Perfil clínico de pacientes atendidos por el equipo de respuesta rápida en una institución de alta complejidad del oriente antioqueño: un estudio descriptivo.

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Title:	Perfil clínico de pacientes atendidos por el equipo de respuesta rápida en una institución de alta complejidad del oriente antioqueño: un estudio descriptivo.
Alternate Title:	Clinical Profile of Patients Treated by the Rapid Response Team in a High-Complexity Institution in Eastern Antioquia: A Descriptive Study.
Authors:	Arenas-Sierra, María Paula¹, Porto-Jaramillo, Yolima¹, Ávila-Sánchez, Oswaldo Andrés¹, Naranjo-Sánchez, Astrid Carolina¹, Ochoa-Vargas, Gisella¹, Herrera-Vargas, Jhojan Sebastián² jherrera@clinicasomer.com, Loaiza-Castaño, Jorge Mario³
Source:	Iatreia. 2026, Vol. 39 Issue 3, p448-459. 12p.
Subjects:	Rapid response teams, Respiratory insufficiency, Critical care medicine, Cardiological manifestations of general diseases, Patient monitoring, Symptoms, Tertiary care, Hospital mortality
Abstract (English):	Introduction: Rapid response teams use protocols to monitor patients with clinical deterioration and prevent in-hospital deaths. Objective: To describe the clinical profile of patients for whom the rapid response team is activated in a high-complexity institution. Methods: An observational, descriptive, and retrospective study was conducted, based on medical records of adult patients for whom this team was activated, between March 2022 and 2023. Results: A total of 243 records of patients with a mean age of 58 years and slight majority of women (53.5%, n=130) were reviewed. The most frequent comorbidities were arterial hypertension (51%, n=121) and type II diabetes mellitus (27%, n=64). The main cause of team activation were respiratory disturbances (26.7%, n=65) and hypotension (25.5%, n=62). The 57.61% (n=140) of patients showed improvement at discharge, and mortality was higher among those admitted to the ICU (63%; 17/27) compared to those who did not (15%; 32/216; χ²=34.6; p<0.001). Conclusion: Respiratory deterioration was the main cause of the rapid response team activation, followed by cardiovascular involvement. Most cases had a favorable outcome and mortality was concentrated in patients in critically care. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción: los equipos de respuesta rápida utilizan protocolos para monitorear pacientes con deterioro clínico y prevenir muertes intrahospitalarias. Objetivo: describir el perfil clínico de los pacientes ante los que se activó el equipo de respuesta rápida de una institución de alta complejidad. Métodos: se realizó un estudio observacional, descriptivo y retrospectivo basado en registros médicos de pacientes adultos ante quienes se activó este equipo, entre marzo de 2022 y 2023. Resultados: se analizaron los registros de 243 pacientes con edad promedio de 58 años y una ligera mayoría de mujeres (53,5 %; n = 130). Las comorbilidades más frecuentes fueron hipertensión arterial (51 %; n = 121) y diabetes mellitus tipo II (27 %; n = 64). Las principales causas de activación fueron alteraciones respiratorias (26,7 %; n = 65) e hipotensión arterial (25,5 %; n = 62). El 57,61 % (n = 140) de pacientes presentó mejoría al alta y la mortalidad fue mayor entre quienes ingresaron a UCI (63 %; 17/27), frente a quienes no (15 %; 32/216) (χ² = 34,6; p < 0,001). Conclusión: el deterioro respiratorio fue la principal causa de activación del equipo de respuesta rápida, seguido del compromiso cardiovascular. La mayoría de los casos presentó desenlace favorable y la mortalidad se concentró en pacientes en cuidado crítico. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: Rapid response teams use protocols to monitor patients with clinical deterioration and prevent in-hospital deaths. Objective: To describe the clinical profile of patients for whom the rapid response team is activated in a high-complexity institution. Methods: An observational, descriptive, and retrospective study was conducted, based on medical records of adult patients for whom this team was activated, between March 2022 and 2023. Results: A total of 243 records of patients with a mean age of 58 years and slight majority of women (53.5%, n=130) were reviewed. The most frequent comorbidities were arterial hypertension (51%, n=121) and type II diabetes mellitus (27%, n=64). The main cause of team activation were respiratory disturbances (26.7%, n=65) and hypotension (25.5%, n=62). The 57.61% (n=140) of patients showed improvement at discharge, and mortality was higher among those admitted to the ICU (63%; 17/27) compared to those who did not (15%; 32/216; χ²=34.6; p<0.001). Conclusion: Respiratory deterioration was the main cause of the rapid response team activation, followed by cardiovascular involvement. Most cases had a favorable outcome and mortality was concentrated in patients in critically care. [ABSTRACT FROM AUTHOR]
ISSN:	01210793
DOI:	10.17533/udea.iatreia.370