Rapid Response Teams - How and Who?

Condition(s) studied

Investigational drug(s) / intervention(s)

Rapid Response Team Composition_ ICU Nurse: In case of deterioration a Rapid Response Team may be activated. We will be examining the composition of the teams alternating between a MET or a CCOT.

Study summary

This will be an investigator initiated One-sided blinded Randomized Clinical Trial.

The study will examine the composition of the Rapid Response Team (RRT). the investigators will examine to see if a Critical Care Outreach Team (CCOT) consisting of an ICU-Nurse and a general ward physician and nurse are non-inferior to a Medical Emergency Team (MET) consisting of an ICU-Doctor and ICU Nurse as well as a general ward physician and nurse. The randomization will be done using an Analogue randomization sequence using sealed opaque envelopes with central randomization.The experimental intervention will be the CCOT. The statistical analyses will be done on the primary outcomes in the intention to treat population and on the secondary outcomes on an per-protocol basis exempting those with protocol violations.

Eligibility

Primary outcome measure(s)

• 30-Day Mortality — up to 30 days
  Binary outcome measured via the patient Electronic Medical Records
• In-Hospital Cardiac Arrest (IHCA) — up to 30 days
  Binary outcome measured via the patient Electronic Medical Records: defined as any IHCA post randomization and until discharge or 30 days post randomization
• Unplanned Admission to the Intensive Care Unit — up to 30 days
  Binary outcome measured via the patient Electronic Medical Records. Defined as Admission to the ICU more than 24h Post randomization until discharge or 30 day post randomization
• Unexpected Death — up to 30 days
  Binary outcome measured via the Patient Electronic Medical Records and National Register of deaths in the population. Defined as Any deaths post randomization until discharge or 30 days post randomization without treatment limitation being implemented during or 24 hours after the RRT, and without a "do not attempt resuscitation" order

Trial sites (1)

More Nordsjaellands Hospital trials in Denmark