FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2802451696> ?p ?o ?g. }

• W2802451696 endingPage "374" @default.
• W2802451696 startingPage "369" @default.
• W2802451696 abstract "Hospital systems for the recognition (afferent limb) and management (efferent limb) of deteriorating patients, or Rapid Response Systems (RRSs), are being mandated worldwide, in spite of conflicting evidence regarding their efficacy. We have evaluated the impact of an Adult Deterioration Detection System (Q–ADDS)–based RRS specifically on illness severity at intensive care unit (ICU) admission and ICU length of stay (LOS), as well as previously studied endpoints. We undertook a retrospective, single-centre observational study comparing equivalent 18-month periods before the Q–ADDS–based RRS, and after implementation. The primary endpoints of the study were illness severity of unplanned ICU admissions from the ward, ICU length of stay, and ICU mortality. Secondary endpoints were RRS call numbers, rate of unplanned ICU admissions, and ward-based cardiorespiratory arrests. Following the introduction of the new RRS, Acute Pain and Chronic Health Evaluation (APACHE) II (17 versus 21, P <0.001), APACHE III (64 versus 68, P=0.011) and Simplified Acute Physiology Score (35 versus 38, P=0.044) scores at ICU admission from the ward were reduced. Fewer patients were in the >50% predicted mortality range of APACHE II (16% versus 32%, P <0.001), APACHE III (18% versus 28%, P=0.012) and Simplified Acute Physiology Score (14% versus 24%, P=0.006). ICU mortality was unchanged (13.7% versus 13.8%, P=0.93). ICU LOS was reduced (3 versus 4 days, P=0.02); prolonged stay (>7 days) was not significantly changed (19% versus 27%, P=0.055). Unplanned ICU admissions, cardiorespiratory arrests and hospital mortality were unchanged. The frequency of RRS activation (48 versus 11 per 1,000 admissions, P <0.001) was markedly increased. This Q–ADDS form–based RRS has resulted in lower illness severity at ICU admission from the ward, and fewer patients with scores associated with a >50% predicted mortality. Overall, ICU length of stay was reduced. These specific outcomes may reliably reflect RRS efficacy, even in smaller centres." @default.
• W2802451696 created "2018-05-17" @default.
• W2802451696 creator A5028160655 @default.
• W2802451696 creator A5039668945 @default.
• W2802451696 creator A5061457292 @default.
• W2802451696 creator A5067400459 @default.
• W2802451696 creator A5076658362 @default.
• W2802451696 date "2017-05-01" @default.
• W2802451696 modified "2023-09-27" @default.
• W2802451696 title "The Effect of Rapid Response System Revision on Standard and Specific Intensive Care Unit Outcomes in a Regional Hospital" @default.
• W2802451696 cites W1494126865 @default.
• W2802451696 cites W1975524941 @default.
• W2802451696 cites W1988820966 @default.
• W2802451696 cites W2033925475 @default.
• W2802451696 cites W2047944129 @default.
• W2802451696 cites W2058605397 @default.
• W2802451696 cites W2079819154 @default.
• W2802451696 cites W2104135620 @default.
• W2802451696 cites W2114781370 @default.
• W2802451696 cites W2136775661 @default.
• W2802451696 cites W2139318659 @default.
• W2802451696 cites W2152249452 @default.
• W2802451696 cites W2155470409 @default.
• W2802451696 cites W4361865037 @default.
• W2802451696 doi "https://doi.org/10.1177/0310057x1704500313" @default.
• W2802451696 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28486896" @default.
• W2802451696 hasPublicationYear "2017" @default.
• W2802451696 type Work @default.
• W2802451696 sameAs 2802451696 @default.
• W2802451696 citedByCount "8" @default.
• W2802451696 countsByYear W28024516962019 @default.
• W2802451696 countsByYear W28024516962020 @default.
• W2802451696 countsByYear W28024516962021 @default.
• W2802451696 crossrefType "journal-article" @default.
• W2802451696 hasAuthorship W2802451696A5028160655 @default.
• W2802451696 hasAuthorship W2802451696A5039668945 @default.
• W2802451696 hasAuthorship W2802451696A5061457292 @default.
• W2802451696 hasAuthorship W2802451696A5067400459 @default.
• W2802451696 hasAuthorship W2802451696A5076658362 @default.
• W2802451696 hasBestOaLocation W28024516961 @default.
• W2802451696 hasConcept C117437137 @default.
• W2802451696 hasConcept C126322002 @default.
• W2802451696 hasConcept C167135981 @default.
• W2802451696 hasConcept C168563851 @default.
• W2802451696 hasConcept C177713679 @default.
• W2802451696 hasConcept C194828623 @default.
• W2802451696 hasConcept C203092338 @default.
• W2802451696 hasConcept C23131810 @default.
• W2802451696 hasConcept C2776376669 @default.
• W2802451696 hasConcept C2780347030 @default.
• W2802451696 hasConcept C2910912111 @default.
• W2802451696 hasConcept C2987404301 @default.
• W2802451696 hasConcept C71924100 @default.
• W2802451696 hasConceptScore W2802451696C117437137 @default.
• W2802451696 hasConceptScore W2802451696C126322002 @default.
• W2802451696 hasConceptScore W2802451696C167135981 @default.
• W2802451696 hasConceptScore W2802451696C168563851 @default.
• W2802451696 hasConceptScore W2802451696C177713679 @default.
• W2802451696 hasConceptScore W2802451696C194828623 @default.
• W2802451696 hasConceptScore W2802451696C203092338 @default.
• W2802451696 hasConceptScore W2802451696C23131810 @default.
• W2802451696 hasConceptScore W2802451696C2776376669 @default.
• W2802451696 hasConceptScore W2802451696C2780347030 @default.
• W2802451696 hasConceptScore W2802451696C2910912111 @default.
• W2802451696 hasConceptScore W2802451696C2987404301 @default.
• W2802451696 hasConceptScore W2802451696C71924100 @default.
• W2802451696 hasIssue "3" @default.
• W2802451696 hasLocation W28024516961 @default.
• W2802451696 hasLocation W28024516962 @default.
• W2802451696 hasOpenAccess W2802451696 @default.
• W2802451696 hasPrimaryLocation W28024516961 @default.
• W2802451696 hasRelatedWork W2008017047 @default.
• W2802451696 hasRelatedWork W2088347149 @default.
• W2802451696 hasRelatedWork W2108329023 @default.
• W2802451696 hasRelatedWork W2137789719 @default.
• W2802451696 hasRelatedWork W2206899919 @default.
• W2802451696 hasRelatedWork W2395699535 @default.
• W2802451696 hasRelatedWork W2403689579 @default.
• W2802451696 hasRelatedWork W2529369081 @default.
• W2802451696 hasRelatedWork W2569894216 @default.
• W2802451696 hasRelatedWork W3040911544 @default.
• W2802451696 hasVolume "45" @default.
• W2802451696 isParatext "false" @default.
• W2802451696 isRetracted "false" @default.
• W2802451696 magId "2802451696" @default.
• W2802451696 workType "article" @default.