Rapid Response Team Activation Triggers in Adults and Children: An Integrative Review.

IF 1.1 4区医学 Q3 NURSING Rehabilitation Nursing Pub Date : 2023-05-01 DOI:10.1097/RNJ.0000000000000408

Naheed Feroz Ali, Asma Amir, Aleena Punjwani, Rozina Bhimani

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Abstract

Purpose: This integrative review aims to identify the triggers for rapid response team (RRT) activation and their outcomes in pediatric patients and to compare them with those of adult patients. In addition, this integrative review synthesizes the outcomes of cardiopulmonary resuscitation (CPR), intensive care unit (ICU) admission, length of hospital stay, and mortality following RRT activation.

Method: An integrative review using the Whittemore and Knafl methodology was undertaken with a search of three large databases (PubMed, Ovid MEDLINE, and CINAHL) and found 25 relevant studies published in the years 2017 through 2022.

Results: Tachypnea, decreased oxygen saturation, tachycardia, changes in blood pressure, and level of consciousness were the most common triggers in both populations. However, specific activation triggers differed between children and adults.

Conclusions: The most common triggers for RRT are detectable through vital signs monitoring; therefore, vigilant tracking of patients' vital signs is critical and can provide early clues to clinical deterioration.

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成人和儿童快速反应团队激活触发因素:一项综合综述。

目的:本综合综述旨在确定儿科患者快速反应小组(RRT)激活的触发因素及其结果，并将其与成人患者进行比较。此外，本综合综述综合了RRT激活后心肺复苏(CPR)、重症监护病房(ICU)入院、住院时间和死亡率的结果。方法:采用Whittemore and Knafl方法对三个大型数据库(PubMed、Ovid MEDLINE和CINAHL)进行综合评价，发现2017年至2022年期间发表的25项相关研究。结果:呼吸急促、血氧饱和度降低、心动过速、血压变化和意识水平是两组人群中最常见的触发因素。然而，具体的激活触发因素在儿童和成人之间有所不同。结论:RRT最常见的触发因素可通过生命体征监测检测到;因此，警惕地跟踪患者的生命体征至关重要，可以为临床恶化提供早期线索。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Nursing 医学-护理

CiteScore

1.90

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue. Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.