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Editor's Correspondence
June 14, 2010

Meta-analysis for Rapid Response Teams—Reply

Author Affiliations

Author Affiliations: Department of Internal Medicine, Mid-America Heart Institute at St Luke's Hospital, University of Missouri–Kansas City (Dr Chan); Departments of Internal Medicine (Dr Nallmothu) and Emergency Medicine (Dr Sasson), University of Michigan Medical School, and Veterans Administration Ann Arbor Health Services Research & Development Center of Excellence (Dr Nallmothu), Ann Arbor.

Arch Intern Med. 2010;170(11):996-997. doi:10.1001/archinternmed.2010.179

In reply

In their letter, Hillman and colleagues write that we failed to “include the results of the largest cluster randomized control trial yet conducted.” Indeed, we did include the results of their MERIT study in our meta-analysis on rapid response teams (RRTs).1 In fact, their landmark study remains, to date, the only multicenter, randomized trial of RRTs.2 Importantly, MERIT found no differences in rates of unexpected cardiac arrests or deaths between control and intervention hospitals.

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