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Early Experience of Medical Alert System in a Rural Training Hospital: a Pilot Study

机译：农村培训医院医疗警报系统的早期经验：一项初步研究

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Background Medical emergency teams (METs) have shown their merit in preventing unexpected cardiac arrest. However, it might be impractical for small- or medium-sized hospitals to operate an MET due to limited manpower and resources. In this study, we sought to evaluate the feasibility of a medical alert system (MAS) that alerts all doctors involved in patient care of patient deterioration via text message using smart-phones. Methods The MAS was test-operated from July 2015 to September 2015, in five general wards with a high incidence of cardiac arrest. The number of cardiac arrests was compared to that of 2014. The indication for activation of MAS was decided by the intensive care unit committee of the institution, which examined previous reports on MET. Results During the three-month study period, 2,322 patients were admitted to the participating wards. In all, MAS activation occurred in 9 patients (0.39%). After activation, 7 patients were admitted to the intensive care unit. Two patients (0.09%) experienced cardiac arrest. Of 13,129 patients admitted to the ward in 2014, there were 50 cases (0.38%) of cardiac arrest (p = 0.009). Conclusions It is feasible to use MAS to prevent unexpected cardiac arrest in a general ward.
机译：背景技术医疗急救小组（METs）已显示出在预防意外心脏骤停方面的优势。但是，由于人力和资源有限，中小型医院操作MET是不切实际的。在这项研究中，我们试图评估一种医疗警报系统（MAS）的可行性，该系统通过使用智能手机通过短信向所有参与病人护理的医生发出有关病人恶化的警报。方法自2015年7月至2015年9月，在五个心脏骤停发生率高的普通病房对MAS进行测试操作。将心脏骤停的次数与2014年进行了比较。MAS激活的指示由该机构的重症监护室委员会决定，该委员会审查了以前关于MET的报告。结果在为期三个月的研究期内，有2322名患者被纳入病房。总共有9位患者（0.39％）发生了MAS激活。激活后，有7名患者被送入重症监护室。 2名患者（0.09％）经历了心脏骤停。在2014年入院的13129名患者中，有50例（0.38％）心脏骤停（p = 0.009）。结论使用MAS预防普通病房出现意外心脏骤停是可行的。

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