Table 4.
Effects of implementation of rapid response system on limitation of medical treatment (LOMT) order status
| Before | Final RRT | |||
|---|---|---|---|---|
| (n = 576) | (n = 522) | P value* | ||
| LOMT at time of admission, n (%) | Code A | 221 (38) | 187 (36) | 0.31 |
| Code C | 271 (47) | 269 (52) | ||
| Code D | 84 (15) | 66 (13) | ||
| LOMT at time of death, n (%) | Code A | 99 (17) | 64 (12) | 0.06 |
| Code C | 170 (30) | 174 (33) | ||
| Code D | 307 (53) | 284 (54) | ||
| Delta time, days, between last change in LOMT status and death, median (IQR) | 2 (1–5) | 1 (1–4) | 0.09 | |
| Stratified by hospital length of stay, median (IQR) (n) | 0–3 days | 1 (0–2) (195) | 1 (0–2) (178) | 0.74 |
| 4–7 days | 3 (1–5) (130) | 2 (1–5) (110) | 0.27 | |
| 8–14 days | 3 (1–9) (100) | 2 (1–7) (125) | 0.09 | |
| 15–21 days | 2 (1–10) (54) | 3 (1–15) (38) | 0.55 | |
| >21 days | 5 (1–25) (97) | 2 (1–12) (71) | 0.12 |
Medical and surgical patients are combined. Code A patients who were to have full active care, Code C patients who were not to have cardiopulmonary resuscitation and/or were not to be admitted to ICU, Code D patients who were to have only palliative care, RRT rapid response team. *Chi-square or Mann–Whitney U test was used as appropriate