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Impact of Medical Emergency Team and EMS in Tampere University Hospital

This study has been completed.
Information provided by (Responsible Party):
Sanna Hoppu, Tampere University Hospital Identifier:
First received: July 5, 2010
Last updated: May 29, 2015
Last verified: May 2015
Patients in general wards have abnormal physical values preceding in-hospital cardiac arrest or a transfer to intensive care unit (ICU). The purpose of Medical Emergency Team (MET) or EMS is to interfere early enough in deteriorating patient status to prevent adverse outcomes like cardiac arrest or transfer to intensive care unit. The aims of this study are to record and analyze the effects of EMS and department of emergency and both afferent and efferent limbs of MET activity in Finnish tertiary Hospital.

Death, Sudden,Cardiac

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Impact of Medical Emergency Team and EMS on ICU Readmissions and Sudden Cardiac Arrests in Tampere University Hospital

Resource links provided by NLM:

Further study details as provided by Tampere University Hospital:

Primary Outcome Measures:
  • In-hospital mortality [ Time Frame: patients are followed until death ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The rates of ICU readmissions [ Time Frame: one month to six year ] [ Designated as safety issue: No ]
  • The rates of DNAR orders [ Time Frame: one month to six year ] [ Designated as safety issue: No ]
  • The number of patients EMS or medical emergency team is called to treat [ Time Frame: one month to six years ] [ Designated as safety issue: No ]
    We are going to analyze the number of MET calls and their impact on sudden cardiac arrests in TAUH. The time frame is 1st Jan 2010 -31st Dec 2015. It is known fact that well working MET team inside the hospital should decrease the sudden cardiac arrests. We also analyze the EMS calls and the ED visits in June 2015 to see if patient detoriation is related to sudden in-hospital death.

  • Patient mortality after 6 mo of discharge [ Time Frame: one month to six year ] [ Designated as safety issue: No ]
    The patients are followed 6 mo after hospital discharge which has happened in year 2010

Enrollment: 10000
Study Start Date: January 2010
Study Completion Date: December 2011
Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
All MET calls
We make an Utstein type analyze to all MET calls
All EMS calls
We make an Utstein type analyze to all EMS calls during June 2015
All patient in the emergency department
We make an Utstein type analyze to all Emergency visits during June 2015


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
All adult EMS or in-hospital patients with deteriorating vital signs or patients in risk in Tampere University Hospital

Inclusion Criteria:

  • 18 yrs or older

Exclusion Criteria:

  • under 18 yrs
  Contacts and Locations
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Please refer to this study by its identifier: NCT01214460

Tampere University Hospital
Tampere, Pirkanmaa, Finland, 33521
Sponsors and Collaborators
Tampere University Hospital
Principal Investigator: Jari Kalliomäki, MD Tampere University Hospital
Principal Investigator: Sanna Hoppu, MD, PhD Tampere University Hospital
Principal Investigator: Joonas Tirkkonen, MD Tampere University Hospital
Principal Investigator: Timo Kontula, MD Tampere University Hospital
  More Information

Responsible Party: Sanna Hoppu, Researcher, Tampere University Hospital Identifier: NCT01214460     History of Changes
Other Study ID Numbers: R10111 
Study First Received: July 5, 2010
Last Updated: May 29, 2015
Health Authority: Finland: Ethics Committee

Keywords provided by Tampere University Hospital:

Additional relevant MeSH terms:
Death, Sudden
Death, Sudden, Cardiac
Disease Attributes
Pathologic Processes
Heart Arrest
Heart Diseases
Cardiovascular Diseases processed this record on October 21, 2016