院内医疗急救小组与快速反应小组急救模式及效果分析

Comparative Analysis of Effect of In-Hospital Medical Emergency Team Model versus Rapid Response Team Model

目的对院内医疗急救小组(MET)与快速反应小组(RRT)两种急救模式的效果进行比较分析。方法选取2018年7月至2019年12月期间所有住院患者,对MET和RRT启动率、心跳呼吸骤停发生率、死亡率、非计划性ICU转入率及患者转归中生命体征基本稳定率运用描述性分析、卡方检验等统计方法对数据进行研究。结果RRT在启动率、非计划性ICU转入率、患者转归中生命体征基本稳定率方面均高于MET(p﹤0.01),在心跳呼吸骤停发生率及死亡率方面低于MET(p﹤0.01,p﹤0.05),外科系统RRT启动率高于内科系统(p﹤0.01)。结论MET与RRT作为两种院内急救模式,在降低心跳呼吸骤停发生率及院内死亡率等方面均发挥一定作用,相较而言,RRT在急救效果方面更具优势。

Objective To compare the effect of the medical emergency team(MET)and the rapid response team(RRT).Methods All the inpatients from July 2018 to December 2019 were included,and MET and RRT were compared for utilization rate,incidence of cardiac arrest,mortality,unplanned ICU transfer rate and vital sign stability rate using descriptive analysis and Chi-square test.Results The utilization rate,unplanned ICU transfer rate and vital sign stability rate of RRT were higher than those of MET(p﹤0.01).The incidence of cardiac arrest and mortality of RRT were lower than those of MET(p﹤0.01,p﹤0.05).RRT utilization rate in surgical departments was higher than that in internal departments(p﹤0.01).Conclusion Both MET and RRT play a certain role in reducing the incidence of cardiac arrest and mortality.RRT has more advantages in the first-aid outcome compared to MET.