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dc.contributor.authorCoombs, MAen
dc.contributor.authorNelson, Ken
dc.contributor.authorPsirides, AJen
dc.contributor.authorSuter, Nen
dc.contributor.authorPedersen, Aen
dc.date.accessioned2018-12-16T13:18:42Z
dc.date.available2018-12-16T13:18:42Z
dc.date.issued2016-03en
dc.identifier.issn0310-057Xen
dc.identifier.urihttp://hdl.handle.net/10026.1/13052
dc.description.abstract

A third of patients reviewed by rapid response teams (RRT) require end-of-life care. However, little is known about the characteristics and management of these patients following RRT review. This paper presents results of a retrospective, descriptive audit that explored the dying trajectory of adult ward inpatients who died outside of intensive care following RRT review. The study setting was a 430-bed tertiary New Zealand hospital during 2013. RRT, inpatient databases and hospital notes were used to identify 100 consecutive adult inpatients who died subsequent to RRT review. Outcome measures included time from RRT review to death, place of death, pre-existing co-morbidities and frequency of medical review. Results demonstrated that patients were old (median 77 years, IQR 63-85years), emergency admissions (n=100) and admitted under a medical specialty (n=71). All but one of the cohort had pre-existing co-morbidities (mean 3.2, SD 1.7), almost a third (n=31) had cancer and 51% had 1-4 previous inpatient admissions within the previous 12 months. The mean length of stay prior to RRT review was 4.9 days (SD 5.5) during which patients were frequently reviewed by senior medical staff (mean 6.8 times, SD 6.9, range 0-44). Twenty per cent of patients died after their first RRT review with a further 40% receiving treatment limitation/palliation. Fifty-two per cent of patients had a pre-existing DNAR. Eighty per cent of patients died in hospital. Whilst the RRT fulfils an unmet need in decision-making at end of life, there is a need to understand what RRT, instead of ward-based or palliative care teams, offers dying patients.

en
dc.format.extent262 - 269en
dc.languageengen
dc.language.isoengen
dc.subjectend–of–life careen
dc.subjectmedical emergency teamen
dc.subjectpalliative careen
dc.subjectrapid response teamen
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectFemaleen
dc.subjectHospital Rapid Response Teamen
dc.subjectHumansen
dc.subjectLength of Stayen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectTerminal Careen
dc.titleCharacteristics and dying trajectories of adult hospital patients from acute care wards who die following review by the rapid response team.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/27029659en
plymouth.issue2en
plymouth.volume44en
plymouth.publication-statusPublisheden
plymouth.journalAnaesth Intensive Careen
dc.identifier.doi10.1177/0310057X1604400213en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Academics
plymouth.organisational-group/Plymouth/Faculty of Health and Human Sciences
plymouth.organisational-group/Plymouth/Faculty of Health and Human Sciences/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
dc.publisher.placeUnited Statesen
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1177/0310057X1604400213en
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.typeJournal Article/Reviewen


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