disease. SpO was the most common abnormal indicator. According to the above characteristics, MET can focus on them in the future.
分析首都医科大学附属复兴医院医疗应急团队（MET）的实施情况，探讨MET呼叫的时间、科室、疾病、原因等特征，为改进MET的实施提供依据。
进行回顾性研究。收集2015年1月1日至2018年12月31日在复兴医院接到的MET呼叫。呼叫信息包括季度、时间以及患者的性别、年龄、入院时间、科室、入院诊断、呼叫原因、MET到达后的操作及结果。
2015年至2018年4年间共发生846次MET呼叫。第一季度和第三季度的呼叫频率相对较高，分别为28.0%（237/846）和26.5%（224/846）。事件主要发生在白天（08:00 - 19:59），共611次呼叫（72.2%）。男性[64.3%（544/846）]多于女性[35.7%（302/846）]。呼叫主要来自60岁以上的老年人，且随年龄逐渐增加，在80 - 89岁患者中分布最多，占所有呼叫的51.5%（436/846）。在所有MET事件中，80.5%（681/846）来自内科，18.8%（159/846）来自外科，0.7%（6/846）来自妇产科。呼叫中报告的前3种疾病为呼吸系统疾病[31.6%（267/846）]、神经系统疾病[20.8%（176/846）]和循环系统疾病[9.9%（84/846）]。MET呼叫原因显示，在4项生命体征中，脉搏血氧饱和度异常[SpO，27.8%（235/846）]最为常见。MET抢救后，7.3%（62/846）的患者死亡，48.7%（412/846）被转至重症监护病房（ICU）进一步治疗，41.9%（354/846）仍在观察中。
首都医科大学附属复兴医院MET呼叫频率多年来相对稳定，大多在第一季度和第三季度的白天（08:00 - 19:59）接到。大多数患者为80 - 89岁男性。MET呼叫大多来自内科且因呼吸系统疾病。SpO是最常见的异常指标。根据上述特征，MET未来可重点关注这些方面。
