Journal article

Characteristics and outcomes of rapid response team activations for hypotension in orthopaedic patients

Joao GR Ramos, Richard Zhang, Brendan Maher, Andrew Hardidge, Laurence Weinberg, Ray Robbins, Phillip J Peyton, Rinaldo Bellomo, Daryl Jones

Internal Medicine Journal | WILEY | Published : 2020

Abstract

BACKGROUND: Hypotension following orthopaedic surgery has been associated with increased morbidity and mortality. Rapid response teams (RRT) review patients on hospital wards with hypotension. AIM: To evaluate the epidemiology of hypotensive RRT activations in adult orthopaedic patients to identify contributing factors and areas for future quality improvement. METHODS: Timing of RRT activations, presumed causes of hypotension and associated treatments were assessed. RESULTS: Among 963 RRT activations in 605 patients over 3 years, the first calls of 226 of 605 patients were due to hypotension, and 213 (94.2%) of 226 had sufficient data for analysis. The median age was 79 (interquartile range ..

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