快速反应系统对住院危重患者抢救成功率的影响

Effect of rapid response system on the successful rescue rate of critically ill patients

目的提高ICU之外住院危重患者抢救成功率。方法建立与运行快速反应系统(RRS),包括设置住院患者预警指征、建立快速反应小组、修订住院患者病情变化处置流程等措施。结果 RRS运行前后,因病情变化入住ICU的住院患者比率减低、住院患者病情变化至转入ICU间隔时间缩短了2h,入住ICU后病死率下降,差异有统计学意义(P<0.05),在ICU住院时间上的差异无统计学意义(P>0.05),住院患者心肺复苏率明显下降(P=0.001)。结论运行RRS有助于提高ICU之外住院危重患者抢救成功率。

Objective To evaluate the effect of rapid response system on the successful rescue rate of critically ill patients outside ICU. Method A rapid response system（RRS） was designed and implemented. The measures included setting an early warning score for inpatients,establishing a rapid response team and modifying the reporting system for the deterioration of illness. Results After RRS implementation,lCU admission rate,time between deterioration and ICU admission,the mortality rate of deteriorating patients and the cardiopulmonary resuscitation rate decreased significantly（P〈0.05）. There was no significant difference in the ICU length of stay（P〉0.05）. Conclusion The rapid response system can improve the successful rescue rate of critically ill patients outside ICU.