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• W2893768145 abstract "To evaluate the effectiveness of rapid response teams using early identification of clinical deterioration in reducing the occurrence of in-hospital mortality and cardiorespiratory arrest.The MEDLINE, LILACS, Cochrane Library, Center for Reviews and Dissemination databases were searched.We included studies that evaluated the effectiveness of rapid response teams in adult hospital units, published in English, Portuguese, or Spanish, from 2000 to 2016; systematic reviews, clinical trials, cohort studies, and prepost ecological studies were eligible for inclusion. The quality of studies was independently assessed by two researchers using the Newcastle-Ottawa, modified Jadad, and Assessment of Multiple Systematic Reviews scales.The results were synthesized and tabulated. When risk measures were reported by the authors of the included studies, we estimated effectiveness as 1-RR or 1-OR. In pre-post studies, we estimated effectiveness as the percent decrease in rates following the intervention.Overall, 278 studies were identified, 256 of which were excluded after abstract evaluation, and two of which were excluded after full text evaluation. In the meta-analysis of the studies reporting mortality data, we calculated a risk ratio of 0.85 (95%CI 0.76 - 0.94); and for studies reporting cardiac arrest data the estimated risk ratio was 0.65 (95%CI 0.49 - 0.87). Evidence was assessed as low quality due to the high heterogeneity and risk of bias in primary studies.We conclude that rapid response teams may reduce in-hospital mortality and cardiac arrests, although the quality of evidence for both outcomes is low.Avaliar a efetividade de times de resposta rápida com uso de identificação precoce de deterioração clínica, na redução das ocorrências de parada cardiorrespiratória e morte no hospital.Realizaram-se buscas nas bases de dados MEDLINE, LILACS, Cochrane Library e Center for Reviews and Dissemination.Incluímos trabalhos que avaliaram a efetividade de times de resposta rápida em unidades hospitalares de pacientes adultos, publicados em inglês, português ou espanhol, no período entre 2000 e 2016. Consideraram-se elegíveis revisões sistemáticas, ensaios clínicos, estudos de coorte e ecológicos pré-pós. A qualidade dos trabalhos foi avaliada de forma independente por dois dos pesquisadores com utilização das escalas Newcastle-Ottawa e Jadad modificada, e da ferramenta Assessment of Multiple Systematic Reviews.Os resultados foram resumidos e tabulados. Quando os autores dos estudos incluídos relataram medidas de risco, estimamos a efetividade como 1-RR ou 1-OR. Nos estudos pré-pós, estimamos a efetividade como a diminuição porcentual nas taxas após a intervenção.Identificou-se um total de 278 trabalhos, dos quais 256 foram excluídos após avaliação do resumo, e dois outros após avaliação do texto completo. Na metanálise dos estudos que relataram dados de mortalidade, calculamos uma proporção de risco de 0,85 (IC95% 0,76 - 0,94); para os trabalhos que relataram dados de parada cardíaca, o cálculo da proporção de risco foi de 0,65 (IC95% 0,49 - 0,87). A evidência foi de baixa qualidade em razão da heterogeneidade e do risco de viés nos ensaios primários.Os times de resposta rápida podem reduzir a incidência de morte e parada cardíaca no hospital, embora a qualidade da evidência seja baixa para ambos os desfechos." @default.
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• W2893768145 date "2018-01-01" @default.
• W2893768145 modified "2023-09-30" @default.
• W2893768145 title "Effectiveness of rapid response teams in reducing intrahospital cardiac arrests and deaths: a systematic review and meta-analysis" @default.
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• W2893768145 doi "https://doi.org/10.5935/0103-507x.20180049" @default.
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