Table 2.
Characteristics of MET calls | Adjusted OR | 95% CI | P-value |
---|---|---|---|
Implementation of automated alert system | 0.73 | 0.56–0.95 | 0.018 |
Age > 70 | 1.26 | 0.96–1.65 | 0.103 |
Medical department | 1.49 | 1.03–2.16 | 0.036 |
Hemato-oncologic diseases | 2.89 | 2.17–3.85 | < 0.001 |
MET activation during weekend | 1.19 | 0.92–1.54 | 0.194 |
MET activation during nighttime hours | 1.00 | 0.78–1.26 | 0.968 |
Time from derangement to MET activation, 10 min | 1.01 | 1.00–1.01 | 0.004 |
Reason for MET activation | |||
Respiratory system | 1.46 | 1.10–1.93 | 0.009 |
Circulatory system | 1.16 | 0.84–1.58 | 0.366 |
Bedside concern | 0.65 | 0.32–1.30 | 0.220 |
Vital sign at the time of MET activation | |||
Hypotension (MBP < 65 mmHg) | 1.24 | 0.93–1.63 | 0.138 |
Tachycardia (HR > 110 beat/min) | 0.95 | 0.63–1.43 | 0.797 |
Tachypnea (RR > 20 breath/min) | 0.95 | 0.64–1.43 | 0.816 |
Fever (BT > 38.3) | 0.44 | 0.34–0.57 | < 0.001 |
MET intervention | |||
HFNC/NIV | 1.78 | 1.07–2.98 | 0.027 |
Airway management | 1.26 | 0.87–1.84 | 0.224 |
Cardiopulmonary resuscitation | 5.15 | 2.02–13.10 | 0.001 |
Bolus fluid administration | 0.58 | 0.43–0.78 | < 0.001 |
Medication therapy | 0.74 | 0.56–0.96 | 0.026 |
Advice or consultation only | 0.97 | 0.70–1.34 | 0.835 |
MBP mean blood pressure, CI confidence interval, HFNC high-flow nasal cannula, MET medical emergency team, MEWS Modified Early Warning Score, NIV non-invasive ventilation, OR odds ratio