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]
Copyright of Iatreia is the property of Universidad de Antioquia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Perfil cl&#237;nico de pacientes atendidos por el equipo de respuesta r&#225;pida en una instituci&#243;n de alta complejidad del oriente antioque&#241;o: un estudio descriptivo.
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  Data: Clinical Profile of Patients Treated by the Rapid Response Team in a High-Complexity Institution in Eastern Antioquia: A Descriptive Study.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Arenas-Sierra%2C+Mar&#237;a+Paula%22&quot;&gt;Arenas-Sierra, Mar&#237;a Paula&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Porto-Jaramillo%2C+Yolima%22&quot;&gt;Porto-Jaramillo, Yolima&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22&#193;vila-S&#225;nchez%2C+Oswaldo+Andr&#233;s%22&quot;&gt;&#193;vila-S&#225;nchez, Oswaldo Andr&#233;s&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Naranjo-S&#225;nchez%2C+Astrid+Carolina%22&quot;&gt;Naranjo-S&#225;nchez, Astrid Carolina&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ochoa-Vargas%2C+Gisella%22&quot;&gt;Ochoa-Vargas, Gisella&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Herrera-Vargas%2C+Jhojan+Sebasti&#225;n%22&quot;&gt;Herrera-Vargas, Jhojan Sebasti&#225;n&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;i&gt; jherrera@clinicasomer.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Loaiza-Casta&#241;o%2C+Jorge+Mario%22&quot;&gt;Loaiza-Casta&#241;o, Jorge Mario&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Iatreia%22&quot;&gt;Iatreia&lt;/searchLink&gt;. 2026, Vol. 39 Issue 3, p448-459. 12p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Rapid+response+teams%22&quot;&gt;Rapid response teams&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Respiratory+insufficiency%22&quot;&gt;Respiratory insufficiency&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Critical+care+medicine%22&quot;&gt;Critical care medicine&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cardiological+manifestations+of+general+diseases%22&quot;&gt;Cardiological manifestations of general diseases&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+monitoring%22&quot;&gt;Patient monitoring&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Symptoms%22&quot;&gt;Symptoms&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Tertiary+care%22&quot;&gt;Tertiary care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hospital+mortality%22&quot;&gt;Hospital mortality&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
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  Data: 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; χ&#178;=34.6; p&lt;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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n: los equipos de respuesta r&#225;pida utilizan protocolos para monitorear pacientes con deterioro cl&#237;nico y prevenir muertes intrahospitalarias. Objetivo: describir el perfil cl&#237;nico de los pacientes ante los que se activ&#243; el equipo de respuesta r&#225;pida de una instituci&#243;n de alta complejidad. M&#233;todos: se realiz&#243; un estudio observacional, descriptivo y retrospectivo basado en registros m&#233;dicos de pacientes adultos ante quienes se activ&#243; este equipo, entre marzo de 2022 y 2023. Resultados: se analizaron los registros de 243 pacientes con edad promedio de 58 a&#241;os y una ligera mayor&#237;a de mujeres (53,5 %; n = 130). Las comorbilidades m&#225;s frecuentes fueron hipertensi&#243;n arterial (51 %; n = 121) y diabetes mellitus tipo II (27 %; n = 64). Las principales causas de activaci&#243;n fueron alteraciones respiratorias (26,7 %; n = 65) e hipotensi&#243;n arterial (25,5 %; n = 62). El 57,61 % (n = 140) de pacientes present&#243; mejor&#237;a al alta y la mortalidad fue mayor entre quienes ingresaron a UCI (63 %; 17/27), frente a quienes no (15 %; 32/216) (χ&#178; = 34,6; p &lt; 0,001). Conclusi&#243;n: el deterioro respiratorio fue la principal causa de activaci&#243;n del equipo de respuesta r&#225;pida, seguido del compromiso cardiovascular. La mayor&#237;a de los casos present&#243; desenlace favorable y la mortalidad se concentr&#243; en pacientes en cuidado cr&#237;tico. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Iatreia is the property of Universidad de Antioquia and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.17533/udea.iatreia.370
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      – SubjectFull: Respiratory insufficiency
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      – SubjectFull: Critical care medicine
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      – SubjectFull: Cardiological manifestations of general diseases
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