-
All Events
Critical Care Canada Forum 2023Mechanical Ventilation Symposium 2023Critical Care Canada Forum 2022Neuro Critical MasterclassMechanical Ventilation SymposiumCritical Care Canada Forum 2021 - Virtual ConferenceCritical Care Canada Forum 2020 - Virtual Conference -
All Content TypesAbstractePosterLearning moduleLive StreamPPT SharedWebcast
-
Sort ByRelevance
-
All TopicsAll Topics▸Acute Kidney Injury-Renal Replacement Therapy-Complications/Outcomes▸Acute Respiratory Failure and Mechanical Ventilation-Acute Respiratory Failure / ARDS-Mechanical Ventilation-Non-Invasive Ventilation-Weaning and Liberation▸COVID-19-Perspectives on the Pandemic-Pandemic Preparedness, Resource Allocation, and Triage-Management-Complications/Outcomes-Emerging Research/Future Directions-End of Life Care▸Extracorporeal Life Support-Respiratory Failure/ARDS-Cardiac Arrest/Cardiogenic Shock-Complications/Outcomes-Medical Education▸Neurocritical Care-Mechanical Ventilation-Traumatic Brain Injury/Sub-Arachnoid Hemorrhage-Imaging and Neuromonitoring-Post-Cardiac Arrest Care & Neuroprognostication-Seizures▸Organ Donation-Impacts of COVID on Organ Donation-Death by Neurologic Criteria-Death by Circulatory Criteria▸Patient Safety/Health Care Quality/ICU system-Healthcare Quality/Patient Safety-ICU System/Organization▸Pediatric Critical Care-Respiratory Failure/ARDS-Sepsis▸Prognostication, Recovery, and Outcomes-Prognostication-Recovery/Rehabilitation-Long-term Outcomes-Research-Sedation and Delirium▸Sepsis-Management-Complications/Outcomes-Specific Infections-Emerging Research/Future Directions-Sepsis Pathophysiology▸Shock and Resuscitation-Fluid Management-Vasopressors/Inotropes▸Special Populations-Chronic Critical Illness-Geriatrics/Frailty-Obstetrical Critical Care-Oncologic Critical Care-Trauma▸Wellness, Burnout, and Equity-Wellness/Burnout-Equity-Mental Health▸Cardiac Critical Care-Cardiogenic Shock-RV Function/dysfunction-Peri-cardiac arrest care-Atrial fibrillation-Post-cardiac arrest care▸Imaging/Monitoring-Ultrasound/POCUS-Neuroimaging/Neuromonitoring-Hematology-Career Development▸Patient-Centred Care/Ethics/Communication-Patient/Family Perspectives-Ethics-Communication with Patients/Families▸Hematology-Hypercoagulability/Thrombosis-Population Health-GI dysfunction
Protected by US Patents
Abstract
Discussion Forum (0)
ePoster
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
The study is IRB approved from King Abdullah International Medical Research Center.
This is a retrospective cohort study conducted at King Abdul Aziz Medical City, Riyadh.
A total of (1181) CCRT Event Data Collection Forms were collected from the period between February 2018 to April 2019.
All patients older than 18 years in all departments who had been assisted by CCRT at least once were included in the study.
Continuous variables were summarized as mean and SD (standard deviation) or median and (Q1, Q3) and were compared using Mann-Whitney-U test/Kruskal-Wallis H test. Categorical data were expressed as number and percentages and compared using the chi square/Fisher's exact test. All statistical tests were performed with two sided and at the 5% significance level.
All statistical analyses were done using SAS software version 9.4 or higher (SAS Institute, Cary, NC, USA).
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
ePoster
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
The study is IRB approved from King Abdullah International Medical Research Center.
This is a retrospective cohort study conducted at King Abdul Aziz Medical City, Riyadh.
A total of (1181) CCRT Event Data Collection Forms were collected from the period between February 2018 to April 2019.
All patients older than 18 years in all departments who had been assisted by CCRT at least once were included in the study.
Continuous variables were summarized as mean and SD (standard deviation) or median and (Q1, Q3) and were compared using Mann-Whitney-U test/Kruskal-Wallis H test. Categorical data were expressed as number and percentages and compared using the chi square/Fisher's exact test. All statistical tests were performed with two sided and at the 5% significance level.
All statistical analyses were done using SAS software version 9.4 or higher (SAS Institute, Cary, NC, USA).
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
Evaluation of Critical Care Response Team (CCRT) Efficiency after Twelve Years of Implementation in a Tertiary Hospital
Maram Busuhail
Abstract
Discussion Forum (0)
ePoster
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
The study is IRB approved from King Abdullah International Medical Research Center.
This is a retrospective cohort study conducted at King Abdul Aziz Medical City, Riyadh.
A total of (1181) CCRT Event Data Collection Forms were collected from the period between February 2018 to April 2019.
