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Editor's Correspondence
June 14, 2010

Meta-analysis for Rapid Response Teams

Author Affiliations

Author Affiliations: Intensive Care (Dr Hillman) and The Simpson Centre for Health Services Research (Drs Hillman and Chen), University of New South Wales, Sydney, Australia; Medical Affairs, West Penn Allegheny Health, Pittsburgh, Pennsylvania (Dr DeVita); and Intensive Care and Director of Intensive Care Research Austin Hospital, Melbourne, Australia (Dr Bellomo).

Arch Intern Med. 2010;170(11):996-997. doi:10.1001/archinternmed.2010.178

We congratulate Chan and colleagues1 on their article, “Rapid Response Teams: A Systematic Review and Meta-analysis.” Their report nicely summarizes and analyses a number of primary reports in the field.

The study by Chan and colleagues1 has shown us that rapid response systems (RRSs) have reduced the rates of such a serious and catastrophic event as cardiac arrests. This is especially noteworthy because outcomes from cardiac arrests have remained unchanged for almost 50 years.2 Their meta-analysis has demonstrated a reduction in cardiac arrest rates of approximately one-third in both children’s and adult hospitals. This clear reduction is beyond that of any other intervention to date.