Key result
Rapid response team implementation linked to a ~4% annual reduction in in-hospital mortality.
Why the study?
Approximately half of in-hospital life-limiting events are considered preventable and preceded by clinical deterioration, leading to the introduction of rapid response teams to intervene early.
Does the introduction of a Rapid Response Team reduce in-hospital mortality in hospitalized patients?
Population
628,533 overnight hospitalizations at a single center
Comparison
Post-RRT introduction vs pre-RRT introduction
Design
Single-center retrospective analysis
Authors
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May support delayed mortality benefit from rapid response teams; leaves open causal confirmation in randomized trials.
Observational (n=628,533)
No
Does the introduction of a Rapid Response Team reduce in-hospital mortality in hospitalized patients?
Odds Ratio: 0.961 (95% CI 0.955–0.968)
p-value: p=<.001
The introduction of a Rapid Response Team was associated with a gradual, significant decrease in in-hospital mortality over a 9-year period, suggesting benefits may take years to manifest.
Factora et al. (2022) conducted an observational in In-hospital mortality (n=628,533). Rapid response team (RRT) program vs. Pre-RRT period was evaluated on In-hospital mortality (OR 0.961, 95% CI 0.955-0.968, p=<.001). Implementation of a rapid response team was associated with a significant gradual decrease in in-hospital mortality over time (OR per additional year 0.961; 95% CI 0.955-0.968; P<0.001).
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