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We compared the incidence and rate of readmissions and admitted CAs from wards before and after the introduction of an MET.
Prior to this date, only one publication [ 6] reported a reduction in the incidence of unexpected CAs in association with the introduction of an MET service.
In the largest cluster randomised study of METs [ 51], the Medical Emergency Response Improvement Team MERITT) study, investigators randomly assigned participating hospitals to standard care or the introduction of an MET.
In these 24 hospitals, there was a statistically significant reduction (P = 0.0244) in the incidence of ward CAs admitted to the ICU in the year after the introduction of an MET service.
*Data from the 12 months before and after introduction of an MET service into 29 hospitals in Australia and New Zealand We identified 47 hospitals with no MET service.
In the 24 hospitals for which before-and-after data were available, introduction of an MET service was associated with no effect on the incidence of ICU readmissions, their mortality, or the mortality of patients admitted to the ICU after a ward CA. However, it was associated with a significant reduction in the incidence and rate of ICU admissions due to ward CAs.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com