Extension of Rapid Response Team Operation Time and Cardiopulmonary Resuscitation Incidence

Cardiopulmonary Arrest Clinical Trial

Official title:

The Extension of Rapid Response Team Operation Time and Incidence of General Ward Cardiopulmonary Resuscitation Incidence; A Retrospective Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05712915
• Other study ID #: RRT_CPR
• Status: Completed
• Start date: January 1, 2019
• Est. completion date: December 31, 2021

Study information

• Verified date: January 2023
• Source: Dong-A University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Although early rapid response team was reported as a full-time operating system, similar efficacy of part-time rapid response team has been recently reported. We sought to investigate the association between the duration of rapid response team operation time and the incidence of general ward cardiopulmonary resuscitation.

Description:

Rapid response team (RRT) was introduced to reduce the preventable cardiac arrest in general wards and it has been spread worldwide. RRTs usually consist of dedicated intensivists in RRT and nurse specialists in critical care.

Although RRT implementation could useful, it is not suitable for all hospital circumstances because it is required high cost and plenty of experience in critical care settings. For this reason, to minimize the RRT operating cost, the part-time RRT operation was reported. Recently similar efficacy in part-time operation RRT was reported. However, it is difficult to compare full-time and part-time RRT and no study has been reported the efficacy according to the intensity of RRT operation time.

Authors invested the incidence of general ward cardiopulmonary resuscitation according to the RRT operation time; from the initial implementation to the full-time RRT operation after stepwise extension.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 142088
• Est. completion date: December 31, 2021
• Est. primary completion date: December 31, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years and older

Eligibility

Inclusion Criteria:

• Patients admitted to study hospital from April 1, 2014, to December 31, 2020

Exclusion Criteria:

1. Patients who developed CPR in elsewhere not GW (ICU, emergency department, operation room, outpatient clinics, cardiac catheterization laboratory)

2. younger than 18 years

3. Patients admitted via the emergency department

Related Conditions & MeSH terms

• Cardiopulmonary Arrest
• Heart Arrest

Intervention

Other:
• RRT operation
A retrospective observational study was conducted at a 990-bed tertiary care referral teaching hospital from April 2014 to December 2020. The RRT implemented in April 2017 as a part-time RRT operating 8 hours on weekdays. In March 2018, operation time was extended to 15 hours on weekdays and finally, extended to 24 hours a day, 7 days a week in February 2019. Impact of RRT operation on CPR incidence was retrospective analyzed without any prospective intervention.

Locations

Country	Name	City	State
Korea, Republic of	DongA university hospital	Busan	Seo-gu

Sponsors (1)

Lead Sponsor	Collaborator
Dong-A University Hospital

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	General ward CPR incidence during period without RRT (rapid response team)		at the end of period of no RRT operation. (31th March, 2017)
Primary	General ward CPR incidence during period of part time RRT		at the end of part time RRT period (28th February, 2018)
Primary	General ward CPR incidence during period of extended part time RRT		at the end of extended part time RRT period (31st January, 2019)
Primary	General ward CPR incidence during period of full time RRT		at the end of full time RRT period (31th December, 2020)