All patients older than 18 years in all departments who had been assisted by CCRT at least once were included in the study.
Continuous variables were summarized as mean and SD (standard deviation) or median and (Q1, Q3) and were compared using Mann-Whitney-U test/Kruskal-Wallis H test. Categorical data were expressed as number and percentages and compared using the chi square/Fisher's exact test. All statistical tests were performed with two sided and at the 5% significance level.
All statistical analyses were done using SAS software version 9.4 or higher (SAS Institute, Cary, NC, USA).
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
ePoster
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
Topic: Rapid Response and Resuscitation
Maram Busuhail1, Abdulmajeed Alhaidari2, Sara Alsultan3, Sultan Alshammari4, Abdullah Alshimemri5
1College of medicine, King Faisal University, Ahsa'a, Saudi Arabia
2College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3College of medicine, King Saud University, Riyadh, Saudi Arabia
4College of medicine, Almaarefa University, Riyadh, Saudi Arabia
5College of medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
King Faisal University
Introduction:
A well-known issue that faces all the hospitals is the long-term occupancy of ICU beds. For this reason, Critical Care Response Teams (CCRT) were established. Several terms are used to refer to these teams include: Rapid Response Team (RRT) which was introduced at the mid of 1990s (1), and many other names, which can be defined as a group of health care providers that take care of patients whom health start deteriorating while they are still in the hospital wards.
Since their inception, there have been various studies on the efficiency of CCRT teams that supported their role in bringing down the mortality rates in hospital wards (3-4). Some conflicting reports have also suggested that no major benefit occurred after constitution of CCRT (5-6). However, most hospitals now accept that formation of a critical care response team is essential for improving patient safety. The system was implemented in King Abdulaziz Medical City, Riyadh (KAMC-R) in the Kingdom of Saudi Arabia, in November 2007 and the team composed of multidisciplinary staff including: A physician, a critical care nurse, a respiratory therapist and intensivist.(2) It is being activated for an estimated number of 3-4 times daily.
Objective:
Evaluate the CCRT the efficacy service: reasons of activation, intervention, CCRT activation date and time and outcomes in terms of mortality rate and disposition of the patients. Generally, the findings of this study will improve patient care and prevent the overuse of ICU services and unnecessary bed occupancies.
Methods:
The study is IRB approved from King Abdullah International Medical Research Center.
This is a retrospective cohort study conducted at King Abdul Aziz Medical City, Riyadh.
A total of (1181) CCRT Event Data Collection Forms were collected from the period between February 2018 to April 2019.
All patients older than 18 years in all departments who had been assisted by CCRT at least once were included in the study.
Continuous variables were summarized as mean and SD (standard deviation) or median and (Q1, Q3) and were compared using Mann-Whitney-U test/Kruskal-Wallis H test. Categorical data were expressed as number and percentages and compared using the chi square/Fisher's exact test. All statistical tests were performed with two sided and at the 5% significance level.
All statistical analyses were done using SAS software version 9.4 or higher (SAS Institute, Cary, NC, USA).
Results:
Our study found that overall 70.68% of patients who activated CCRT survived. The majority of CCRT activation were from medical ward, representing 780 patients. There is an excellent adherence to CCRT calling criteria as only 6 patients (0.5%) required no intervention. Most common CCRT triggers were respiratory-related issues (28.28%) followed closely by tachycardia (25.60%). The major CCRT events resulting in ICU admission followed by death are decrease in urine output and hypotension. 75.19% of the total CCRT activation or calls took place during workdays compared to 24.81% that occurred during weekends. However 65.68% CCRT events occurred outside of working hours. Figure (2) describes the outcomes of the patients assisted by the CCRT team within and outside the working hours of the hospital. There is no difference in the outcomes (survival vs mortality) in the two groups showing that the functioning of the CCRT team is independent and efficiency is not influenced by the working hours of the hospital.
Conclusion:
CCRT is effective in providing medical aid to critical patients.
Image 1
Image 2
Image 3
1. Brydges N, Mundie T. Rapid Response Team (RRT) in Critical Care. Oncologic Critical Care2019. p. 1-8.
2. Ministry of National Guard Health Affairs.Critical Care Response Team. Available at:https://ngha.med.sa/English/MedicalCities/AlRiyadh/MedicalServices/ICU/Pages/CCRT.aspx [Accessed 1 July 2019]
3. Schein RM, Harzday F, Pena M, Ruben B, Strung C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388–1392.
4. Qahtani Al. Satisfaction survey on the critical care response team services in a teaching hospital. International Journal of General Medicine 2011:4 221–224.
5. Wilson M. A 5-year retrospective audit of prescribing by a critical care outreach team. Nurs Crit Care. 2018 May;23(3):121-126.
6. Hillman K, Chen J, Cretikos M, Bellomo R, et al Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097.
{{ help_message }}
{{filter}}